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This study examines the influence of work discipline, employee motivation, and work environment on employee performance at the Office of Women Empowerment, Child Protection, Population Control, and Family Planning (DP3AP2KB) of Batam City. The research applies a quantitative approach with an associative design to determine the relationship and influence among variables. Data were collected from all employees using a structured questionnaire that had been tested for validity and reliability to ensure the accuracy of the research instrument. The analysis technique used is multiple linear regression to evaluate both partial and simultaneous effects of the independent variables on employee performance. The findings indicate that work discipline, motivation, and work environment collectively contribute significantly to improving employee performance. Individually, each variable also shows a meaningful and positive effect, reflecting the importance of both internal and external factors in shaping employee outcomes and productivity. These results imply that strengthening discipline, enhancing employee motivation, and creating a supportive, comfortable, and conducive work environment are essential strategies for improving organizational performance and achieving institutional goals effectively. Therefore, organizations are encouraged to implement policies and programs that support employee development, maintain a positive work atmosphere, and improve overall work quality in a sustainable manner.

Every nation, including Indonesia, has a problem with population growth. A high birth rate is the consequence of an expanding population, which causes childhood malnutrition. Family planning is an attempt to regulate the quantity and spacing of children. The AKDR is the recommended method of contraception. Indonesia's AKDR coverage is still inadequate. Because the husband is the head of the household, his support is crucial since he has the power to decide whether or not to use contraception. At the Ibu Community Health Center, this research aims to explore the connection between husband support and a lack of interest in using IUD contraception among couples of reproductive age. With 25 individuals in the study group, a cross-sectional research design with total sampling methodologies was employed. A survey was used as the research method, and the data was subjected to Chi-Square analysis with SPSS. The chi-square statistical test produced a P-value (asymp. Sig 2-tailed) of 0.000 < 0.05, indicating that there is a correlation between husband support and a low desire among couples of reproductive age to utilize IUD contraception. Consequently, since H0 was disproved and H1 was proven, it can be inferred that there is a link between husband support and couples of childbearing age having a low interest in using IUD contraception.

Stunting remains a significant public health challenge in Indonesia, including in Paser Regency, East Kalimantan. Effective human resource (HR) management among community cadres is a critical factor in stunting prevention and intervention programs. This community service activity aimed to enhance the knowledge and skills of 33 Stunting Companion Cadres under the auspices of the Office of Population Control, Family Planning, Women's Empowerment and Child Protection (DPPKBPPPA) of Paser Regency through counseling and training on HR management principles applied to stunting mitigation. The activity was conducted using a participatory lecture method supplemented by discussion and question-and-answer sessions. Pre-test and post-test evaluations were administered to measure improvements in participants' knowledge. Results indicated a significant increase in participants' understanding of HR management concepts—including planning, recruitment, training, and performance evaluation—as applied to stunting intervention programs. The mean pre-test score was 58.3, which increased to 82.7 after the intervention (improvement of 41.8%). These findings underscore the importance of HR management capacity-building for cadres as a foundational strategy for achieving optimal stunting reduction outcomes at the community level.

This study aims to analyze the effect of competency synergy and training on performance with job satisfaction both at the Department of Women's Empowerment and Child Protection and Population Control and Family Planning of Pekalongan Regency directly and indirectly. The population used is the Department of Women's Empowerment and Child Protection and Population Control and Family Planning of Pekalongan Regency 160 people, with a sampling technique using the Slovin formula totaling 114 respondents. The data collection method was carried out by means of a questionnaire, the analysis technique used was PLS (Partial Least Square). The results of the study showed that competency synergy had a positive and significant effect on performance optimization and training had a positive and significant effect on performance optimization. Competency synergy had a positive and significant effect on job satisfaction, training had a positive and significant effect on job satisfaction, job satisfaction had a positive and significant effect on performance optimization. And job satisfaction can intervene the effect of competency synergy on performance optimization and job satisfaction can intervene the effect of technology utilization on performance optimization

This study aims to analyze the discretion of family planning counselors in implementing contraceptive policies and the influence of acceptors' socio-demographic characteristics in Demak Regency. Using a mixed-methods approach with a sequential explanatory design, the study included 89 respondents for quantitative analysis and five key informants for in-depth interviews. The results showed a strong positive correlation between counselor discretion and acceptor socio-demographic characteristics (r = 0.646; p < 0.001), which explained 41.7% of the variance in discretionary practices. Counselors adapted communication strategies based on the age, education, geographic location, and culture of acceptors. Policy implementation faced obstacles in the counselor-community ratio (1:23) and the dominance of short-term contraceptive choices due to socio-cultural influences. Theoretical implications enrich the literature on street-level bureaucracy, while practical implications recommend strengthening counselors' capacity, increasing the ideal ratio, and implementing IEC strategies tailored to local culture. Limitations include a single geographic focus and a cross-sectional design. Future research is suggested to use longitudinal designs and multi-regional comparative studies to explore the dynamics of discretion in different socio-cultural contexts.

