Strategi Dinas Kesehatan Pengendalian Penduduk dan Keluarga Berencana dalam Menurunkan Angka Kelahiran di Kabupaten Humbang Hasundutan

Abstract

The high birth rate in Humbang Hasundutan Regency indicates that the strategies implemented by the Office of Population Control and Family Planning (PPKB) have not been fully successful in reducing the birth rate. This is evidenced by the region’s Total Fertility Rate (TFR), which remains high at 3.17. This study aims to analyze the strategies implemented by the PPKB Office in efforts to reduce the birth rate in the region. The research employs a qualitative approach with a descriptive method. Data were collected through in-depth interviews, observation, and documentation. The analysis is based on Koteen's theory as cited in Salusu (2004), which categorizes strategies into four types: organizational strategy, program strategy, resource support strategy, and institutional strategy. The findings indicate that: (1) the organizational strategy is implemented by expanding the coverage of family planning services and establishing cross-sectoral partnerships; (2) the program strategy includes direct and mobile family planning services, free contraceptive services, and education based on local wisdom; (3) the resource support strategy involves the management of BOKB funds, mobilization of field officers (PLKB), and provision of infrastructure, although it remains limited; and (4) the institutional strategy involves collaboration with the central BKKBN, local health institutions, other relevant agencies, and the formation of family resilience groups as a means of education and public participation. The study concludes that the strategies implemented are relatively comprehensive and adaptive to local conditions, yet several challenges remain, such as limited funding, inadequate facilities, and low public awareness. Therefore, a more integrated strategic reinforcement is needed to achieve sustainable reductions in the birth rate.