Modifying Factors and Level of Knowledge About Pregnancy Danger Signs That Influence Antenatal Care Utilization Compliance
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Abstract
The 3rd Sustainable Development Goal (SDG) is to guarantee healthy lives and to
promote well-being. Reducing the maternal mortality ratio (MMR) to 70 per 100,000
live births is one of the SDG's primary metrics. In Indonesia, 74.1% of expectant
mothers had at least four antenatal care (ANC) appointments in 2018, while 70.67% of
mothers finished six ANC visits in 2022. The percentage was 74.92% in East Java,
while the coverage in Nganjuk Regency decreased slightly from 79.90% in 2017 to
77.92% in 2019. The purpose of this research was to examine the moderating variables
and the impact of pregnancy risk sign information on ANC use compliance. The study
included all 53 pregnant women in the community and used a quantitative, cross-
sectional, analytic correlation design. Total sampling, questionnaires, MCH books, and
observation sheets were used as data-collecting techniques. A study of binary logistic
regression was used. According to the findings, there was no discernible impact of
schooling on ANC compliance (p = 0.546). ANC compliance was, however,
substantially correlated with knowledge (p = 0.050; PR = 7.099), gestational age (p =
0.005; PR = 0.023), parity (p = 0.020; PR = 0.089), and information (p = 0.029; PR =
0.051). Notably, ANC adherence was seven times more impacted by knowledge level.
Six ANC visits must be completed to identify and avoid issues early on, which
emphasizes the need to raise pregnant women's knowledge in order to increase
compliance.
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References
Antono, Sumy Dwi, and Dwi Estuning Rahayu. 2014. “The Relationship between the Regularity of Pregnant Women in Carrying Out Antenatal Care (ANC) Visits to the Results of Early Detection of High Risk of Pregnant Women at the MCH Clinic of Gambiran Hospital, Kediri City.” Journal of Health Science 2(2):35–45.
Bashir, Sumaira, Abdul Haseeb Ansari, and Arshiya Sultana. 2023. “Knowledge, Attitude, and Practice on Antenatal Care Among Pregnant Women and Its Association With Sociodemographic Factors: A Hospital-Based Study.” Journal of Patient Experience 10:1–11. doi: 10.1177/23743735231183578.
Damayanti, Erni, and Winarsih Nur. 2020. “The Relationship Between the Level of Knowledge of Pregnant Women about the High Risk of Pregnancy with Adherence to Antenatal Care Visits at Pandan Arang Hospital Boyolali.” Science Publication of Universitas Muhammadiyah Surakarta 2(3 Agustus):174–82.
Dwiyanti Purbasari. 2018. “The Role Of Partnership Of Integrated Service Post Cadre In The Continuity Of Pregnancy Visit Based On Perception Of Pregnant Women In The Working Area Of Sendang Community Health Center Cirebon District.” Health Journal of Mahardika 5(2):1–6. doi: 10.54867/jkm.v5i2.49.
Efendi. 2021. “The Influence of Health Service Factors, the Role of Cadres, and the Intention of MCH Book Utilization on MCH Book Utilization in Nganjuk Regency.” Universitas Airlangga.
Fasiha. 2017. “The Relationship of Knowledge and Attitudes of Pregnant Women towards the Importance of Antenatal Care Examination at Namtabung Health Center, Selaru District, West Southeast Maluku Regency.” Global Health Science 2(1):64–69.
Fauziah, Anisa, Indah Laily Hilmi, and Salman. 2023. “Factors Associated with Pregnant Women’s Adherence in Antenatal Care Visits: Literature Review.” Journal of Pharmaceutical and Sciences 6(1):127–31. doi: 10.36490/journal-jps.com.v6i1.22.
Firdausia, Shalsabilla Tiara, Uki Retno Budihastut, and Yulia Lanti Retno Dewi. 2021. “The Effectiveness of Edutainment toward Pregnancy Care on Knowledge, Attitude, and Action in Pregnant Women.” Journal of Maternal and Child Health 6(1):56–66. doi: 10.26911/thejmch.2021.06.01.06.
Gutteres, Antonio. 2023. SDGs Report 2023. New York.
Hailu, Genet Atlabachew, Zewdu Shewngizaw Weret, Zerihun Adraro Adasho, and Belete Melesegn Eshete. 2022. “Quality of Antenatal Care and Associated Factors in Public Health Centers in Addis Ababa, Ethiopia, A Cross-Sectional Study.” PLoS ONE 17(6 June):1–12. doi: 10.1371/journal.pone.0269710.
Heaman, Maureen I., Patricia J. Martens, Marni D. Brownell, Mariette J. Chartier, Kellie R. Thiessen, Shelley A. Derksen, and Michael E. Helewa. 2018. “Inequities in Utilization of Prenatal Care: A Population-Based Study in the Canadian Province of Manitoba.” BMC Pregnancy and Childbirth 18(1):1–18. doi: 10.1186/s12884-018-2061-1.