This study aims to evaluate the implementation of Sidoarjo Regent Regulation Number 69 of 2017 concerning the Civil Servant Code of Ethics in the Family Planning Sector at the Sidoarjo Regency Women's Empowerment, Child Protection, and Family Planning Office. A qualitative approach with a case study was used to explore the implementation of the policy through interviews, observation, and documentation. The analysis was conducted using William Dunn's six policy evaluation indicators, namely effectiveness, efficiency, adequacy, equity, responsiveness, and accuracy. The results show that the policy has provided clear behavioral guidelines and is applied evenly in the work environment. However, the effectiveness and efficiency of implementation are not optimal due to disciplinary violations, weak supervision, and unstructured communication between superiors. The aspects of adequacy and accuracy are considered relevant to the needs of the organization, but have not been able to fully overcome obstacles such as high workloads and low internalization of ethical values ​​among employees. In general, this policy contributes to shaping the professionalism of civil servants, but still requires strengthening through continuous supervision and more systematic coaching. The originality of the study lies in the use of Dunn's evaluation model in the context of the implementation of the civil servant code of ethics at the regional level, as well as identifying gaps between normative policies and field practices. These findings confirm that the success of a code of ethics depends heavily on organizational communication, work culture, and consistency of oversight.

Posyandu (Integrated Health Post) is a community based health center that demonstrates community participation in health development. Posyandu provides a variety of integrated services, including family planning, maternal and child health (MCH), nutrition, immunization, and diarrhea management, all implemented simultaneously. Posyandu is also included in the Community-Based Health Efforts (UKBM) and is part of the Village Public Health Institution's activities. This study aims to analyze factors influencing mothers' visits to Posyandu by toddlers. The research method used was a literature review, examining ten relevant scientific articles. The article search was conducted through Google Scholar and Garuda databases, with the inclusion criteria being Indonesian-language articles published within the last five years (2021–2025). The study results indicate that factors influencing mothers' visits to Posyandu include knowledge, attitudes, education, employment, family support, the role of cadres, and access to health services. These findings emphasize the importance of strengthening the role of cadres and family support in increasing Posyandu visits.

This study explores the use of contraception from a Christian perspective, focusing on the Christian Church's views on issues of sexuality and reproduction. Globalization has brought about significant cultural changes, including in how society views sexual relations, family planning, and reproductive responsibility. These changes have influenced the Christian community, giving rise to diverse theological and ethical responses regarding the use of contraception. Within the Christian Church itself, there are fundamental differences of opinion. Most schools reject the use of contraception, citing specific interpretations of biblical passages that emphasize openness to life and God's will. Meanwhile, other schools view contraception as a more complex issue, requiring contextual consideration, taking into account aspects of health, family well-being, and the moral responsibility of married couples. These differing views demonstrate the theological and social dynamics that influence the Church's stance on contraception. Therefore, this study aims to provide a deeper understanding of the decision-making process regarding contraception use within the Christian community.

Background : The Maternal Mortality Rate (MMR) worldwide reaches 183,000 per 100,000 live births (WHO, 2024). In Indonesia, there were 4,305 reported cases (Ministry of Health RI, 2024), while Central Java Province recorded 315 cases (Central Java Health Office, 2024). In Brebes Regency, there were 54 maternal deaths in 2024 (Brebes Health Office, 2024), and in the Bumiayu Public Health Center area, 2 maternal deaths were recorded (Bumiayu PHC Data, 2024). Objective : To analyze, implement, and provide comprehensive midwifery care for Mrs. A, 25 years old, with anemia in the Bumiayu Public Health Center area in 2025, using the Varney midwifery management approach and the SOAP method. Research Methods : This study used a qualitative descriptive design in the form of a case study. Results : Midwifery care during pregnancy for Mrs.A with anemia was carried out bassed on the mother’s needs. During labor, newborn care, postpartum period, and family planning services, no complications were found. Conclusion: The comprehensive midwifery care provided to Mrs. A with anemia was carried out in accordance with the Standard Operating Procedures (SOP), with both the mother and baby in good condition.

