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Household food security and nutrition are crucial determinants of public health, especially in regions with limited access to high-quality animal protein. This study aims to analyze the impact of organic chicken farming and maggot utilization on household food security and family nutrition in Jayapura, Papua. An exploratory case study with a mixed-method approach was used, involving observation, in-depth interviews, and documentation. The findings revealed that maggot-based feed significantly improved chicken growth, health, and egg production while reducing feed costs. Families experienced improved protein intake, reduced food expenditure, and additional income from the sale of eggs, maggots, and compost. Furthermore, the integration of maggot farming into organic poultry systems supported waste management and environmental sustainability through a circular economy model. This research implies that maggot-based organic farming can be replicated as a sustainable community food security strategy in similar regions across Papua and Indonesia.

Problems: Based on data from the Batam City Health Office, the 3 Community Health Centers with the highest incidence of anemia include Sei Panas 15.7%, Sambau 10.24%, Nongsa 8.24%. Objective: This study aims to determine the relationship between maternal age and parity with the incidence of anemia in pregnant women in the working area of UPT Puskesmas Sei Panas Batam City in 2024. Methods: This study used a descriptive correlation research design with a cross-sectional research design. The sampling technique used was Non Probability Sampling. Respondents in this study were 66 pregnant women. Results: Based on the Chi- Square test, the age variable obtained a P-value of 0.000 (ρ <0.05) and the parias variable with a P-value of 0.000 (ρ>0.05). This study shows that there is a relationship between age and the incidence of anemia in pregnant women and the relationship between parity and the incidence of anemia in pregnant women in the working area of UPT Puskesmas Sei Panas Batam City in 2024. Conclusion: there is a relationship between age and parity of mothers with the incidence of anemia in pregnant women. Suggestion: It is hoped that prospective mothers understand the ideal safe age and parity in preparing for a healthy pregnancy in order to avoid anemia during pregnancy. And pregnant women must be diligent in consuming Fe tablets and also make 6 ANC visits during pregnancy so that pregnant women's health is monitored, especially their Hb levels.

In addition to being programmatically successful in lowering TFR and slowing population growth rates, the Long-Term Contraceptive technique (MKJP) is an affordable technique of preventing conception. This study's objective was to examine variables associated with long-term contraceptive (MKJP) selection at the Gandasuli Community Health Center. The study design is cross-sectional and the research methodology is quantitative. The investigation was carried out in the workspace of the Gandasuli Community Health Center. 300 women of reproductive age made up the study's population, and a straightforward random selection procedure was used to choose 45 participants. A questionnaire was used to gather the data, which were then subjected to univariate and bivariate analysis using the Chi-Square statistical test. Age and MKJP choice did not correlate, according to the data (p- value = 0.09 > 0.05). The choice of MKJP was correlated with education (p-value = 0.003 < 0.05). The choice of MKJP was correlated with occupation (p-value = 0.003 < 0.05). The choice of MKJP and the husband's support are related, with a p value of 0.004 < 0.05. Parity and MKJP selection are related, with a p value of 0.003 < 0.05. Knowledge and MKJP selection are related, with a p-value of 0.003 < 0.05.

Abortion is one of the pregnancy complications that still contributes to maternal morbidity and mortality, especially in the early trimester of pregnancy. Various maternal factors play a role in the occurrence of abortion, one of which is parity which reflects a mother's reproductive history. This study aims to analyze the relationship between parity and the incidence of abortion at Bumi Panua Pohuwato Hospital. The study used a quantitative approach with observational analytical design and cross-sectional design. The study population was all pregnant women who received obstetrics services at Bumi Panua Pohuwato Hospital during the study period. Samples were taken using a total sampling technique, so that all pregnant women who met the inclusion criteria were included in the study. The independent variable is parity, while the dependent variable is the incidence of abortion. Data were obtained from medical records and analyzed univariately to describe the characteristics of respondents, and bivariously using Chi-square test or Fisher Exact Test in accordance with the fulfillment of statistical requirements. The results showed that most of the respondents were in active reproductive age and first to second trimester pregnancy, with considerable parity variations. Bivariate analysis showed that parity did not have a statistically significant relationship with abortion incidence. The conclusion of this study shows that the incidence of abortion is not influenced by parity alone, but is likely influenced by the interaction of various other maternal factors. Therefore, abortion risk screening in antenatal services needs to be carried out comprehensively by considering various pregnancy risk factors.

