Mix Method Analysis of Factors Affecting Implementation of Antenatal Care (ANC) in Pregnant Women in the Work Area of the Medan Deli Health Center, Medan Deli District, Medan

Elya Rosa; Razia Begum  Suroyo; Aida  Fitria

doi:10.37899/journallamedihealtico.v2i4.412

Elya Rosa Master of Public Health Science, Helvetia Institute of Health, Medan, Indonesia
Razia Begum Suroyo Lecturer of Master's Degree in Public Health Sciences, Helvetia Institute of Health, Medan, Indonesia
Aida Fitria Lecturer of Master of Public Health Sciences, Helvetia Institute of Health, Medan, Indonesia

DOI: https://doi.org/10.37899/journallamedihealtico.v2i4.412

Keywords: ANC, Affecting Factor, Pregnant Woman

Abstract

workers which includes physical and mental health to get mothers and babies who are healthy during pregnancy, childbirth and postpartum. Data from the Medan Deli Health Center shows that in 2019 the K1 coverage is only (87%) and K4 only (66%), while the target of K1 and K4 coverage is 100% respectively. Many factors are thought to be the cause of not achieving coverage of antenatal care (ANC) implementation. The purpose of this study was to analyze the factors that influence the implementation of ANC in pregnant women. This type of research is a mix method with quantitative and qualitative approaches. The study population was 195 people, with the Slovin formula taken a sample of 66 people. Quantitative analysis was univariate, bivariate using chi-square and multivariate using multiple logistic regression at the 95% confidence level ( = 0.05). The qualitative analysis was analyzed by means of reduction, data display and verification. The results showed the variables that influenced the implementation of antenatal care (ANC) in pregnant women in the work area of the Medan Deli Public Health Center in 2020, namely knowledge p = 0.032, attitude p = 0.018, parity p = 0.008, health services p = 0.016, husband support p = 0.026 and support for health workers p = 0.041. The unrelated variable was job status p = 0.269. The most dominant variable was the health service variable which had a value of Exp (B) = 12.048, meaning that respondents who received health services had 12 times the chance of implementing antenatal care compared to respondents who did not get health services. The conclusion of this research is that the implementation of antenatal care in pregnant women is influenced by knowledge, attitudes, parity, health services, husband support and support from health workers. It is hoped that health workers, especially midwives, will provide good IEC about the implementation of antenatal care to every pregnant woman and carry out more frequent home visit activities and provide advice to the puskesmas to re-attach the standby husband and cooperate with local regional leaders

References

Alsop, R. (2008). The trophy kids grow up: How the millennial generation is shaking up the workplace. John Wiley & Sons.

Cole, J. (2014). The new Arabs: How the millennial generation is changing the Middle East. Simon and Schuster.

Dabija, D. C., Bejan, B. M., & Dinu, V. (2019). How Sustainability Oriented Is Generation Z In Retail? A Literature Review. Transformations in Business & Economics, 18(2).

Eckstein, J. J., & Danbury, C. (2020). What is violence now?: A grounded theory approach to conceptualizing technology-mediated abuse (TMA) as spatial and participatory. The Electronic Journal of Communication, 29(3-4).

Elder, G. H., & Johnson, M. K. (2018). The life course and aging: Challenges, lessons, and new directions. In Invitation to the life course: Toward new understandings of later life (pp. 49-81). Routledge.

Fromm, J., & Read, A. (2018). Marketing to Gen Z: The rules for reaching this vast--and very different--generation of influencers. Amacom.

Hald, G. M., Kuyper, L., Adam, P. C., & de Wit, J. B. (2013). Does Viewing Explain Doing? Assessing the Association Between Sexually Explicit Materials Use and Sexual Behaviors in a Large Sample of D utch Adolescents and Young Adults. The journal of sexual medicine, 10(12), 2986-2995.

Hay, J. B., Pierrehumbert, J. B., Walker, A. J., & LaShell, P. (2015). Tracking word frequency effects through 130 years of sound change. Cognition, 139, 83-91.

Hinduja, S., & Patchin, J. W. (2014). Bullying beyond the schoolyard: Preventing and responding to cyberbullying. Corwin Press.

Iwaniec, D., Larkin, E., & Higgins, S. (2006). Research review: Risk and resilience in cases of emotional abuse. Child & Family Social Work, 11(1), 73-82.

Lee, C. H., Moak, S., & Walker, J. T. (2016). Effects of self-control, social control, and social learning on sexting behavior among South Korean youths. Youth & Society, 48(2), 242-264.

Parkes, A., Wight, D., Hunt, K., Henderson, M., & Sargent, J. (2013). Are sexual media exposure, parental restrictions on media use and co-viewing TV and DVDs with parents and friends associated with teenagers' early sexual behaviour?. Journal of adolescence, 36(6), 1121-1133.