This research is motivated by the increasing number of cases of child sexual abuse that cause serious psychological impacts in the form of trauma and emotional development disorders. The purpose of this study is to describe and analyze the process of religious guidance through Islamic religious education counseling for child victims of sexual abuse, which includes four main aspects, namely: (1) planning religious guidance, (2) implementing religious guidance activities, (3) strengthening religious guidance, and (4) supervision in the guidance process. This study uses a qualitative method with data collection techniques through interviews, observations, and documentation. The validity of the data is tested using triangulation and member check techniques. The results of the study indicate that religious guidance planning is carried out by compiling programs, scheduling activities, and evaluating the results of guidance. The implementation of activities is carried out through religious counseling, psychological approaches, and integration of spiritual values to help children understand and internalize religious teachings independently. Strengthening guidance is carried out through spiritual counseling services, psychological assistance, and legal assistance for victims. Meanwhile, supervision of guidance is carried out through optimizing the role of the community in community-based child protection groups as an integrated system to create a safe and child-friendly environment.

Family planning represents a community-based effort to promote awareness and participation through delaying the age of marriage, regulating births, strengthening family resilience, and improving family welfare to achieve small, joyful, and prosperous families (Suriana et al., 2021). The government targets Couples of Reproductive Age (CRA) to reduce population growth in Indonesia, as CRA consists of legally married couples who actively engage in sexual relations that may result in pregnancy. In addition to CRA, postpartum mothers also serve as a key target group in family planning programs. The “Four Too” components contribute to high-risk pregnancies that may lead to complications during pregnancy, childbirth, and the postpartum period, and maternal and infant mortality. These include being too young (under 20 years), too old (over 35 years), too many children (more than four), and too close birth spacing (less than two years) (Oktarina, 2022). This study employed a quantitative research design, specifically an analytical quantitative approach with a correlational design using the cross-sectional method. The sample consisted of 40 participants. The results show that 45% of respondents had a satisfactory level of knowledge about IUD contraception, 32.5% had a moderate level, and 22.5% had a low level of knowledge. In nursing practice, increasing knowledge about contraception—particularly IUD family planning—can enhance interest in its use. Moreover, the study recommends that husbands provide support for mothers in using IUD contraception.

The Web-Based Information System for Family Planning (FP) Participant Registration at the Wee Karou Community Health Center in West Sumba Regency aims to simplify the registration process for FP participants, improve efficiency, and provide easier access for the community to FP services. Previously, the registration process was conducted manually, which often led to delays, data processing errors, and time inefficiency. Therefore, an information system is needed to digitalize the registration and data management processes of FP participants. This system is developed using web-based technology that enables the Wee Karou Health Center to conduct online FP participant registration, monitor program progress, and generate reports more quickly and accurately. The main features of the system include online FP participant registration, participant data management, service schedule monitoring, and the generation of statistical reports related to FP services. The implementation of this system is expected to reduce data entry errors, accelerate the registration process, and enhance transparency and data accuracy. In addition, it provides convenience for the community to register without having to visit the health center directly. Thus, the Family Planning services at Wee Karou Community Health Center are expected to become more optimal, effective, and efficient in supporting government programs for population control and better family planning.

This study aims to determine: (1) the influence of motivation on employee performance, (2) the influence of work discipline on employee performance, (3) the influence of motivation and work discipline on employee performance at the National Population and Family Planning Agency (BKKBN) Family Planning and Family Welfare Research and Development Center (PUSNA) Work Unit. This study was conducted at the National Population and Family Planning Agency (BKKBN) Family Planning and Family Welfare Research and Development Center (Pusna) in the field of population control and family planning with motivation and work discipline as independent variables and employee performance as the dependent variable. This study used a sample of 44 people determined by the Slovin sample. Data collection techniques through observation and questionnaires. Instrument testing uses validity and reliability tests, while data analysis techniques used are classical assumption tests and multiple linear regression using SPSS 25. The results of the study indicate that motivation and work discipline variables simultaneously have a positive and significant effect on employee performance. While partial testing shows that motivation and work discipline have a significant effect on employee performance. Furthermore, motivation is the dominant factor that influences employee performance.

