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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.

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.

The high birth rate in Indonesia is one of the major problems and requires special attention in handling it. One form of special attention from the government in overcoming the high birth rate is implementing comprehensive family planning. The national family planning movement is prepared to build optimal human resources, characterized by increasing community participation in meeting the needs to be able to build prosperous families in the context of family planning services. The purpose of the study was to identify the relationship between family support and the participation of Women of Childbearing Age in the Family Planning Program at the Aramo Health Center, Aramo District, South Nias in 2023. The results of the cross-tabulation study showed a relationship between family support and the participation of women of childbearing age in the family planning program at the Aroma Health Center, South Nias in 2023 with a P value of 0.000 (P value <0.005), so Ho was rejected and Ha was accepted. Suggestions for midwifery services to provide education to increase family support with the participation of women of childbearing age.

One of the significant issues faced by developing countries, including Indonesia, is the problem of rapid population growth. To overcome this problem, the Indonesian government has implemented the Family Planning (KB) Program. The family planning program provides an opportunity for residents to regulate the distance between child births or reduce the number of births by using various contraceptive methods, both hormonal and non-hormonal. The aim of this Community Service Activity is to improve maternal and child health services, with the hope of controlling the rate of population growth. This activity was carried out by providing information about family planning and free family planning services to 20 WUS who were family planning acceptors in Malakaji District, Gowa Regency. After free family planning services, there was a question and answer session about family planning and evaluation monitoring was carried out. The results of this activity showed that the family planning participants were able to answer questions well and some of them were willing to use IUD or implant family planning. From the results of this activity, it can be seen that knowledge about family planning increased after the outreach was carried out. Before the counseling was carried out, the majority of knowledge was lacking, 12 mothers or 80%. Meanwhile, the mother's knowledge before being given counseling was lowest at Good knowledge, namely 1 person or 6.67%. Mothers' knowledge after counseling was highest in good knowledge, namely 14 people or 93.33%, so it can be concluded that Community Service activities, in the form of counseling about family planning, had a positive impact on WUS in the area and succeeded in increasing family planning knowledge

Contraception is preventing the fertilization of an egg by a sperm cell (conception) or preventing the fertilized egg from attaching to the uterine wall. There are various methods of using contraception, one of which is using hormonal contraceptive methods, namely injection/injection contraception. Injection contraception is an injectable contraceptive. which is injected into the body over a certain period of time, then enters the blood vessels, and is absorbed little by little by the body to prevent pregnancy. The injectable contraceptives used are norethisterone enanthate, depo medroxy progesterone acetate (DMPA), and cyclofem. One of the modern contraceptives used DMPA is often used containing depo medroxy progesterone acetate as much as 150 mg with an efficacy of up to 3 months. This drug was tried in 1958 to treat habitual abortion and endometriosis, and it turns out that in the treatment of habitual abortion, infertility often occurs after the pregnancy ends. Depo-Provera as a contraceptive drug turns out to be quite effective and safe in family planning services. The assumption that Depo-Provera can cause cancer of the cervix or breasts in women who use it has not been clearly proven. Planned contraception is an attempt to space or plan the number and distance pregnancy by using contraception (BKKBN.2012).

Indicators to measure the quality of health services in an area can be seen from the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). One of the ways that can be done to reduce maternal mortality (MMR) and infant mortality (IMR) is by implementing continuous care. The purpose of this continuous midwifery care is to be able to provide comprehensive midwifery care to Mrs. "S" from pregnancy to family planning in accordance with midwifery care standards. Case study research method. The results of the implementation of midwifery care on an ongoing basis (Continuity of Care) on Mrs. "S" G1P0A0 age 24 years starting from the gestational age of 30 weeks 3 days to the age of 38 weeks. At the first pregnancy visit there was a problem in the mother, namely pregnancy with breech location. At the second visit the baby's position was in a normal position. The delivery process ended by cesarean section because the baby had an Early Rupture of Membranes. The baby was born at Budi Kemuliaan Hospital with a weight of 3000 gr Body Length : 48 cm Head Circumference: 33 cm, Chest Circumference: 32 cm. In the postpartum period, physiological complaints were found such as pain in the suture wound but not accompanied by signs of suture wound infection. Mrs. "S" chose to use 3-month injectable birth control. The conclusion of this assessment is that midwives are expected to be able to provide comprehensive care from pregnancy to family planning services and apply care in accordance with midwifery service standards.

Background: Implementation of the family planning program still faces several obstacles. Factors that cause PUS to be reluctant to participate in family planning include: In terms of service, up to now, there is still a lack of quality, as evidenced by family planning participants who stopped using contraception. As well as in terms of delivery of counseling, it puts forward rational, effective and efficient contraceptive choices. Research Objectives: to determine the relationship between family planning services and counseling on obstacles to the implementation of family planning programs in the Bajeng Community Health Center, Gowa Regency. Methods: This study used a Cross Sectional Study method. The sample in this study was PUS who did not participate in family planning. The sampling technique was purposive sampling. Data were processed using SPSS and descriptive and bivariate analysis using the chi-square test and presented in the form of a frequency distribution table. Results: This study shows that there is a relationship between family planning services and obstacles in the implementation of the family planning program where the p value is obtained. There is a relationship providing counseling to obstacles in the implementation of the family planning program where the value of p =, 000. This means that the p value <? (0.05) because the p value is less than 0.05. Conclusion: There is a Relationship between Family Planning Services and Counseling Providing Against Barriers to Implementing Family Planning Programs in the Work Area of the Bajeng Community Health Center.