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Rachmawati, Tety, Supriyanto, Stefanus, Musadad, Dede, Notobroto, Hari, Fitriani, Yunita, Pawitaningtyas, Indah, Nugroho, Arief, Handayani, Sri, Nantabah, Zainul, Effendi, Diyan. (1405). Socioeconomic and Geographical Analysis on Antenatal Care Visits in Indonesia: A Cross-sectional Study. سامانه مدیریت نشریات علمی, 14(3), 219-232. doi: 10.30476/ijcbnm.2026.106865.2797
Tety Rachmawati; Stefanus Supriyanto; Dede Anwar Musadad; Hari Basuki Notobroto; Yunita Fitriani; Indah Pawitaningtyas; Arief Priyo Nugroho; Sri Handayani; Zainul Khaqiqi Nantabah; Diyan Ermawan Effendi. "Socioeconomic and Geographical Analysis on Antenatal Care Visits in Indonesia: A Cross-sectional Study". سامانه مدیریت نشریات علمی, 14, 3, 1405, 219-232. doi: 10.30476/ijcbnm.2026.106865.2797
Rachmawati, Tety, Supriyanto, Stefanus, Musadad, Dede, Notobroto, Hari, Fitriani, Yunita, Pawitaningtyas, Indah, Nugroho, Arief, Handayani, Sri, Nantabah, Zainul, Effendi, Diyan. (1405). 'Socioeconomic and Geographical Analysis on Antenatal Care Visits in Indonesia: A Cross-sectional Study', سامانه مدیریت نشریات علمی, 14(3), pp. 219-232. doi: 10.30476/ijcbnm.2026.106865.2797
Rachmawati, Tety, Supriyanto, Stefanus, Musadad, Dede, Notobroto, Hari, Fitriani, Yunita, Pawitaningtyas, Indah, Nugroho, Arief, Handayani, Sri, Nantabah, Zainul, Effendi, Diyan. Socioeconomic and Geographical Analysis on Antenatal Care Visits in Indonesia: A Cross-sectional Study. سامانه مدیریت نشریات علمی, 1405; 14(3): 219-232. doi: 10.30476/ijcbnm.2026.106865.2797

Socioeconomic and Geographical Analysis on Antenatal Care Visits in Indonesia: A Cross-sectional Study

International Journal of Community Based Nursing & Midwifery
مقاله 4، دوره 14، شماره 3 - شماره پیاپی 55، مهر 2026، صفحه 219-232    اصل مقاله (779.92 K)
شناسه دیجیتال (DOI): 10.30476/ijcbnm.2026.106865.2797
نویسندگان
Tety Rachmawati* 1، 2؛ Stefanus Supriyanto3؛ Dede Anwar Musadad2؛ Hari Basuki Notobroto3؛ Yunita Fitriani2؛ Indah Pawitaningtyas2؛ Arief Priyo Nugroho2؛ Sri Handayani2؛ Zainul Khaqiqi Nantabah4؛ Diyan Ermawan Effendi2
1Doctoral Program of Faculty of Public Health, University of Airlangga, Indonesia;
2Research Center for Public Health and Nutrition, National Research and Innovation Agency Republic of Indonesia, Cibinong Science Center, Indonesia;
3Faculty of Public Health, University of Airlangga, Kampus C Unair, Indonesia;
4Directorate of Laboratory Management, Research Facilities, and Science and Technology Park, National Research and Innovation Agency, Indonesia
چکیده
Background: Antenatal care (ANC) is crucial for reducing maternal and neonatal mortality by detecting and managing pregnancy complications. In Indonesia, a policy mandating at least six ANC visits (K6) per pregnancy has been introduced, yet factors influencing adequate ANC under this new policy remain unevaluated. This study examines the national and sub-national prevalence of adequate ANC visits as well as its associated geographic and socioeconomic factors.
Methods: This cross-sectional study analyzed data from the 2023 Indonesian Health Survey, which included 70,916 women of reproductive age. Logistic regression was used to assess predictors of ANC adequacy, such as age, education, marital status, health insurance, employment, urbanicity, economic status, and travel time to healthcare facilities. The data were analyzed through SPSS version 23 using descriptive statistics, chi square test, and multiple logistic regression. Final regression model was based on significant predictors only with calculated adjusted odd ratios and 95% confidence interval (CI) with a significance level of 0.05.
Results: The national prevalence of adequate ANC visits was 38.65%. However, a significant disparity was observed between provinces, with eastern areas showing much lower prevalence than provinces in western Indonesia. ANC adequacy was highest among women aged 25–29 and lowest among those under 20. Higher education (aOR=1.45, P<0.001), combined health insurance (aOR=2.84, P<0.001), employment (aOR=1.07, P<0.001), urban residence (aOR=1.24, P<0.001), and higher economic status (aOR=1.60, P<0.001) were positively associated with ANC adequacy. Conversely, being divorced (aOR=0.76, P<0.001) and widowed (aOR=0.74, P=0.004), and longer travel times to primary healthcare center negatively affected compliance (aOR=0.68, P<0.001).
Conclusion: Addressing geographic and socioeconomic barriers through improved healthcare infrastructure, transportation support, and expanded insurance coverage is essential for increasing ANC utilization and improving maternal health in Indonesia.

تازه های تحقیق

Tety Rachmawati (Google Scholar) (PubMed)

کلیدواژه‌ها
Antenatal care؛ Healthcare disparities؛ Maternal health؛ Pregnancy
سایر فایل های مرتبط با مقاله
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