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Contextual Effect of the Community Health Center on the Use of Antenatal Care: A Multilevel Analysis Evidence from Semarang, Central Java

Widyawati Widyawati, Eti Poncorini Pamungkasari, Bhisma Murti

Abstract

Background:  The completeness of antenatal care is an effort to reduce prenatal mortality. This study aimed to analyze the contextual effect of the community health center on the use of an­te­na­tal care.

Subjects and Method: This study was an analytical observational study with a cross-sec­tio­nal approach. This study was conducted from June to August 2020. The sample con­sis­ted of 250 study subjects that were selected by simple ran­dom sampling. The dependent va­riable was an­tenatal care. The independent va­riables were husband support, knowledge, atti­tude, antenatal information, self-efficacy, cues to action, per­cei­v­ed seriousness, perceived sus­ceptibility, perceiv­ed benefits, perceived barriers, and complete faci­lities. This study used questionnaires to collect the data with multilevel analysis through a logistic regression approach in STATA 13.

Results: Complete antenatal care visits in­cre­a­s­ed with strong support (b= 4.36; 95% CI= 0.92 to 7.81; p= 0.013), high knowledge (b= 3.59; 95% CI= 0.67 to 6.51; p= 0.016), positive attitude (b= 4.07; 95% CI= 0.65 to 7.50; p= 0.020), much antenatal information (b= 4.20; 95% CI= 0.94 to 7.46; p= 0.012), high self-efficacy (b= 3.05; 95% CI= 0.20 to 5.90; p= 0.036), high cues to action (b= 3.41; 95%CI= 0.62 to 6.20; p= 0.017), high perceived seriousness (b= 4.48; 95% CI= 1.20 to 7.76; p=0 .007), high perceived susceptibility (b= 3.35; 95% CI= 0.31 to 6.38; p= 0.031), high perceived benefit (b= 3.82; 95% CI =0.49 to 7.16; p= 0.025), high perceived barrier (b= -3.13; 95% CI= -6.10 to -0.16; p= 0.039), and complete faci­lities (b= 4.97; 95% CI= 0.59 to 9.34; p= 0.026). The variation at the commu­ni­ty health center level showed a contextual effect on antenatal care with an intraclass correlation (ICC) = 51.09%.

Conclusion: Complete antenatal care is affected by husband support, knowledge, atti­tude, ante­na­tal information, self-efficacy, cues to action, per­ceiv­ed seriousness, perceived sus­cep­tibility, per­cei­ved benefits, perceived barriers, complete faci­li­ties, and community health center.

Keywords: Antenatal care, community health cent­er, multilevel analysis

Correspondence: Widyawati. Masters Prog­ram in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: widya­wati­chin1412@gmail.com. Mo­bile­: +62­85­742919076.

Journal of Maternal and Child Health (2020), 05(06): 663-672
https://doi.org/10.26911/thejmch.2020.05.06.06.

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References

Agampodi TC, Rheinländer T, Agampodi SB, Glozier N, Siribaddana N (2017). Social capital and health du-ring pregnancy; An in depth exploration from rural Sri Lanka. Reprod Health, 14(1): 1–19. doi: 10.1186/s12978-017-0349-7.


Aritonang DVA, Adiwijaya S, Wulandari A, Anita N (2019). Related knowledge and support family mother pregnant women attitudes about prenatal care (ANC). BirEx Journal, 1(3): 28–33. doi: 10.33258/birex.v1i3.340.


Boah M, Mahama AB, Ayamga EA (2018). They receive antenatal care in health facilities, yet do not deliver there: pre-dicors of health facility delivery by women in rural Ghana. BMC Pregnancy Childbirth. 1–10. doi: 10.1186/s12884-018-1749-6.


Desta M, Kassie B, Chanie H, Mulugeta H, Yirga T, Temesgen H, et al. (2019). Adherence of iron and folic acid supple-mentation and determinants among pregnant women in Ethiopia: A syste-matic review and meta-analysis. Re-prod Health, 16(1): 1–14. doi: 10.1186-/s12978-019-0848-9.


Dinas kesehatan Kabupaten Semarang (2019). Profil kesehatan kabupaten Semarang.


Dinas Kesehatan Provinsi Jawa Tengah (2017). Profil kesehatan provinsi jawa tengah.


Dowswell T, Carroli G, Duley L, Gates S, Gül-mezoglu AM, Khan-Neelofur D, et al. (2015). Alternative versus standard packages of antenatal care for low-risk pregnancy. WILEY. (7). doi:10.1002/-14651858.CD000934.pub3.


Ewunetie AA, Munea AM, Meselu BT, Sime-neh MM, Meteku BT (2018). Delay on first antenatal care visit and its associated factors among pregnant women in public health facilities of Debre Mar-kos town, North West Ethiopia. BMC Pregnancy Childbirth, 18(1): 1–8. doi: 10.1186/s12884-018-1748-7.


Fekadu GA, Ambaw F, Kidanie SA (2019). Facility delivery and postnatal care ser-vices use among mothers who attended four or more antenatal care visits in Ethiopia: further analysis of the 2016 demographic and health survey. BMC Pregnancy Childbirth, 19: 64. doi: 10.1186/s12884-019-2216-8.


Haddad GS, DeJong J, Terreri N, Perin, Vaz L, Newby H, et al. (2016). Patterns and determinants of antenatal care utiliza-tion: Analysis of national survey data in seven countdown countries. J Glob Health. 6(1). doi: 10.7189/jogh.06.01-0404.