Background: Contraception is an effective method for controlling fertility and reducing the risk of unintended pregnancies. However, the utilization of long-term contraceptive methods remains relatively low. Several factors such as education level, parity, and age are believed to influence women’s decisions in choosing Contraception. Objective: This study aimed to analyze the influence of education, parity, and age on the use of Contraception. Methods: This study employed an analytical observational design with a cross-sectional approach. The sample consisted of 30 women of reproductive age selected using a total sampling technique. Data were collected through structured questionnaires and analyzed using the Chi-square test to determine the association between education, parity, age, and the use of Contraception. Results: The results showed a significant relationship between education level, parity, and age with the use of Contraception. Statistical analysis using the Chi-square test obtained a p-value of 0.003 (p < 0.05), indicating that education, parity, and age significantly influenced the use of long-term contraceptive methods. Conclusion: Education level, parity, and age have a significant influence on the use of Contraception. Improving health education and counseling regarding long-term contraceptive methods is essential to increase their utilization among women of reproductive age.

Postpartum depression is a mood disorder that occurs in mothers after childbirth, with symptoms that can appear from pregnancy until 4 weeks postpartum. This condition negatively impacts the psychological health of the mother and the development of the baby. This study aims to analyze factors associated with the risk of postpartum depression. The method used was quantitative with an analytical survey design through a cross-sectional approach. Data collection was carried out using the Edinburgh Postnatal Depression Scale (EPDS) questionnaire consisting of 10 questions. The results of the validity test showed a calculated r value of > 0.3610 and the reliability test obtained a Cronbach's alpha value of 0.67. The study sample consisted of 42 respondents selected using a total sampling technique, with inclusion criteria of mothers aged ≥18 years, in the period <6 weeks postpartum, and willing to be respondents. Data analysis used the chi-square test. The results showed that all variables had a significant relationship with the risk of postpartum depression (p < 0.05). These variables include age (p=0.040), education (p=0.018), occupation (p=0.011), history of depression (p=0.024), complications (p=0.017), economic status (p=0.048), parity (p=0.016), type of delivery (p=0.006), husband's support (p=0.000), and family support (p=0.028). Therefore, it can be concluded that demographic, obstetric, and social support factors play an important role in the risk of postpartum depression. These results are expected to form the basis for prevention efforts and early intervention to improve postpartum maternal mental health.

Modern retail expansion in Situbondo Regency has intensified competitive interaction with traditional markets, making it important to map differences in market structure, firm conduct, and performance outcomes. This study compares (i) market structure using concentration indicators (CR4 and the Herfindahl–Hirschman Index/HHI), (ii) competitive conduct (pricing practices, promotional intensity, service attributes, and relationship patterns), and (iii) performance proxies (sales turnover and selected price efficiency measures) within the SCP framework. The analysis applies a descriptive quantitative approach supported by targeted primary observations and questionnaire-based information, and complemented by official statistics and regulatory documents. Traditional-market samples include Panji, Besuki, and Panarukan markets, while modern-retail samples include local outlets of Indomaret, Alfamart, and Basmalah. Results indicate that traditional markets are relatively unconcentrated (CR4 = 38.0%; HHI = 744), consistent with a competitive structure dominated by many small vendors. Modern retail is more concentrated (CR4 = 77.0%; HHI = 1,644), suggesting moderate concentration and a tendency toward local oligopoly. Average monthly turnover per unit is higher for modern retail (IDR 36.36 million) than for traditional vendors (IDR 15.63 million). Price efficiency varies across commodities: some items show near parity, while several fresh commodities remain cheaper in traditional markets. Policy implications point to balanced local governance: zoning and permitting for modern stores, continuous revitalization of traditional markets, and strengthened MSME partnership schemes to ensure healthy and inclusive competition.

