Granthaalayah
OVERVIEW OF PREGNANT WOMAN BEHAVIOUR AGAINST ANTENATAL CARE COMPLIANCE IN KEBON KALAPA VILLAGE, CISARUA SUB-DISTRICT, SUMEDANG REGENCY, WEST JAVA IN 2019

OVERVIEW OF PREGNANT WOMAN BEHAVIOUR AGAINST ANTENATAL CARE COMPLIANCE IN KEBON KALAPA VILLAGE, CISARUA SUB-DISTRICT, SUMEDANG REGENCY, WEST JAVA IN 2019


Department of Obstetrics and Gynecology, Medical Faculty, Universitas Kristen, Jakarta, Indonesia
Department of Medical Community, Medical Faculty, Universitas Kristen, Jakarta, Indonesia

Abstract

Antenatal services, according to standards, are services provided to pregnant women, given four times during pregnancy. According to RISKESDAS Data, the province's antenatal care proportion in Indonesia was 2013 at 95.2% and 2018 at 96.1% over the past five years. This study was designed to describe pregnant women against antenatal mediation in Kebon Kalapa Village, Cisarua District, Sumedang, West Java, 2019. This research is a descriptive-analytic study. Sampling using purposive sampling technique and obtained a total sample of 22 respondents. The results showed significant differences between pregnant women's knowledge, attitudes, and practices about the regulation of antenatal care in Kebon Kalapa Village, Cisarua District, Sumedang, West Java, in 2019. The research studies showed that there was a significant difference between knowledge, attitudes and antenatal care practices in Kebon Kalapa Village, Cisarua District, Sumedang, West Java, 2019 with an overview of good knowledge is nine people (40.9%) and sufficient knowledge of 4 people (18.2%). An overview of a good attitude is 21 people (95.5%), and an overview of good practice is 17 people (77.3%). The overview of antenatal care is 18 people (81.8%). Most pregnant women in Kebon Kalapa Village, Cisarua District, Sumedang Regency, West Java In 2019 have good knowledge, and most pregnant women in Kebon Kalapa Village, Cisarua District, Sumedang District, West Java, 2019 have a positive attitude. Most pregnant women in Kebon Kalapa Village Cisarua Sumedang Regency, West Java 2019 have positive practice, and most pregnant women in Kebon Kalapa Village, Cisarua Sub-District, Sumedang District, West Java, 2019 are obedient to antenatal care.

Keywords

Behaviour of Pregnant Women, Compliance with Antenatal Care

INTRODUCTION

An antenatal care service provides pregnant women at least four times during their pregnancy with a one-time scheduled in the first trimester, a one-time scheduled in the second trimester and two-time scheduled in the third trimester done by a midwife or doctor or obstetrician who works at government or private health service facilities with a registration certificate (Alder, Fink, Bitzer, Hösli, & Holzgreve, 2007; Gaston & Cramp, 2011). There was an increase in antenatal care examinations in women aged 10-54 years in Indonesia from 2013-2018, which1was 95,2% in 2013 and 96,1% in 2018 (Doktorchik et al., 2018; Kieffer et al., 2013). There some problem that Indonesia still faces in antenatal care services, not only from access but also the quality of services and the availability of facilities must be improved (Kumbani, Bjune, Chirwa, Malata, & Odland, 2013; Sibiya, Ngxongo, & Bhengu, 2018; Tran, Gottvall, Nguyen, Ascher, & Petzold, 2012). These are related to the ease of transportation facilities and infrastructure. Antenatal services, according to standards, are services provided to pregnant women at least four times during pregnancy with a schedule of one time in the first trimester, one time in the second trimester and two times in the third trimester conducted by midwives and doctors and midwifery specialists who work in government and private health care facilities that have a Registration Certificate (Eijk et al., 2006; Metgud, Katti, Mallapur, & Wantamutte, 2009; Oladapo, Iyaniwura, & Sule-Odu, 2008). The health service implementation assessment for pregnant women can be done by looking at the coverage of K1 and K4. Coverage K1 is the number of pregnant women who have received antenatal care for the first time by health workers compared to the target number of pregnant women in one work area for one year (Kamo, Msen, Rantetampang, & Mallongi, 2018; Orboi, Msen, Ruru, & Mallongi, 2019; Orboi, Msen, Ruru, & Mallongi, 2019). Whereas K4 coverage is the number of pregnant women who have obtained antenatal care according to the standard at least four times according to the recommended schedule in each trimester compared to the target number of pregnant women in one work area for one year (Mardahlia, 2018; Prasetyo et al., 2018; Wau & Razella, 2020).

