JOURNAL MIDWIFERY (JM)
Jurnal Jurusan Kebidanan.
Poltekkes Kemenkes Gorontalo P-ISSN .
E-ISSN .
8-523X)
http://jurnal.
id/index.
php/JM/index DOI: http://dx.
org/10.
52365/jm.
DETERMINANTS OF K6 ANTENATAL CARE VISITS AMONG THIRD
TRIMESTER PREGNANT WOMEN AT PAHANDUT HEALTH
CENTER IN PALANGKA RAYA CITY
Cindy Fastika1.
Riny Natalina2.
Sukmawati A.
Damiti3.
Seri Wahyuni4
1,2,3,4
Poltekkes Kemenkes Palangka Raya Email: cindyfastika@gmail.
com1, riny.
logos@gmail.
Sukmawati@polkesraya.
seriwahyuni@poltekkes-palangkaraya.
ABSTRACT
The coverage rate of K6 Visits for pregnant women at the Pahandut Health Center in Palangkaraya City of 86.
72% has not yet met the target of 100%.
There are several factors that influence pregnant women in making ANC visits, namely behavioral factors and factors outside of behavior.
The purpose of this study was to determine the Determinants of Antenatal Care K6 Visits for pregnant women at the Pahandut Health Center in Palangka Raya City.
This study used an Observational Analytical study with a cross-sectional design to identify the Determinants of Antenatal Care K6 visits at the Pahandut Health Center.
The instrument in this study was a questionnaire and this study used Univariate and Bivariate data analysis.
Bivariate analysis showed a significant relationship between Knowledge (A = .
Attitude (A = 0.
Husband's Support (A = 0.
Distance of Residence (A = 0.
with K6 coverage.
While employment status was not significantly related (A = 0.
Based on the results of the study, it was found that there was a significant relationship between Knowledge.
Attitude.
Husband's Support and Distance of Residence with K6 ANC Visits, while there was no relationship between Job and K6 ANC Visits.
Keywords: Antenatal Care.
Determinants.
Pregnant Women.
Trimester i.
Visits (K.
A2021 Cindy Fastika.
Riny Natalina.
Sukmawati A.
Damiti.
Seri Wahyuni Under the licence CC BY-SA 4.
*Cindy Fastika.
Poltekkes Kemenkes Palangka Raya.
Jl.
George Obos No, 30,32.
Menteng.
Kec.
Jekan Raya.
Kota Palangka Raya.
Indonesia, cindyfastika@gmail.
Cindy Fastika1.
Riny Natalina2.
Sukmawati A.
Damiti3.
Seri Wahyuni4 / Journal Midwifery Vol.
No.
2, 2025 .
INTRODUCTION
enabling factors .
istance from the place of Maternal mortality rate (MMR) is an important indicator in assessing the .
usband welfare of society.
WHO .
reported a Previous research showed that global MMR of 223 per 100,000 KH, in low knowledge, less positive attitudes.
ASEAN 235 per 100,000 KH, and time-constrained work, long distances, and Indonesia 189 per 100,000 KH.
In Central lack of husband support were the causes of Kalimantan, the MMR in 2020 was 141 per low ANC visits (Siti Maryam & Erin 100,000 KH, increased in 2021 to 212 per Padilla Siregar, 2.
ANC
100,000 KH, then decreased in 2022 to 149 Previous studies in Indonesia have per 100,000 KH.
Meanwhile.
In Palangka mainly focused on the coverage and Raya City, the MMR was 69.
61 per determinants of K1 and K4 ANC visits as 100,000 KH in 2021, decreased to 46.
04 in key indicators of maternal health service 2022, and then increased again in 2023 to However, studies specifically 95 per 100,000 KH.
analyzing the determinants of K6 visits are The main causes of maternal still limited.
In Palangka Raya, especially at mortality in Indonesia are hypertension in Pahandut Health Center where the K6 pregnancy, obstetric bleeding, and other coverage in 2023 was only 86.
72%, no obstetric complications.
Efforts to reduce prior research has examined this issue in MMR can be done through routine The novelty of this study lies in its Antenatal Care (ANC) visits according to focus on the determinants of ANC K6 visits standards (M.
Sari, 2.
Based on the among third-trimester pregnant women in Palangka Raya City Health Profile .
Pahandut Health K1 coverage was 90.
17% and K4 was 54%, while K6 coverage was only interventions to improve maternal health 58%, a decrease from the previous year.
Center.
In Pahandut Health Center itself.
K6 Based on this, researchers are coverage of 86.
72% is still below the 100% interested in examining the Determinants of target (Palangka Raya City Health Office.
Antenatal Care Visit K6 in third trimester pregnant women at the Pahandut Health Low ANC K6 visits are influenced Center in Palangka Raya City with a focus by various factors.
Lawrence Green's distance of residence, and husband support.