The Presbyterian-Synodal system of church government is based on the ideal theological foundation of Christocracy, the confession that Christ is the sole Head of the Church who rules directly through His Word and Spirit. Theoretically, this model rejects hierarchy, affirms the parity of all ecclesiastical officers (ministers, elders, deacons) as servants, and views the local church council as a complete church (ecclesia completa). However, in historical and contemporary practice, a fundamental tension exists whereby this system consistently deviates into hierarchical and clerical practices. This deviation manifests as a hierarchy of office (clericalism) and a hierarchy of assemblies (Synod-centrism), where authority shifts from Christ to official figures and Synodal structures that are viewed as the "highest court." This article aims to analyze the fundamental causes of this authority shift. Using a qualitative library research method, the author conducts a systematic-theological, historical-critical, and comparative analysis of the works of Reformers (especially Calvin), historical church order documents, and contemporary case studies (such as in Malawi and GMIM). This study concludes that this authority shift stems from two primary factors: First, a "theological deficiency" in many church order documents, which fail to affirm Christ's rule "through His Word and Spirit," stating instead only His rule "through the ministry of officials," thus effectively equating official authority with Christ's authority. Second, the historical legacy of Scottish "national covenant" ecclesiology, which was historically intentionally designed with a centralized authority structure for "godly officials" to "rule over" a mixed populace. The author recommends that churches in this tradition revise their church orders to explicitly re-assert the supremacy of Christ's rule through His Word and Spirit over any human official or synodical authority.

Low back pain is a common complaint among pregnant women in the second and third trimesters due to biomechanical and hormonal changes. Non-pharmacological interventions like prenatal exercise are believed to be effective, though evidence from controlled trials is limited. This study aimed to evaluate the effectiveness of prenatal exercise in reducing low back pain intensity. A quasi-experimental pretest–posttest control group design was used with 30 pregnant women (15 in the intervention group, 15 in the control group), selected by purposive sampling. The inclusion criteria were gestational age of 20–36 weeks, no medical contraindications, and willingness to participate. The intervention group performed prenatal exercises twice a week for 8 weeks (45 minutes per session), while the control group received health education without physical exercise. Pain intensity was measured using the Visual Analogue Scale (VAS). Data analysis was conducted using paired t-test, independent t-test/Mann–Whitney, and ANCOVA to control for age, parity, and BMI. Both groups had homogeneous baseline characteristics (p > 0.05). The intervention group’s pain score decreased from 6.9 ± 1.1 to 3.6 ± 1.0 (Δ = -3.3; p < 0.001), while the control group’s pain score decreased from 6.8 ± 1.2 to 6.3 ± 1.1 (Δ = -0.5; p = 0.09). The difference in pain reduction between groups was significant (p < 0.001). ANCOVA confirmed that prenatal exercise was significantly effective after adjusting for confounders (β = -2.8; p < 0.001). Prenatal exercise is an effective, safe, and affordable intervention for reducing low back pain in pregnant women.

Preeclampsia is a pregnancy complication that contributes significantly to maternal and perinatal morbidity and mortality, especially in developing countries. Despite various preventive measures, preeclampsia is still frequently found at the primary health care level. This study aims to analyze the factors influencing the incidence of preeclampsia in pregnant women at the Tiley Care Community Health Center. This study used an observational analytical design with a cross-sectional approach. The study population was all pregnant women who visited antenatal care at the Tiley Care Community Health Center, with a sample of 60 respondents selected using a total sampling technique. Data were collected through a review of medical records and KIA books, then analyzed univariately and bivariately using the Chi-Square test with a significance level of α = 0.05. The results showed that maternal age, history of hypertension, nutritional status based on body mass index, and adherence to antenatal care visits had a statistically significant relationship with the incidence of preeclampsia. Meanwhile, parity did not show a significant relationship with the incidence of preeclampsia. This study concluded that the incidence of preeclampsia is influenced by various maternal factors and maternal health behaviors during pregnancy. These findings underscore the importance of implementing risk-based antenatal care through early screening, ongoing monitoring, and increased adherence to antenatal care visits as a preventative measure for preeclampsia at the primary healthcare level.

Maternal knowledge of newborn care plays an important role in maintaining neonatal health and preventing early complications. Parity is considered one of the factors that affect the mother's level of knowledge, as previous childbirth experiences can improve the understanding and skills of caring for the baby. However, primipara mothers often face challenges due to limited experience. This study aims to analyze the relationship between parity and newborn care knowledge in primipara mothers at the Tumpunglaung Health Center. The research method uses an analytical quantitative design with a cross-cutting approach. The study population was mothers who had just given birth at the Tumpunglaung Health Center, with a sample of 30 primipara mothers selected through purposive sampling. Data were collected using a structured questionnaire that included maternal characteristics and newborn care knowledge, including breastfeeding, hygiene, thermoregulation, and red flags. Data analysis was carried out by Chi-square test using SPSS at a significance level of p < 0.05. The results showed that most primitive mothers had moderate to low levels of knowledge, with a significant relationship between parity and newborn care knowledge. The conclusion of the study confirms the importance of strengthening education and counseling for primitive mothers to improve infant care practices and support neonatal health.

