@article{Manurung_Santosa_Asfriyati_Achmad_2026, title={Negotiating Tradition and Modernity in Fertility, Gender, and Contraception among the Batak Toba in North Sumatra, Indonesia}, volume={10}, url={https://mattioli1885journals.com/index.php/MedHistor/article/view/18077}, DOI={10.69124/mh.2026.18077}, abstractNote={
Introduction: Batak Toba community experiences reproductive practices at the intersection of customary values, religious teachings, and modern health paradigms. Shifts in fertility values and gender roles influenced by modernization have given rise to new forms of negotiation in the acceptance of contraception. Objectives: This ethnographic study aims to analyze how the Batak Toba community negotiates traditional and modern fertility values. Methods: The research was conducted in Samosir Regency and involved 18 informants. Results: The findings indicate that cultural values emphasizing the importance of sons as lineage successors - embodied in the philosophy of hagabeon-hamoraon-hasangapon- remain fundamental in shaping fertility constructions and the concept of the ideal number of children. Modernization, manifested through education, economic opportunities, and urbanization, has introduced new patterns in gender roles and stimulated the development of discourse surrounding contraception. The negotiation of contraceptive acceptance occurs at the intersection of customary practices, religious teachings, and medical discourse. Modernity does not fully replace tradition; rather, it creates a process of selective adaptation that reflects the interaction among local value systems, religious institutions, and modern health policies. Conclusions: These findings contribute to a deeper understanding of how the negotiation between tradition and modernity shapes fertility preferences, gender roles, and contraceptive practices in the Batak Toba community, while highlighting the importance of cultural sensitivity in the formulation of reproductive health policies.
}, number={1}, journal={Medicina Historica}, author={Manurung, Jasmen and Santosa, Heru and Asfriyati and Achmad, Nurman}, year={2026}, month={May}, pages={18077 } }