Cindy Fastika1.
Riny Natalina2.
Sukmawati A.
Damiti3.
Seri Wahyuni4 / Journal Midwifery Vol.
No.
2, 2025 .
METHODS
This observational study with a cross-sectional design (Ummul Aiman et al.
, 2.
The population was all third trimester pregnant women at the Pahandut Health Center totaling 212 with a sample of 153 consecutive sampling techniques according to the inclusion and exclusion criteria.
Primary data were collected using a questionnaire that adapted from previous research, while secondary data were obtained from the Palangka Raya City Health Profile.
Data univariately for frequency distribution and bivariate using the chi-square test with a 95% confidence level .
<0.
RESULTS AND DISCUSSION
RESULTS
Univariate Analysis ANC visits ANC Visit Frequency .
Incomplete Complete Total Source: Primary data 2025 Percentage (%) 55,6 % 44,4 % Of the 153 third trimester pregnant women, 85 .
6%) did not complete the ANC K6 visit and 68 .
4%) made a complete visit.
Bivariate Analysis Knowledge and ANC K6 Visits Table 4.
2 Relationship between Pregnant Women's Knowledge and ANC K6 Visit at Pahandut Health Center.
Palangkaraya City ANC K6 Visits Total
AKnowledge Incomplete Complete Value Less 38,6 27 61,4 44 100
Good
62,4 41 37,6 109 100 0,007
Total
55,6 68 44,4 153 100
Source: Primary data 2025 There is a significant relationship between knowledge and ANC K6 visits (A=0,.
There were more incomplete .
4%) than complete .
6%) mothers with good knowledge.
Table 4.
1 Frequency Distribution of ANC K6 Visits in Trimester i Pregnant Women Attitude and ANC K6 Visits Table 4.
3 Relationship between Pregnant Women's Attitudes and ANC K6 Visits at Pahandut Health Center.
Palangka Raya City ANC K6 Visits Total
AAttitude Incomplete Complete Value Negative 62
62,6 37 37,4 99 100
Positive 42,6 31 57,4 54 100 0,017 Total
55,6 68 44,4 153 100
Source: Primary data 2025 There was a significant relationship between attitude and ANC K6 visits (A=0.
Negative attitude mothers were more incomplete .
6%) than complete .
4%).
Working Status and ANC K6 Visits Table 4.
4 Relationship between Working Status of Pregnant Women and ANC K6 Visits at Palangkaraya City Health Center
ANC K6 Visits Total
Working AIncomplete Complete Status
Value Not 53,6 51 46,4 110 100
Working 0,445 Working 26
60,5 17 39,5 43 100
Total
55,6 68 44,4 153 100
Source: Primary data 2025 Cindy Fastika1.
Riny Natalina2.
Sukmawati A.
Damiti3.
Seri Wahyuni4 / Journal Midwifery Vol.
No.
2, 2025 .
There No.
relationship between employment and ANC K6 visits (A=0.
Non-working mothers had more complete visits .
4%) than working mothers .
5%).
Husband Support and ANC K6 Visits Table 4.
5 Relationship between Husband Support for Pregnant Women and ANC K6 Visits at Pahandut Health Center.
Palangkaraya City ANC K6 Visits Total
Husband
AIncomplete Complete Support
Value Not 60,3 46 39,7 116 100
Supporting 0,035 Supporting 15
40,5 22 59,5 37 100
Total
55,6 68 44,4 153 100
Source: Primary data 2025 There was a significant association between husband support and ANC K6 (A=0.
Mothers husband support were more incomplete .
3%) than those with support .
5%).
Distance of Residence and ANC K6 Visits Table 4.
6 Relationship between distance of residence of pregnant women and ANC K6 visits at Pahandut Health Center.
Palangkaraya City ANC K6 Visits Total
Distance of AIncomplete Complete Residence Value Far
23,8 21 100
Near
52,3 63 47,7 132 100 0,040
Total
55,6 68 44,4 153 100
Source: Primary data 2025 There was a significant association The results of this study are in line between distance of residence and ANC with Anggraini .
who found the K6 visits (A=0.
Ms.
with distance majority of pregnant women did not Long distances had more incomplete complete ANC.
According to Rini .
2%) than short distances .
3%).
emphasizes ANC at least 6x for DISCUSSION early detection of risks, supported by Univariate Analysis Irmadani .
who mentions the ANC visits The finding that more than half Thus, .
6%) of third-trimester pregnant researchers concluded that ANC K6 women did not complete ANC K6 visits visits have an important role in detecting risks early so that complications can be accessibility alone are not sufficient This suggests that other factors, such as husbandAos prevented as early as possible.
Knowledge The result of this study are Kurnawati .
, cultural perceptions of pregnancy, play indicating that most pregnant women understand the importance of ANC.
adherence to ANC standards.