Preterm birth is a serious threat and a leading cause of neonatal morbidity and mortality in Indonesia. Preterm birth is caused by various factors induding hypertension, paristy, occupation, poor nutritional status, and maternal age during pregnancy. The purpose of this study was to determine the relationship between these faktors and preterm birth at the Pacitan community health Center. Method : The study population was all 420 mothers giving birth in 2023-2024 at the Puskesmas Pacitan, and the sample size was adjusted to the case, resulting in 74 pregnant women with 34 respondens in the case group and 34 in the control group. A retrospective cohorrt study with a case-control approschh was used. Statistical test used chi-square for bivariate test and multivariate tests with logistic regression to analyze categorial data and measure the strength of the relationship. The results of the statistical analysis are as follows: a bivariate test using chi-square analysis of factors affecting the incidence of prematurity revealed maternal age during pregnancy (p-value 0,022), occupation (p-value 0,173), parity (p-value 0,047), nutritional status (p-value 0,047), and hypertension (p-value 0,058). The results of the binary logistic regression test showed that maternal age during pregnancy, parity,and nutriitional status werw all significant (p = 0,000). A nagelkerke  R2 of 1.000 indicated that the model was able to explain 100% of the variation in the incidence of prematurity. Conclusion: there is a relationship between maternal age during pregnancy, parity, maternal nutritional, and hypertension with the incidence of prematurity. There is no relationship between occupation and the incidence of prematurity.

In addition to being programmatically successful in lowering TFR and slowing population growth rates, the Long-Term Contraceptive technique (MKJP) is an affordable technique of preventing conception. This study's objective was to examine variables associated with long-term contraceptive (MKJP) selection at the Motoboi Kecil Community Health Center. The study design is cross-sectional and the research methodology is quantitative. The investigation was carried out in the workspace of the Motoboi Kecil Community Health Center. 300 women of reproductive age made up the study's population, and a straightforward random selection procedure was used to choose 45 participants. A questionnaire was used to gather the data, which were then subjected to univariate and bivariate analysis using the Chi-Square statistical test. Age and MKJP choice did not correlate, according to the data (p-value = 0.09 > 0.05). The choice of MKJP was correlated with education (p-value = 0.003 < 0.05). The choice of MKJP was correlated with occupation (p-value = 0.003 < 0.05). The choice of MKJP and the husband's support are related, with a p value of 0.004 < 0.05. Parity and MKJP selection are related, with a p value of 0.003 < 0.05. Knowledge and MKJP selection are related, with a p-value of 0.003 < 0.05.

Cervical cancer is a malignant tumor that grows in the cervix caused by infection with the Human Papilloma Virus, acquired through sexual intercourse. Indonesia ranks 8th in the highest incidence of cancer in Southeast Asia, the highest prevalence of cancer is Yogyakarta Province where Sleman Regency ranks the highest IVA positive at 2.5% and Halis IVA at the Pakem Health Center is suspected of cervical cancer reaching 13 out of 22 positive IVA results. This achievement is still very low, because there is still low public awareness to carry out early detection of cervical cancer. To determine the relationship between attitude and behavior for early detection of cervical cancer. Quantitative research with a Case Control approach. A sample of 160 women with a proportional sampling technique. Data collection was in the form of filling out questionnaires online using Google Forms with chi square test data analysis and logistic regression. There was a relationship between positive attitude p-value=0.017 and OR of 3.462, women aged >35 years p- value=0.038, multipara parity p-value=0.007, with early detection behavior of cervical cancer. Parity provided a great chance of 7,038 times that women performed early detection behaviors of cervical cancer (CT 95%= 0.187-264,350). To improve early detection examinations, health workers can design health education and promotion models, increase educational socialization to cadres, the public and the community continuously and sustainably.