Hijazi, Heba H., Mohammad S. Alyahya, Amer M. Sindiani, Rola S. Saqan, and Abdulhakeem M. Okour. 2018. “Determinants of Antenatal Care Attendance Among Women Residing in Highly Disadvantaged Communities in Northern Jordan: A Cross-Sectional Study.” Reproductive Health 15(1):1–18. doi: 10.1186/s12978-018-0542-3.
Idris, Haerawati, and Indah Sari. 2023. “Factors Associated with the Completion of Antenatal Care in Indonesia: A Cross-Sectional Data Analysis Based on the 2018 Indonesian Basic Health Survey.” Belitung Nursing Journal 9(1):79–85. doi: 10.33546/bnj.2380.
Ilmiah, Widia Shofa. 2022. Pregnancy Midwifery Care Textbook (Theoretical and Practical Approach and Practice Questions). 1st ed. edited by K. Rosyidi. Bondowoso: KHD Production.
Indrastuti, Afifah Nur. 2019. “Antenatal Care Utilization in Primary Health Care.” Higeia Journal of Public Health Research and Development 3(3):369–81.
Koestuanti, Wasi. 2023. “The Relationship between Antenatal Care (ANC) Services and the Level of Satisfaction of Pregnant Women in the Technical Implementation Unit of the Main Service Agency of the Nipah Primary Health Care Area.” Stikes Hamzar.
Kurniasih, Nita Ike Dwi, Sulistyaningsih, and Indriani. 2019. “Effort For Utilization Antenatal Care (ANC) in Pregnant Women: Systematic Literature Review.” Pp. 111–29 in 1st International Respati Health Conference (IRHC). Vol. 1. Yogyakarta: Universitas Respaty.
Kusmintarti, Arini, Rini Damayanti, and Nia Chrisanta Leksono. 2022. “Level of Knowledge of Pregnant Women About Danger Signs of Pregnancy at Midwife Practice with Citra Lestari 2022.” SENTRI: Science Research Journal 2(2):298–302. doi: 10.55681/sentri.v2i2.505.
Ministry of Health of the Republic of Indonesia. 2018. Results of Basic Health Research in 2018. Vol. 53. Jakarta.
Mkandawire, Paul, Odwa Atari, Joseph Kangmennaang, Godwin Arku, Isaac Luginaah, and Josephine Etowa. 2018. “Pregnancy Intention and Gestational Age at First Antenatal Care (ANC) Visit in Rwanda.” Midwifery 68:1–32. doi: 10.1016/j.midw.2018.08.017.
Mulati, Erna. 2023. Government Agency Performance Accountability Report Directorate of Nutrition and Maternal and Child Health for Fiscal Year 2022. Jakarta.
Oktavia, Lina. 2018. “Antenatal Care Visit Reviewed from the Level of Knowledge of Pregnant Women About Pregnancy Danger Signs.” Aisyah Journal: Health Science Journal 3(1):95–100. doi: 10.30604/jika.v3i1.95.
Qomar, Umi Laelatul, Lutfia Uli Na’mah, and Brida Kitty Dinarum Vina Walno Yelvin. 2020. “The Relationship between Parity, Age and Gestational Age with the Distance of Third Trimester Antenatal Care Visits during the Covid 19 Pandemic at IMP Brida Kitty Dinarum VWY.” Scientific Journal of Health Nursing 16(2):133–36. doi: 10.26753/jikk.v16i2.512.
Rachmawati, Ayu Indah, Ratna Dewi Puspitasari, and Eka Cania. 2017. “Factors Affecting The Antenatal Care (ANC) Visits on Pregnant Women.” Medical Journal of Lampung University 7(1):72–76.
Roobiati, Nur Fika, Ika Sumiyarsi, and Mujahidatul Musfiroh. 2019. “The Relationship Between the Level of Knowledge About the Danger Signs of Pregnancy in the Third Trimester with the Motivation of Mothers to Do Antenatal Care at Sarwo Indah Boyolali Private Practice Midwives.” Health Journal 12(1):30–39. doi: 10.23917/jk.v12i1.8937.
Susanto, Yoan Putri Praditia, and Hukmiyah Aspar. 2021. “Determinants of Antenatal Care Visit Coverage During the Covid-19 Pandemic at Kassi-Kassi Makassar Health Center in 2021.” Delima Pelamonia Health Journal 5(2):7–14. doi: 10.37337/jkdp.v5i2.220.
Yeoh, Ping Ling, Klaus Hornetz, and Maznah Dahlui. 2016. “Antenatal Care Utilisation and Content Between Low-Risk and High-Risk Pregnant Women.” PLoS ONE 11(3):1–17. doi: 10.1371/journal.pone.0152167.
