Negotiating Tradition and Modernity in Fertility, Gender, and Contraception among the Batak Toba in North Sumatra, Indonesia
Keywords:
fertility, Batak Toba culture, value change, modernity, contraceptionAbstract
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.
References
1. Götmark F, Andersson M. Human fertility in relation to education, economy, religion, contraception, and family planning programs. BMC Public Health 2020; 20(1):1–17.
2. Bongaarts J, Hodgson D. Fertility transition in the developing world. Cham: Springer; 2022.
3. Chukwudeh SO, Oduaran A. My mother persuaded me to have more children: understanding the influence of social network on fertility behavior in Sub-Saharan Africa. Int J Environ Res Public Health 2024; 21(4):396.
4. Lawson DW, Borgerhoff Mulder M. The offspring quantity–quality trade-off and human fertility variation. Philos Trans R Soc B Biol Sci 2016; 371(1692):20150145.
5. Laksono AD, Wulandari RD. Anak adalah aset: meta sintesis nilai anak pada Suku Lani dan Suku Aceh. J Kesehat Reprod 2019; 10(1):11–20.
6. Liu DH, Raftery AE. How do education and family planning accelerate fertility decline? Popul Dev Rev 2020; 46(3):409–41.
7. Casterline JB. Diffusion processes and fertility transition: selected perspectives. Washington, DC: National Academy Press; 2001.
8. Titisari AS, Swandewi LKR, Warren C, Reid A. Stories of women’s marriage and fertility experiences: qualitative research on urban and rural cases in Bali, Indonesia. Gates Open Res 2023; 7:124.
9. Withers M, Browner CH. The changing contexts of fertility outcomes: case studies from a remote village in Bali, Indonesia. Cult Health Sex 2012; 14(3):347–60.
10. Pangaribuan LJ. Konstruksi realitas budaya hamoraon, hagabeon dan hasangapon pada jemaat gereja HKBP Martadinata Bandung. Bandung: Konf Nas Komunikasi; 2018:384–391.
11. Simangunsong F. Pengaruh konsep hagabeon, hamoraon, dan hasangapon terhadap ketidaksetaraan gender dalam konsep amang parsinuan. [Thesis]. Depok: Universitas Indonesia; 2012.
12. Simanjuntak E, Sanusi SR, Asfriyati. Batak women’s reproductive health rights in determining the number of children and joining the KB program. Brit Int Humanit Soc Sci J 2020; 2(2):412–20.
13. Karota E, Afiyanti Y. Preconception care for having a male descendant: an ethnographic study of Indonesian Batak women. Pac Rim Int J Nurs Res 2022; 26:1–10.
14. Naibaho M. The significance of children in Batak Toba culture and its effect on fertility rates. J Indones Cult Stud 2019; 6(2):110–21.
15. Vergouwen JC, Fuad M. Masyarakat dan hukum adat Batak Toba. Yogyakarta: LKiS; 2004.
16. Badan Pusat Statistik. Total fertility rate (TFR) Sumatera Utara hasil long form SP2020 sebesar 2.48. Medan: BPS; 2024.
17. BKKBN. Peran gender dalam ber-KB. Jakarta: BKKBN; 2020. Available from: https://www.bkkbn.go.id/detailpost/peran-gender-dalam-ber-kb
18. Hull TH. Fertility decline in Indonesia: an institutionalist interpretation. Int Fam Plan Perspect 1987; 13(3):90–5.
19. Utomo A, Ananta A, Setyonaluri D, Aryaputra C. A second demographic transition in Indonesia? China Popul Dev Stud 2022; 6(3):288–315.
20. Kirk D. Demographic Transition Theory. Popul Stud (Camb) 1996; 50(3):361–87.
21. Caldwell JC. Theory of fertility decline. London and New York: Academic Press; 1982. xi–386.
22. Harianja D, Rusmanto J, Sontoe S. Marga sebagai simbol identitas: studi kasus pada masyarakat Batak di Kota Palangka Raya. Edu Sociata 2025; 8(1):135–44.
23. Syafrizal. Meaning of boy in Batak Toba (case study in Sidikalang City, Dairi, North Sumatra Province). Jom Fisip 2017; 4(2):1–14.
24. Siallagan DGA. Peran anak dalam konstruksi sosial budaya Suku Batak : studi analisis deskriptif pada masyarakat Suku Batak perantauan di Kota Bandung [Thesis]. Bandung: Universitas Pendidikan Indonesia; 2023.
25. Sinaga AP, Bancin K, Simanullang A. Anak sebagai harta: tinjauan etis - teologis terhadap anak sebagai harta dalam perspektif orang Batak Toba dan implikasinya bagi keluarga Kristen masa kini. J Rev Pendidik Pengajaran 2025; 8(1):1380–90.
26. Raharja MB, Catursaptani R, Rahmadewi R. Komposisi jenis kelamin anak, program Keluarga Berencana dan fertilitas. J Kependudukan Indones 2021; 16(1):13–21.
27. Jafar A, Ardha DJ. Sistem pembagian waris menurut adat Bugis dalam perspektif hukum Islam di Kecamatan Banyuasin II Kabupaten Banyuasin. J Ilm Univ Batanghari Jambi 2022; 22(3):1932–1940.