Human Immunodeficiency Virus (HIV) is the causative agent of Acquired Immunodeficiency Syndrome (AIDS) and can be transmitted from mother to child during pregnancy, childbirth, and breastfeeding. Utilization of Prevention of Mother-to-Child Transmission (PMTCT) services by pregnant women is a crucial strategy to prevent vertical transmission of HIV. This study aimed to analyze factors associated with the utilization of PMTCT services among pregnant women attending antenatal care at Biak Kota Primary Health Center, Biak Numfor Regency. This study employed an observational design with a cross-sectional approach. A total of 80 pregnant women who attended antenatal care at Biak Kota Primary Health Center were selected using purposive sampling. Data were collected using a structured questionnaire. Data analysis included univariate analysis, bivariate analysis using the Chi-square test, and multivariate analysis to identify the most influential factors related to PMTCT service utilization.The results showed that educational level was not significantly associated with PMTCT service utilization (p = 0.168). In contrast, parity was significantly associated with PMTCT utilization (p = 0.007). Exposure to PMTCT-related information was also significantly associated with PMTCT service utilization (p < 0.05). Meanwhile, waiting time for services showed no significant association with PMTCT utilization (p = 0.092). Multivariate analysis revealed that exposure to PMTCT information was the most dominant factor associated with PMTCT service utilization. In conclusion, increased exposure to PMTCT information is associated with higher utilization of PMTCT services among pregnant women. Adequate dissemination of information enhances pregnant women’s knowledge and awareness of the benefits of PMTCT as an effective strategy for preventing mother-to-child transmission of HIV.

Premature rupture of membranes (KPD) is the rupture of the membranes before there are signs of labor, and after waiting for an hour the signs of labor have not yet begun. The time from when the membranes rupture until uterine contractions occur is called premature rupture of membranes. Factors that are closely related to PROM include infection, socio-economic factors, blood type factors, smoking behavior, history of PROM, incompetent cervix and intrauterine enhancement that is high or excessively high, fetal disproportion, multigravidity, multiple pregnancies, previous history of PROM , polyhydramnios, trauma, age and parity. The danger of premature rupture of membranes is the possibility of infection in the uterus and premature birth which can increase morbidity and mortality for mother and baby. Premature rupture of membranes causes a direct connection between the outside world and the space in the uterus, making it easier for infection to occur. The aim of this study is to determine the relationship between age and parity with the incidence of premature rupture of membranes in women giving birth at Harapan Bunda Hospital, Batam City in 2023. This research design uses analytical observational with a cross sectional approach, where data is taken using secondary data with a sample size of 65 people. The processing technique uses the chi-square test. The data obtained from the results of statistical tests is with p-value for age = 0.028 and for parity p-value = 0.039. The conclusion of this research is that the majority of mothers give birth at a non-risk age (20-35) and at a parity that is not at risk (2-3). There is a relationship between the age and parity of mothers giving birth and the incidence of KPD at Harapan Bunda Hospital, Batam City in 2023. With the p-value is 0.028 for age and the p-value is 0.039 for parity so that the p-value < α (0.05).

Trace elements such as copper, zinc, selenium, and chromium play essential roles in various enzymatic reactions, antioxidant defense mechanisms, and overall metabolic regulation, making them crucial for maternal and fetal health. During pregnancy, the demand for these micronutrients increases significantly due to physiological changes and the needs of the developing fetus. Inadequate or excessive levels of these trace elements can lead to altered fetal development and may impact neonatal outcomes immediately after birth. Given the sensitive developmental window of gestation, the intrauterine environment—including micronutrient status—has been hypothesized to influence neonatal physiological parameters such as heart rate, respiratory rate, and Apgar scores, which are commonly used to assess neonatal wellbeing in the early minutes of life. This study attempts to explore the impact of maternal trace element status—specifically copper, zinc, selenium, and chromium—along with selected maternal parameters (BMI, parity, gravida) on indicators of neonatal wellbeing, including heart rate, respiratory rate, and 5-minute Apgar score. A cross-sectional study was conducted in the Delivery Room of the Obstetric Hospital in Al-Diwaniya City, Iraq, involving 50 mother-infant pairs. Data collection occurred from December 1, 2024, to February 10, 2025. Maternal blood samples were analyzed using atomic absorption spectrophotometry to determine serum concentrations of copper, zinc, selenium, and chromium. Neonatal outcomes were assessed via standard clinical evaluations: heart rate and respiratory rate were measured immediately postpartum, and Apgar scores were recorded at five minutes. Statistical analyses included Pearson correlation and multiple linear regression to assess associations between maternal factors and neonatal outcomes. Bivariate and multivariate analyses indicated limited but noteworthy associations. Maternal serum chromium levels were significantly associated with increased neonatal respiratory rate (p = 0.026), suggesting a possible stimulatory or stress-related effect.