Rainuny .
emphasized that good knowledge influences thinking patterns Cindy Fastika1.
Riny Natalina2.
Sukmawati A.
Damiti3.
Seri Wahyuni4 / Journal Midwifery Vol.
No.
2, 2025 .
and behavior, while Muthalib .
due to other competing responsibilities described knowledge as the initial at home or lack of motivation despite capital for changes in health behavior.
having more time availability.
Similar Therefore, the researcher concludes that findings were reported by Nurfitriyani good maternal knowledge affects ANC .
, who argued that being a visit behavior, thereby helping to prevent pregnancy danger signs.
compliance with health services.
Attitude The results of this study are Mothers with negative attitudes consistent with Latifah .
, who were more likely to have incomplete reported that most pregnant women are visits .
6%).
This shows that attitude Habibah .
explained shaped by cultural beliefs, previous that employment can influence income, experiences, and family influence is a economic independence, and access to stronger predictor of behavior than ANC services.
Therefore, the researcher As Zjubaidi .
noted, attitude is affected by social support and mothers may have better financial capacity, time constraints can become a influence compliance.
of Destalia barrier to routine ANC visits.
The results of this study are similar to those .
Husband Support Lack of husbandAos support was Retnowati .
Ramadhaniati .
strongly related to incomplete visits stated that a positive attitude increases .
3%).
Husbands who are busy with motivation and compliance with ANC, work or who perceive pregnancy checks while Maryam .
emphasized the as unimportant may not encourage their importance of attitude as a reflection of wives to attend all six visits.
This the motherAos readiness to maintain her confirms findings by Wati .
that Therefore, the researcher husband involvement is critical to concludes that a positive attitude reflects maternal compliance.
the motherAos concern for her own health The results of this study are in line and that of the fetus, enabling ANC with the findings of Laila .
visits to be carried out regularly.
According to Adelita .
, husbandAos Working Status support is an important factor in Non-working mothers still showed improving compliance with ANC visits incomplete visits .
6%).
This may be because husbands play a key role in Cindy Fastika1.
Riny Natalina2.
Sukmawati A.
Damiti3.
Seri Wahyuni4 / Journal Midwifery Vol.
No.
2, 2025 .
decision-making Therefore.
Kondamaru's .
Hikmawati .
said good knowledge concludes that husbandAos support can motivate mothers to attend pregnancy check-ups regularly and completely.
underestimate ANC.
The researcher Distance of Residence concluded that knowledge is important Mothers living far from the health center had higher incomplete visits .
2%).
This reflects accessibility in shaping the behavior of complete ANC visits.
Attitude and ANC Visit K6 barriers such as transportation, cost, and Obtained p-value = 0.
017 (<0.
Even though most respondents lived nearby, distance remained a In line with Wandra .
significant factor for those further away.
p=0.
Zjubaidi .
said attitudes Simanjuntak .
also highlighted are influenced by experience, culture, that transportation availability amplifies and emotions.
The researcher concluded the effect of distance.
that attitude Positivity can encourage The results of this study are consistent with Retnaningtyas .
and Simanjuntak .
, who stated that mothers to have regular pregnancy check-ups.
Working Status and ANC Visits K6 distance affects the motivation for ANC The p-value 445 (>0.
Prasetyo .
emphasized that the farther the distance, the greater the In line with Tanjung .
p=0.
According to Nurfitriyani transportation facilities are limited.
, housewives have more time than Therefore, the researcher concludes that shorter distances increase the regularity of ANC visits because access is easier, significant factor in ANC K6 visits at the more cost-effective, and time-saving.
study site.
Bivariate Analysis p-value The Husband Support and ANC K6 Visits Knowledge and ANC Visit K6 The Obtained p-value = 0.
035 (<0.
007 (<0.
indicates that there is a significant Supported by Wati .
, relationship between knowledge and and Munaim .
Adami .
ANC
Supported Cindy Fastika1.
Riny Natalina2.
Sukmawati A.
Damiti3.
Seri Wahyuni4 / Journal Midwifery Vol.
No.
2, 2025 .
motivation, while Mulyani .
said influential barriers to completing ANC K6 that a busy husband is a barrier.
concluded that husband support is THANK YOU important for regularity of ANC visits.
The authors would like to thank Poltekkes Distance of Residence and ANC K6 Kemenkes Palangka Raya, especially the Visits Department of Midwifery and the Applied The p-value 040 (<0.
Midwifery Undergraduate Study Program, indicates a significant relationship.
for their support and guidance.
Gratitude is also extended to BLUD UPT Puskesmas emphasized the affordability of distance Pahandut.
Palangka Raya City, for research is important for service access, but permission, as well as to all respondents for Simanjuntak their valuable participation.
Susanti .
transportation is also influential.
The BIBLIOGRAPHY