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To What Extent Do Ecological Factors of Behavior Contribute to the Compliance of the Antenatal Care Program in Dumai City, Indonesia?

PURPOSE: Maternal mortality rate (MMR) in Indonesia is still relatively high, at 305 per 100.000 live births (2015). Routine visit to antenatal care is the best way to reduce MMR. Inspite of this, the number of antenatal care visits among pregnant women is still low. This study aimed to measure the...

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Autores principales: Ismainar, Hetty, Subagio, Hertanto W, Widjanarko, Bagoes, Hadi, Cahyono
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7414976/
https://www.ncbi.nlm.nih.gov/pubmed/32801974
http://dx.doi.org/10.2147/RMHP.S242724
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author Ismainar, Hetty
Subagio, Hertanto W
Widjanarko, Bagoes
Hadi, Cahyono
author_facet Ismainar, Hetty
Subagio, Hertanto W
Widjanarko, Bagoes
Hadi, Cahyono
author_sort Ismainar, Hetty
collection PubMed
description PURPOSE: Maternal mortality rate (MMR) in Indonesia is still relatively high, at 305 per 100.000 live births (2015). Routine visit to antenatal care is the best way to reduce MMR. Inspite of this, the number of antenatal care visits among pregnant women is still low. This study aimed to measure the influence of behavioral ecological factors with the compliance of pregnant women to visit antenatal care. PATIENTS AND METHODS: Study population was pregnant women living in Dumai City, Indonesia. This study was a quantitative research design with a cross-sectional. We used the cluster system to select participants. A total of 369 subjects participated with a gestation age between >12 until 40 weeks. The data were collected by face-to-face interviews using validated questioners. The analysis was done by bivariate analysis using the Spearman correlation test. Multivariate using multiple linear regression. RESULTS: This study showed that factors of the ecological model of behavior were related to antenatal care compliance (p value<0.05) with a coefficient correlation (0.330–0.569). Multivariate analysis showed that all variables associated significantly (adjusted R(2); 0.104–0.311). Five variables were dominant; knowledge, cultural beliefs, family support, friend support, and health facilities with adjusted R(2)= 0.518. CONCLUSION: Five factors in an ecological model of behavior, such as knowledge, cultural beliefs, family support, friend support, and health facilities, proportion (51,8%) of contributing to antenatal care compliance. We recommend a health district program to make services more accessible to pregnant women. Health education programs need to increase the knowledge of pregnant women and families to provide support in antenatal care compliance. Local governments shall improve antenatal care quality by mapping, planning, and evaluating this program.
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spelling pubmed-74149762020-08-14 To What Extent Do Ecological Factors of Behavior Contribute to the Compliance of the Antenatal Care Program in Dumai City, Indonesia? Ismainar, Hetty Subagio, Hertanto W Widjanarko, Bagoes Hadi, Cahyono Risk Manag Healthc Policy Original Research PURPOSE: Maternal mortality rate (MMR) in Indonesia is still relatively high, at 305 per 100.000 live births (2015). Routine visit to antenatal care is the best way to reduce MMR. Inspite of this, the number of antenatal care visits among pregnant women is still low. This study aimed to measure the influence of behavioral ecological factors with the compliance of pregnant women to visit antenatal care. PATIENTS AND METHODS: Study population was pregnant women living in Dumai City, Indonesia. This study was a quantitative research design with a cross-sectional. We used the cluster system to select participants. A total of 369 subjects participated with a gestation age between >12 until 40 weeks. The data were collected by face-to-face interviews using validated questioners. The analysis was done by bivariate analysis using the Spearman correlation test. Multivariate using multiple linear regression. RESULTS: This study showed that factors of the ecological model of behavior were related to antenatal care compliance (p value<0.05) with a coefficient correlation (0.330–0.569). Multivariate analysis showed that all variables associated significantly (adjusted R(2); 0.104–0.311). Five variables were dominant; knowledge, cultural beliefs, family support, friend support, and health facilities with adjusted R(2)= 0.518. CONCLUSION: Five factors in an ecological model of behavior, such as knowledge, cultural beliefs, family support, friend support, and health facilities, proportion (51,8%) of contributing to antenatal care compliance. We recommend a health district program to make services more accessible to pregnant women. Health education programs need to increase the knowledge of pregnant women and families to provide support in antenatal care compliance. Local governments shall improve antenatal care quality by mapping, planning, and evaluating this program. Dove 2020-08-04 /pmc/articles/PMC7414976/ /pubmed/32801974 http://dx.doi.org/10.2147/RMHP.S242724 Text en © 2020 Ismainar et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Ismainar, Hetty
Subagio, Hertanto W
Widjanarko, Bagoes
Hadi, Cahyono
To What Extent Do Ecological Factors of Behavior Contribute to the Compliance of the Antenatal Care Program in Dumai City, Indonesia?
title To What Extent Do Ecological Factors of Behavior Contribute to the Compliance of the Antenatal Care Program in Dumai City, Indonesia?
title_full To What Extent Do Ecological Factors of Behavior Contribute to the Compliance of the Antenatal Care Program in Dumai City, Indonesia?
title_fullStr To What Extent Do Ecological Factors of Behavior Contribute to the Compliance of the Antenatal Care Program in Dumai City, Indonesia?
title_full_unstemmed To What Extent Do Ecological Factors of Behavior Contribute to the Compliance of the Antenatal Care Program in Dumai City, Indonesia?
title_short To What Extent Do Ecological Factors of Behavior Contribute to the Compliance of the Antenatal Care Program in Dumai City, Indonesia?
title_sort to what extent do ecological factors of behavior contribute to the compliance of the antenatal care program in dumai city, indonesia?
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7414976/
https://www.ncbi.nlm.nih.gov/pubmed/32801974
http://dx.doi.org/10.2147/RMHP.S242724
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