28. Le K, Nguyen M. Son preference and health disparities in developing countries. SSM Popul Health 2022; 17:101036.
29. Tavassoli N. The transition of son preference: evidence from Southeast Asian Countries. Economics 2021; 9(1):43–67.
30. Nur SNB, Hadju V, Radjab M. The phenomenon of fertility in Indonesia: past, present, and future. J Sosio Informa 2023; 8(3):257–79.
31. Manafe D. Tugas utama Kepala BKKBN menurunkan angka kelahiran total. Beritasatu. 2019. Available from: https://www.beritasatu.com/kesehatan/563206/tugas-utama-kepala-bkkbn-menurunkan-angka-kelahiran-total
32. Dalimunthe IS, Lubis AS. Hamoraon, hagabeon and hasangapon as the basic philosophy in educating children. El Harakah 2019; 21(2):199.
33. Butar-Butar GM. Eksistensi perempuan Batak Toba dalam budaya dan agama. J Pionir LPPM Univ Asahan 2020; 6(2):190–202.
34. Perpustakaan Digital Budaya Indonesia. Mate Pupur. Jakarta: PDBI; 2025. Available from: https://budaya-indonesia.org/
35. Nugrahaeni SR, Sugiharti L. Pengaruh faktor demografi dan nondemografi terhadap fertilitas di Indonesia. J Kependudukan Indones 2022; 17(1):15.
36. Rohana Kamaruddin. Demographic determinants of women’s fertility decision. J Int Bus Econ Entrep 2016; 1(1):30–44.
37. Silaban I, Sibarani R. The tradition of mambosuri Toba Batak traditional ceremony for a pregnant woman with seven months gestational age for women’s physical and mental health. Gac Sanit 2021; 35:S558–S560.
38. Siregar EO, Marpaung A, Hayati A. Kedudukan anak perempuan dalam warisan menurut kompilasi hukum Islam dan budaya Batak Toba studi kasus di Kecamatan Pangaribuan Kabupaten Tapanuli Utara. J Hukum Islam Humaniora 2023; 2(4):670–681.
39. Manurung R, Ismail R, Sibarani R, Munthe HM. The existence of Batak Toba women’s land in patriarchal culture, Indonesia. Dirasat Hum Soc Sci 2025; 53(1):8027.
40. Saputri A, Theresia T, Uligraff DK, Barus NS. Women’s health decision-making: evidence from 2017 Demographic and Health Surveys Data. SEHATI J Kesehat 2025; 5(1):10–5.
41. Rizkianti A, Afifah T, Saptarini I, Rakhmadi MF. Women’s decision-making autonomy in the household and the use of maternal health services: An Indonesian case study. Midwifery 2020; 90:102816.
42. Bhattacharjee N V., Schumacher AE, Aali A, Abate YH, Abbasgholizadeh R, Abbasian M, et al. Global fertility in 204 countries and territories, 1950–2021, with forecasts to 2100: a comprehensive demographic analysis for the global burden of disease study 2021. Lancet 2024; 403(10440):2057–99.
43. Naibaho YP, Bakhtiar Y, Dewi SF, Zatalini R. Kontribusi pendidikan terhadap peningkatan kedudukan perempuan Batak Toba Pedesaan dalam keluarga dan masyarakat. J Educ Cult Polit 2024; 4:320–40.
44. Sihite DF. Motivasi perempuan Batak Toba berpendidikan. [Thesis]. Bandung: Universitas Pendidikan Indonesia; 2022.
45. Sari DP, Hadi EN. Pengaruh budaya patriarki terhadap partisipasi pasangan usia subur dalam program keluarga berencana di Indonesia: tinjauan sistematis. J Ilm Permas 2023; 13(2):369–380.
46. Sinaga GRI, Nugroho BD, Nasution FU. Inheritance dispute resolution related to the position of adopted son based on Batak Toba indigenous law. SIGn Jurnal Hukum 2022; 4(1):1–14.
47. Hasanah E. Java community philosophy: more children, many fortunes. Genealogy 2022; 7(1):3.
48. Fahmi S, Pinem M. Analisis nilai anak dalam gerakan keluarga berencana bagi keluarga Melayu. J Pendidik Ilmu Sos 2018; 10(1):112–20.
49. Tegegne MA, Fekadu AA, Negassa GM. Determinants of fertility status among reproductive age women in rural Ethiopia: evidence from 2016 Ethiopian demographic health survey. Math Theory Model 2019; 9(10):1–11.
50. Hossain MA, Hossain MB. Understanding fertility behavior of the Forcibly Displaced Myanmar Nationals in Bangladesh: a qualitative study. PLoS One 2023; 18:1–20.
51. Derbew Damete D, Gebremariam Baraki S. Fertility status and associated factors among the reproductive age group in Ethiopia: mini demographic and health survey 2019. Ethiop Mini Demogr Health Surv 2023; 1–11.
52. Amirrtha Srikanthan RLR. Religious and cultural influences on contraception. J Obstet Gynaecol Can 2008; 30(2):129–37.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Jasmen Manurung, Heru Santosa, Asfriyati, Nurman Achmad

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Transfer of Copyright and Permission to Reproduce Parts of Published Papers.
Authors retain the copyright for their published work. No formal permission will be required to reproduce parts (tables or illustrations) of published papers, provided the source is quoted appropriately and reproduction has no commercial intent. Reproductions with commercial intent will require written permission and payment of royalties.

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.