Factors associated with the completion of antenatal care in Indonesia: A cross-sectional data analysis based on the 2018 Indonesian Basic Health Survey

Abstract

Background: The global incidence of maternal mortality remains high, including in Indonesia, and the utilization of antenatal care services can help reduce these rates. Despite numerous studies examining factors affecting antenatal care utilization, there has been limited focus on identifying factors related to the completion of these services. Objective: This study aimed to analyze factors associated with the completion of antenatal care in Indonesia. Methods: The study used a cross-sectional analysis of secondary data from the Basic Health Research conducted by the Indonesian Ministry of Health in March 2018. The sample consisted of 65,929 pregnant women aged 15 to 49. Descriptive statistics, chi-square tests, and multiple logistic regression were used for data analysis. Results: The majority of respondents (75.2%) completed antenatal care. Factors significantly correlated with antenatal care completion were education level, occupation status, health insurance ownership, place of antenatal care services, travel time to health facilities, area of residence, history of pregnancy, parity, desired pregnancy, and pregnancy complications (p <0.05). The multiple logistic regression test showed that education level was the most dominant factor associated with antenatal care completion (p <0.001, OR = 2.023, 95% CI = 1.839-2.225). Conclusion: Completion of antenatal care is influenced by various factors, including education, job status, health insurance ownership, antenatal care services’ location, travel time to health facilities, residence area, previous pregnancy history, number of children, desired pregnancy, and pregnancy complications. However, education is crucial in determining a mother’s understanding and approach toward using these services. The Indonesian government should enhance public education and awareness initiatives to increase utilization. Healthcare professionals, particularly nurses and midwives, play a vital role in educating pregnant women about the significance of utilizing prenatal care services consistently and facilitating their access to these services efficiently.

Implementation of Robson classification for caesarean section using health insurance claims: the experience of Indonesia

“…The new guideline by the WHO suggests more frequent antenatal care visits, i.e., 8 visits, for a positive pregnancy experience [21]. Unfortunately, even using the previous WHO manual, there were about 25% of pregnant women who had not completed the four antenatal care visits [22]. Additionally, many still did not have good maternal knowledge, including the knowledge on pregnancy emergency sign, sign of childbirth, preparation for complications and childbirth [23].…”

Maternal and Child Healthcare Services in Aceh Province, Indonesia: A Correlation and Clustering Analysis in Statistics

“…The positive correlation between the management of obstetric complications and both blood-supplementing tablets and comprehensive antenatal care further emphasizes the need for a holistic approach to maternal healthcare [45]. Early antenatal care (K1) also exhibited a statistically significant positive correlation with these critical variables [46], although the strength of the relationship was somewhat weaker. These findings collectively underscore the interconnectedness of these healthcare components in improving maternal and child health outcomes [44].…”