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Abstract Objective. This study aims to categorize and analyze cases of psychosocial challenges to patriarchal cultural communities in the Family Planning health program in West Sulawesi. Method. Research using qualitative methods through a case study approach. The informants chosen were three Family Planning counselors and ten infertile couples. Data collection techniques were carried out through non-participant observation and in-depth interviews.. Data analysis uses a three-step interactive model, namely first; data condensation, data display, conclusion drawing and verification. Results. This study found a categorization of three cases based on the psychosocial challenges of the patriarchal culture community in the implementation of the Family Planning health program. The first factor, internal barriers within women who oppose using contraceptives, fear of side effects due to direct ego involvement in the use of contraceptives. External factors, perceptions and attitudes of husbands, as well as family environments and reference groups. The dominant factor is culture and religion towards the implementation of the Family Planning program. Conclusion. Psychosocial challenges in patriarchal cultural societies are still dominant due to cultural and religious factors. Furthermore, there are factors internal challenges and external challenges also affect the acceptance of Government programs through Family Planning to reduce the population.