Maternal and Child Health (MCH) remains a major challenge in Indonesia's health sector, given the high maternal and infant mortality rates, largely caused by pregnancy complications. One obstetric complication that requires special attention is Premature Rupture of Membranes (PROM), as it can increase the risk of infection in the mother and fetus and contribute to preterm birth. This study aims to analyze maternal risk factors associated with PROM in the Uteun Pulo Community Health Center (Puskesmas), Seunagan Timur District, Nagan Raya Regency, in 2025. The research method used was a retrospective survey with a quantitative approach. Data collection was conducted through a review of medical records and structured interviews. Fifty-three pregnant women with PROM participated in the study. Data analysis used a chi-square correlation test to examine the relationship between the independent variables and PROM incidence. The results showed a significant association between maternal age and PROM incidence, with a p-value of 0.023 (p < 0.05). Furthermore, parity also had a significant association with the incidence of PROM, with a p-value of 0.013 (p < 0.05). Other findings showed a significant association between maternal age and the frequency of PROM, with a p-value of 0.028 (p < 0.05). These results indicate that maternal age and previous birth history are important factors that need to be considered in PROM prevention efforts in primary healthcare. These findings are expected to inform the development of intervention strategies and education for pregnant women to minimize the risk of pregnancy complications that lead to PROM.

Giving breast milk (ASI) exclusively during the first six months of a baby's life is very important in supporting the baby's growth and development and body resilience. However, the practice of giving formula milk is still quite high and is a challenge in fulfilling exclusive breastfeeding. This study aims to determine the determining factors for giving formula milk to babies aged 0-6 months in the work environment UPT Primary Health Care Pujon. This research design uses a descriptive analytical approach with a cross-sectional method to identify factors associated with exclusive breastfeeding. The research population was all mothers who had babies with a sample of 52 respondents obtained through total sampling. Data analysis was carried out using the Chi-Square test and logistic regression to determine the most dominant factors. The research results showed that all variables had a p value > 0.05, namely age (p=0.274), education (p=0.156), occupation (p=0.384), parity (p=0.280) and socio-culture (p=0.711), so there was no significant relationship between these variables and exclusive breastfeeding. The logistic regression model was also not significant (p=0.308), indicating that there were no dominant factors influencing the practice of exclusive breastfeeding among respondents. Thus, the low coverage of exclusive breastfeeding in this study may be influenced by other factors outside the variables studied.

Anemia in pregnant women is a significant global public health issue, with a prevalence of 35.5% in 2023, according to the Global Anemia Estimates 2025 from the World Health Organization (WHO). The prevalence of anemia among reproductive-aged women is 30.7%, while it is 30.5% in non-pregnant women. This indicates that anemia is more prevalent among pregnant women compared to the general female population, highlighting the need for greater attention to this health issue. This study aims to identify and evaluate the risk factors or causes of anemia in pregnant women using an observational analytical approach. The research design employed is cross-sectional, which allows for the observation of the relationship between maternal knowledge about anemia and the occurrence of anemia in pregnant women at the same point in time. The study population consists of all pregnant women who visit the community health center (Puskesmas) for checkups. The results indicate that there is no significant relationship between parity (number of previous births) and the occurrence of anemia in pregnant women, with an Odds Ratio (OR) of 1.58. This means that women with higher parity are 1.58 times more likely to experience anemia compared to women with lower parity. However, the study found a significant relationship between maternal knowledge about anemia and the occurrence of anemia in pregnant women. Mothers with better knowledge about anemia are less likely to experience it. This study is expected to provide important information about the importance of improving maternal knowledge regarding anemia, which can contribute to the prevention and control of anemia in pregnant women. By enhancing maternal knowledge, it is hoped that the prevalence of anemia in pregnant women can be reduced, improving the overall health of both mothers and their unborn children.