Innovation of Comprehensive Family Services as a Strategic Pilar Fertility Control To Growing People

The decline of the birth rate and the change in population's age structure is now a strategic issue that determines the course of the long-term development of a country. The dynamic of occupation is no longer simply about the number of people, but also about the continuation of labor, social burden, as well as the quality of human resources. Japan's developed state experience shows that failure to maintain a fertility balance could lead to depopulation, a lack of labor, and a great physical pressure. This condition confirms that the control of fertility is not just a health agenda, but an important pillar in national development planning. Indonesia is in a crucial demographic transition path. With the population still large, Indonesia was projected to peak population around 2059 before it was gradually decreased. Since the 1970s, Indonesia recorded significant success in lowering total Fertility Rate (TFR) from 5.6 children per woman to about 2.3-2.4 in the early 2000- However, after that period, the rate of fertility is slowing down orfertility stalling2.5 in range. This condition raises a new challenge, because demographic stability can only be achieved if TFR is at an ideal 2.1 child per girl orreplacement level fertility.

The demographic context changes the need for a new approach in the Planning Family program. The KB program can no longer be positioned as a single intervention that focuses on the use of contraception, but has to be developed as comprehensive, adaptive, and integrated with various development sectors. This approach becomes increasingly relevant when Indonesia is faced with a double challenge, which is to prevent the explosion of the population on one side, as well as avoid overzealous fertility on the other. In the perspective of population policy, TFR is a key indicator that reflects the reproductive behavior of society. The decline of fertility is influenced by many factors, such as education levels, female participation in the workforce, access to health care, as well as family social economic conditions. The better quality of education and well-being, the more rational the family decides to plan the number of children. Therefore, the achievement of TFR ideal cannot be released from the success of the state in building a public service system that supports healthy and responsible reproductive choices.

Viewer Indonesia based on Long Form Sensus Citizens 2020 (LF-SP2020) shows TFR for 2.18 children per girl. This number is close to standardreplacement level fertilityand became an important indicator toward the state of the growing population. It reflects the success of KB service innovation designed in a more comprehensive and strategic way by the BKKBN, by putting family as a central intervention policy. The innovation of the KB service was manifested through a more evenly and quality access service. Providence of friendly health facilities, increased health capacity, and the ease of access to contraception became a critical factor in maintaining continuity of fertility. The KB service is no longer administrative, but it's directed at the fulfilment of reproductive rights and real family needs according to its social context.

In addition, the success of fertility control is also supported by strong cross-sector collaboration. The policy of occupation cannot be run sectorally, but it requires synergy between the central government and the area, educational institutions, private sector, as well as public figures. This collaborative approach extends the reach of the KB program and strengthens its social legitimacy in society. The educational aspect and counseling of occupation became another crucial element. Campaign about the health of reproduction, family life planning, and quality children's care role in forming public awareness to make rational reproductive decisions. This education is not only addressed to women, but it also involves men as part of the common responsibility in the family.

Further away, KB service innovation is also integrated by the efforts of empowerment of family and women. The increased access to education, strengthening the family's economic endurance, as well as social protection contributes directly to the decline of sustainable fertility. When a family has an economic and social sense of safety, decisions have an ideal number of children become more likely. Even so, the challenge remains. Interstate service access, local government capacity differences, as well as social cultural dynamics still potentially affects continuity in fertility. Therefore, the KB service innovation needs to be constantly evaluated and adjusted to the development of the society to not lose relevance.

At the end of the day, fertility control to the people growing up is not just a matter of numbers, but about the quality of policy and welfare of the family. The TFR coverage 2.18 shows that Indonesia is on the right track, but the continuation of these results can only be maintained through comprehensive, inconclusive, and long-term-oriented KB reinforcement. With good management, cross-sector collaboration, and active community participation, the KB service innovation can be a powerful foundation in setting up quality human resources to Indonesia Gold 2045.

Reference
1. National Planning Family Development, Statistics Center, and Health Ministry. 2017. Demonography Survey and Health 2017. Jakarta.
2. Statistic Center (BPS). 2012. Demographic Parameters Estimated Tren Fertility, Mortality, and Migratory Results of Census 2010. BPS:
3. M. Mantra, General Demography, 2nd ed.
Four. _
5. The analysis of occupational policy in order to reduce TFR disparity in Indonesia, the proud minister / BKBN and the National Research Agency 2024
Six. Central Bureau of Statistics. 1992. Demography and Health Survey in 1991. BPS:

Author:Nada Ayunda Sovia, S.matt, M.Stat.(Indonesian CPDS researcher)