Perceived Barrier Analysis Affecting the Interest of Women of Reproductive Age  in Participating in the Family Planning Program in The Working Area of The Jati 1 Health Center. The number of women participated in the family planning program in the Jati 1 Health Center work area was 12% while the target was 80%. One component of the HBM that discusses obstacles to family planning is perceived barriers. The purpose of this study was to analyze perceived barriers that influence the interest of women in participating in the family planning program in the Jati 1 Health Center work area. This research method uses a qualitative analytical description.The study was conducted in the Jati 1 Health Center work area in 2022. The number of main informants in this study was 4 respondents and 4 triangulation informants. The sampling method was snowball sampling. The results showed that women's interest in participating in the family planning program related to perceived barriers was fear of the side effects of family planning and myths believed by the surrounding community made women not interested in participating in the family planning program.This study concludes that there is an influence between knowledge about family planning, number of children, and husband's support on the interest of women in participating in the family planning program in the work area of Jati 1 Health Center.

Background: The government has implemented a program to increase the use of Long-Term Contraceptive Methods (LTCM) with a national target of 28% in 2024; however, the current achievement is only 23.5%. Batam City is one of the government’s priority areas to increase contraceptive use, but several factors, such as satisfaction levels and health service quality, are still considered low. Objective: This study aims to analyze the relationship between health services and types of contraceptive methods with the satisfaction level of family planning acceptors in Rempang Cate Sub-district, Batam City. Methods: This quantitative research used an analytical observational design with a cross-sectional approach. The population consisted of fertile couples (PUS) in Rempang Cate Village. A total of 34 respondents were selected using purposive sampling techniques. Data were collected through observation sheets and questionnaires and analyzed using the Chi-square test. Results: The findings show that among 17 acceptors with poor health services, only 1 (5.9%) was satisfied, while among those with good health services, 16 were satisfied, and 1 (5.9%) was dissatisfied. Statistical analysis using SPSS showed a p-value = 0.000 (p < 0.05), indicating a significant relationship between health services and family planning acceptor satisfaction. Conclusion: There is a significant relationship between health service quality and the satisfaction of family planning acceptors, but no significant relationship was found between the type of contraceptive method and satisfaction.

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) can be a measure of a country's welfare in determining the optimal degree of health. The maternal mortality rate in the world is 303 thousand people (WHO 2023). MMR in Indonesia was 4,129 people in 2023. Meanwhile, the Infant Mortality Rate (IMR) in the world is 29,945 people (WHO, 2023). In Indonesia, there were 16.85 infant mortality rates in 2023. SEZ is a nutritional deficiency in pregnant women that lasts for several months or years. SEZ conditions can indirectly cause MMR and IMR. SEZ in pregnant women can cause complications such as IUGR, Abortion, LBW, Circulation, Anemia, Bleeding, and Childbirth complications. Research Objective: Providing Comprehensive Midwifery Care in accordance with midwifery care standards starting from pregnancy, childbirth, postpartum, newborn, and family planning in Mrs. A 22 years old with Chronic Energy Deficiency (SEZ) and Chepalo Pelvic Disproportion (CPD) with a midwifery management approach according to Varney and SOAP. Research Methods: Descriptive Qualitative with Case Study approach Results: Comprehensive Midwifery Care on Mrs. A aged 22 years with SEZ can be overcome by an increase in LILA, there is a CPD so that SC delivery is performed and appropriate case management is carried out so that labor, newborn, postpartum period, and family planning goes well. Conclusion: The results of the comprehensive care given to Mrs. A 22 years old with Chronic Energy Deficiency (SEZ) can be resolved marked by an increase in LILA, SC delivery on indications of CPD, normal LBW, normal postpartum, and mini pill birth control.

