Journal for Quality in Women's Health DOI : https://doi. org/10. 30994/jqwh. https://jqwh. ISSN: 2615-6660 . 2615-6644 . Vol. 6 No 1. March 2023. Page. Tersedia online di https://jqwh. org/index. php/JQWH ANALYSIS OF PREGNANT WOMEN'S MOTIVATION AND FAMILY SUPPORT ON INTEGRATED ANTENATAL CARE PARTICIPATION Retno Palupi Yonni Siwi1*. Anggrawati Wulandari2. Erma Retnaningtyas3. Nita Dwi Astikasari4 1,2,3,4,Midwifery Study Program. Faculty of Nursing and Midwifery Strada Indonesia Institute of Health Sciences. Kediri. Indonesia *Email : palupi. siwi@gmail. Received: October 4, 2022. Accepted: March 13, 2023. Published: March 20,2023 ABSTRACT Background : The high maternal mortality rate (MMR) in Indonesia still Integrated ANC is very important to be given by health workers to pregnant women. The purpose of this study was to determine the analysis of motivational factors and family support for integrated ANC participation. Method : The design is correlational analytic with cross sectional design. The population were all pregnant women with a total sampling of 20 people. The independent variables are motivation and family support, dependent variable is integrated ANC participation. Result : The results that half of the respondents had strong motivation . %), most of the respondents had moderate family support . %), almost all of the respondents participated in integrated ANC . %). Analysis : There is a relationship between family motivation and integrated ANC participation . -value = 0. 006 <0. , and there is a relationship between family support and integrated ANC participation . -value = 0. 010 <0. Conclusion : Self-awareness is able to form strong family motivation and support so as to increase integrated ANC participation Keywords :Antenatal care. Integrated. Motivation. Participation. Support Journal for Quality in Women's Health . Journal for Quality in Women's Health (JQWH ) INTRODUCTION The high maternal mortality rate (MMR) in Indonesia still occurs Ministry of Health data shows that there were 6,856 maternal deaths in 2021, an increase from the previous 4,197 maternal deaths in 2019 (Anak. The Maternal Mortality Rate (MMR) in East Java has decreased from 27 per 100,000 live birth in 2015 to 92 per 100,000 live birth in 2019. Although this figure is below the National target of 305 per 100,000 live birth, it is still below the Sustainable Development Goal (SDG) target ) 2030 that is 70 per 100,000 live births (World Health Organization, 2. The data contained in the Polindes of Temon Village, the coverage of K1 data reaches 74 pregnant women and K4 reaches 76 pregnant women and the coverage of integrated ANC visits reaches 51 pregnant women while the target that must be carried out integrated ANC. KI and K4 is 86 pregnant women within 1 One effective solution in reducing the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) is by increasing delivery assistance provided by trained medical personnel provided by health care facilities. addition, it requires the participation and awareness of mothers on the importance of prenatal check-ups at health care facilities by health workers. An integrated ANC (Antenatal Car. examination that aims to optimally improve the physical and mental health of pregnant women, so that they are postpartum, prepare for exclusive reproductive health in a reasonable manner(Kemenkes RI, 2. Integrated ANC is to prevent 43 | Journal for Quality in Women's Health possible and ensure that complications possible(Departemen Kesehatan, 2. Several factors can influence pregnant women to visit ANC, including namely factors of motivation, knowledge, parity, family support and the role of health workers,education, economy and the distance between the place of residence of the pregnant woman and the place of health services. In an effort to further increase the ANC of pregnant women it is also neededfamily support so that it always motivates pregnant women to check up, is also very important so that pregnant women are still monitored for the health of themselves and their fetus. If the whole family expects her pregnancy,support and even show in various ways, then pregnant women will feel trustedthemselves, happier and ready to go through their pregnancy, excited to do ANC integrated regularly (Rahmayanti. The support and role of men is very important to always accompany, support and work together to improve maternal health during pregnancy, childbirth and after childbirth such as breastfeeding and care as well as preventing the risk of death in the In addition to preventing the risk of death for the mother, there are many good effects from the support and the positive role of men, such as the mother is not stressed during pregnancy, the children who are born quality(Anak, 2. Based on the description above, the researcher is interested in researching the analysis of maternity motivation and family support for integrated anc participation in the Polindes of Temon Village. Mojokerto. Journal for Quality in Women's Health (JQWH ) METHODS The design of this research is correlational analytic with cross sectional approach. The sample in this study were all 20 pregnant women in the Polindes of Temon Village. Mojokerto using total sampling The independent variables in this study are motivation and family The dependent variable is integrated ANC participation. The measuring instrument in this study used a questionnaire. RESULTS Table 1. Frequency distribution of respondents by age of respondents, education, work, gestational age, get informed, source of information. Distribution of Respondents Age of Respondents < 20 years 20-35 years >35 years Education SMP SMA Colleges/Academies Work Housewives Private Self employed PNS Gestational Age Trimester I Trimester II Trimester i Get Informed Already Do not Sources of Information Magazine Television Health Workers Family Frequency Present (%) Based on table 1. it is known that almost all respondents are aged 20-35 years namely 18 people . %), almost all respondents with secondary education namely 16 people . %), almost all respondents are housewives namely 15 people . %), most respondents are in the second trimester of pregnancy namely 11 people . %), respondents who got information namely 20 people . %), and almost all of the respondents were sources of information obtained from health workers namely 18 people . %). Journal for Quality in Women's Health . Journal for Quality in Women's Health (JQWH ) Table 2. Frequency distribution of respondents by motivation, family support, integration ANC participation. Variable Motivation Weak Moderate Strong Family Support Low Medium High Integration ANC Participation Do not participate Participate Frequency Present (%) Based on table 2. it is known that half of the respondents had strong motivation, namely 10 people . %), most of the respondents had moderate family support, namely 11 people . %), and almost all respondents participated in integrated ANC, namely 17 people . %). Table 3. Cross tabulation of General Characteristics of Respondents with Motivational Variables Characteristics of Respondents Age of Respondents < 20 years 20-35 years >35 years Get Informed Already Do not Sources of Information Magazine Television Health Workers Family Low Motivation Moderate Total Strong Based on table 3. it is known that almost half of the respondents aged 2035 years have strong motivation, namely 9 people . %). half of the respondents who received information about ANC had strong motivation, namely 10 people . %). half of the respondents who had a source of information about ANC from health workers had a strong motivation, namely 10 people . %). 45 | Journal for Quality in Women's Health Journal for Quality in Women's Health (JQWH ) Table 4. Cross tabulation motivation, family support, and integrated ANC Variable Motivation Weak Moderate Strong Family Support Low Medium High Integrated ANC Participation Do not Participate Total Based on table 4. it is known that Half of the respondents who received strong motivation from their families participated in integrated ANC, namely 10 people . %). The results of the Spearman's Rho Statistical Test show that the p-value = 0. 006 or <0. 05 so that H1 is accepted, which means that there is a motivation and integrated ANC DISCUSSION