Hanifah A, Pratomo H, Hoang G (2018). Husband’s support for their wives in antenatal care visit. Kesmas, 13(1): 8–16. doi: 10.21109/kesmas.v13i1.1565.


Izadirad H, Niknami S, Zareban I, Hidarnia A (2017). Effects of social support and self-efficacy on maternal prenatal cares among the first-time pregnant women, Iranshahr. J Family Reprod Health, 11(2): 67–73. https://www.ncbi.nlm.-nih.gov/pubmed/29282413.


Kahsay ZH, Hiluf MK, Shamie R, Tadesse Y, Bazzano AN (2019). Pregnant women’ s intentions to deliver at a health facility in the pastoralist communities of Afar , Ethiopia: An application of the Health Belief Model. Int J Environ Res Public Health. 16: 888. doi:10.3390/ijerph16-050888.


Kaswa R, Rupesinghe GFD, Longo-Mbenza B (2018). Exploring the pregnant women’s perspective of late booking of antenatal care services at Mbekweni Health Centre in Eastern Cape, South Africa. Afr J Prim Health Care Fam Med, 10(1): 1–9. doi: 10.4102/phcfm.v1-0i1.1300.


Motlagh ME, Torkestani F, Amiri HA, Rabiee SM, Radpooyan L, Shirvani SDN, et al. (2017). Iranian husbands’ involvement in prenatal care, childbirth and post-partum: Viewpoints of the mothers. J. Babol Univ Medical Sci. 19(5): 23–31. doi: 10.22088/jbums.19.5.23.


Murti, B. (2018) Prinsip dan metode riset epidemiologi edisi keempat. Surakarta: Universitas Sebelas Maret.


Nyfløt LT., Sandven I., Pedersen BS., Pettersen S., Zirqi IA., Rosenberg M. et al. (2017) ‘Risk factors for severe post-partum hemorrhage: A case-control study. BMC Pregnancy Childbirth, 17(1): 1–9. doi: 10.1186/s12884-016-1217-0.


Ogu R. dan Alegbeleye JO. (2018). Improving maternal health:Women’s attitude to antenatal care utilization is crucial. Clin Obstet Gynecol Reprod Med, 4(1): 1–3. doi: 10.15761/cogrm.1000209.


Paul P., Zaveri A., Chouhan P. (2019). Asse-ssing the impact of antenatal care utili-zation on low birthweight in India: Analysis of the 2015–2016 National Family Health Survey. Child Youth Serv Rev, 106: 104459. doi:10.1016/j.-child-youth.2019.104459.


Permenkes (2016). Peraturan Menteri Kese-hatan no. 44 tahun 2016.


Rehg PA., Krauss MJ., Spitznagel EL., Bom-marito K., Madden T., Olsen MA. et al. (2016). Maternal age and risk of labor and delivery complications. Matern Child Health J, 19(6): 1202–1211. doi: 10.1007/s10995-014-1624-7.


Saptarini I dan Suparmi (2016). Antenatal care service utilization and complete-ness in Kebon Kalapa Village , Bogor City. Buletin Penelitian Kesehatan, 3(4): 6–9.


Shahry P, Kalhori SRN, Esfandiyari A (2016). A comparative study of perceived social support and self-efficacy among women with wanted and unwanted pregnancy original article. Int J Community Based Nurs Midwifery, 4(2): 176–185.


Sinyange N, Sitali L, Jacobs C, Musonda P, Michelo C (2016). Factors associated with late antenatal care booking: po-pulation based observations from the 2007 Zambia demographic and health survey. Pan Afr. med, 25: 109. doi: 10.-11604/pamj.2016.25.109.6873.


Sulaeman ES (2016). Promosi kesehatan: teori dan implementasi di Indonesia.


Tasliah, Widagdo L., Nugraha P. (2017). Faktor-faktor yang berhubungan dengan kunjungan antenatal care(anc) padaibu hamil di wilayah kerja Puskesmas Candilamakota Semarang. Jurnal Ke-sehatan Masyarakat (e-Journal), 5(3): 637–644.


Tekelab T, Chojenta C, Smith R, Loxton D (2019). Factors affecting utilization of antenatal care in Ethiopia: A systematic review and meta- analysis. Plos ONE, 14(4): e0214848.. https://dx.doi.org/-10.1371%2Fjournal.pone.0214848.


Tesfaye G, Loxton D, Chojenta C, Semahegn A, Smith R (2017). Delayed initiation of antenatal care and associated factors in Ethiopia: A systematic review and meta-analysis. Reprod Health, 14: 150. doi: 10.1186/s12978-017-04124.


Tsai Y, Hsu Y, Hou T, Chang CH (2018). Effects of a web-based antenatal care system on maternal stress and self-efficacy during pregnancy: A study in Taiwan. J Midwifery Wom Heal, 63(2): 205–213. doi: 10.1111/jmwh.12685.


Uldbjerg CS, Schramma S, Kaducub FO, Ovugac E, Sodemanna M (2020). Per-ceived barriers to utilization of ante-natal care services in northern Uganda: A qualitative study. Sex Reprod Health, 23: 100464. doi: 10.1016/j.srhc.2019.1-00464.


Warri D, George A (2020). Perceptions of pregnant women of reasons for late initiation of antenatal care: A qualita-tive interview study. BMC Pregnancy Childbirth, 0: 1–12. doi: 10.1186/s128-84-020-2746-0.


Zhou C, Zheng W, Yuan Q, Zhang B, Chen H, Wang W, et al. (2018). Associations between social capital and maternal depression: Results from a follow-up study in China. BMC Pregnancy Child-birth. 18(1): 1–9. doi: 10.1186/s12884-018-1673-9.

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