According to the World Health Organization (WHO), in 2023, around 305,000 per 100,000 live births of women will die due to prevalence due to CED related to pregnancy throughout the world, MMR in ASEAN in 2023 will be 100 per 100,000 live births with prevalence due to CED 40%, MMR in Indonesia in 2023 will be 4,129 with a prevalence due to KEK of 17.3%, MMR in Central Java will be 183 per live birth with a prevalence due to KEK of 6.7%. The MMR in Brebes is 1,083 with a prevalence due to CED of 5%, in Paguyangan women with a prevalence of CED from 2023-2024 is 119 cases. To find out about cases of pregnancy, childbirth, childbirth, postpartum and birth control Mrs. A with CED and history of TB. Qualitative descriptive research method with a case study approach. Comprehensive Care for Mrs. A was found to have problems with pregnancy with CED and a history of TB. Childbirth was carried out by induction based on KPD indications, there were no problems or abnormalities in the postpartum period, the postpartum period was still CED and had mild anemia, there were no complications during the postpartum period. Mrs. A chose the KB implant and there were no complaints after installation. It can be concluded that comprehensive midwifery care for Mrs. At 26 years of pregnancy, childbirth and postpartum there is a gap between theory and practice.

High-risk pregnancy is a pregnancy with a number of risk factors that can cause more serious risks or complications and disrupt the pregnancy process until the postpartum period which endangers the life of the mother and fetus, and occurs due to several factors including pregnancies that are too close together, pregnancies with a mother's age that is too young or old, or pregnancies with too frequent births. Too close pregnancy spacing is a pregnancy gap of <24 months (2 years) between the current pregnancy and the previous pregnancy. Based on the midwifery management method described by VARNEY and SOAP, this study aims to offer complete midwifery care services to Mrs. T, from pregnancy to the use of contraceptives, through a qualitative descriptive method with a case study approach. Research findings from the comprehensive midwifery care assessment that has been provided to Mrs. T aged 31 years, in pregnancy found problems spacing of less than 2 years. Mrs. T gave birth spontaneously at Siti Asiyah Bumiayu Hospital with severe preeclampsia. At By. Mrs. T visits I, II, III no problems were found. Mrs. T's postpartum. From 6 hours postpartum to 42 days postpartum, problems were found at the second visit, including hypertension and lower extremity oedema. Proper care from midwives during pregnancy, childbirth, newborn care, postpartum care, and family planning is crucial for the health of both mother and baby.

Injection contraception is one of the most widely used family planning methods in Indonesia. However, its use is often associated with side effects in the form of weight gain. The commonly used types of injection contraception are the 1-month and 3-month injections, each containing different hormonal contents, which are suspected to have different effects on the weight of the acceptors. The aim of this study is to determine the effect of 1-month and 3-month injection contraception on weight gain in family planning acceptors at PMB Wahyuning Purwati Sleman Regency. This research employs a quantitative method with a cross-sectional approach. A sample of 37 injectable contraceptive acceptors was selected using accidental sampling technique. The instrument used was a questionnaire. Data analysis was performed using paired sample t-test and independent t-test to determine body weight changes before and after using injectable contraceptives. The results showed an increase in body weight among users of the 1-month injectable contraceptive with an average of 3.158 kg (p<0.000) and among users of the 3-month injectable contraceptive with an average of 3.653 kg (p<0.006). Both types of injectable contraception showed a significant effect on weight gain. The weight gain was greater in users of the 3-month injection compared to the 1-month injection. There is a need for more intensive education and counseling for contraceptive acceptors regarding the side effects of injectable contraception and the importance of maintaining a healthy lifestyle.

Maternal mortality remains a challenge in Indonesia, and one contributing factor is chronic malnutrition (CED), which impacts pregnancy, childbirth, the postpartum period, and the newborn. The 2022 registration report shows that of the 3,249,203 pregnant women whose MUAC was measured, 283,833 had a MUAC of less than 23.5 cm (at risk of CED), meaning 8.7% of these pregnant women were at risk of CED. In the Brebes area, the 2022 report recorded 3,475 pregnant women with CED. At the Bantarkawung Community Health Center in 2023, there were 36 cases of preeclampsia, 22 cases of transverse lie, 107 cases of CED, and anemia. Objective: Provide comprehensive midwifery care in accordance with standards of care for pregnant women, women giving birth, newborns, postpartum women, and family planning. Research method: Qualitative descriptive method, the type of research approach used in this study is a comprehensive case study approach. Results: Comprehensive care was provided to Mrs. R who suffered from chronic energy deficiency, and was successfully overcome. Delivery was carried out by caesarean section, the baby was born normally, and the postpartum period went smoothly, and the mother chose a contraceptive method, namely a three-monthly birth control injection. Conclusion: Comprehensive obstetric care has been proven effective in overcoming chronic energy deficiency, ensuring a safe delivery, a normal baby born, a normal postpartum period, and compliance with contraceptive methods.