In addition to the elements of action that must be met by health services for pregnant women must also meet the minimum frequency in each trimester, namely at least once in the first trimester (0-12 weeks gestation), at least once in the second trimester (12-24 weeks gestation), and at least twice in the third trimester (24 weeks' gestation until delivery) (Bothwell, 2000; Costa, Rippen, Dritsa, & Ring, 2003). The standard of service time is recommended to ensure the protection of pregnant women and the fetus in the early detection of risk factors, prevention, and early treatment of pregnancy complications (Fretts, 2005; Marion & Meeks, 2012). Constraints faced in implementing health services for pregnant women are not only in terms of access. The quality of services provided must also be improved, including fulfilling all health care components for pregnant women should be given during the visit (Feroz, Perveen, & Aftab, 2017; Macinko & Harris, 2015). In terms of the availability of health facilities, until December 2017, there are 9,825 health centres. The existence of a health centre should ideally be supported with reasonable accessibility (Ensor, 2004). It is, of course, very related to geographical aspects and the ease of transportation facilities and infrastructure. In supporting outreach to the community in its working area, the puskesmas has also applied the satellite concept by providing auxiliary health centres. Based on the description, the researcher was interested in examining the relationship between pregnant women's behaviour towards adherence to antenatal care in the Village of Kebon Kalapa, Cisarua Sub-District, Sumedang District West Java in 2019.

METHOD

This study uses descriptive research methods to analyze the description of knowledge, attitudes, and practices on antenatal care adherence in Kebon Kalapa Village, Cisarua Sub-district, Sumedang Regency, and West Java 2019. This study took place from 24 June 2019 - 5 July 2019. The research site was in Kebon Kalapa Village, Sumedang Regency. The population in this study were pregnant women in the 1st trimester to the third trimester. This study's sampling method was non-random sampling with a purposive sampling method, which will take all data that met the inclusion criteria as many as 22 respondents. Inclusion criteria: Mothers who become pregnant in the 1st trimester to the third trimester and are at the research location and pregnant women in the 1st trimester to the third trimester are cooperative and willing to be respondents in the questionnaire. Exclusion Criteria: Mothers who are pregnant in the 1st to the third trimester who are unwilling to conduct interviews and fill out questionnaires and non-pregnant mothers. Data processing techniques in this study used computational calculation of the SPSS program (Statistical Product and Service Solution), consisting of data editing, data coding, data entry and manual tabulating. The sequence of activities is as follows: 1.) Data editing is done to control the quality of data that has been obtained, in the form of data on the behaviour of pregnant women and adherence to antenatal care. 2.) Coding and scoring are the activity of Coding every data obtained, then giving it a score to facilitate data analysis. 3.) Data entry is the activity of entering data into a computer program for data analysis. 4.) Tabulating is the activity of entering data into tables and measuring the numbers obtained so that the distribution and percentage can be calculated and can be analyzed. This study's analysis technique is a univariate test to see the frequency distribution of the research variables. Measure the behaviour of pregnant women and adherence to antenatal care.

RESULT AND DISCUSSION

Samples for this research are pregnant mothers in the 1st trimester to the third trimester in June 2019 in the village Kebon Kalapa, Regency Sumedang, West Java, with 22 people.

Table 1: Age Distribution

Age

N

%

<20 years old

4

18.2

20-30 years

13

59.1

31-40 years old

5

22.7

Total

22

100

Based on the table above, obtained in part significant respondent aged 20-30 years and aged 31-40 years were 13 respondents (59.1%), while respondent aged 31-40 years were of 5 respondents (22.7%), and respondents aged <20 years number 4 (18.2%).

Table 2: Job Distribution

Work pregnant mother

N

%

Housewife

18

81.8

Teacher

1

4.5

Midwife

1

4.5

Labourer

1

4.5

Civil Servants

1

4.5

Total

22

100

Based on the table above, obtained in part significant respondent work as a housewife, a total of 18 people (81.8%). While respondents who work as a teacher 1 number (4.5%), there was one midwife (4.5%), and one labour (4.5%), and one civil servant (4.5%).

Table 3: Education Distribution

Education

N

%

Graduated from elementary school

4

18.2

Graduated from junior high school

8

36.4

Graduated from high school

8

36.4

Graduate D3 / S1 / S2

2

9.1

Total

22

100

Based on the table above, obtained in part significant respondent have education graduated from junior high school with eight people (36.4 %) and graduated from high school a total of 8 people (36.4%). Respondents who graduated from elementary school with four people (18.2%) and respondents who owned it graduated D3/SI/S2 with two people (9.1%).

Table 4: Age of Pregnancy Distribution

Age of Pregnancy

N

%

Trimester 1 (1-12 weeks)

2

9.1

Trimester 2 (12-24 weeks)

9

40.9

Trimester 3 (24 weeks of labour)

11

50.0

Total

22

100

Based on the table above, it is obtained that the larger respondent is located in age third-trimester pregnancy (24 weeks - delivery) (A total of 11 people (50, 0, %) and second trimester (12-24 weeks) were 9 (40.9%). Meanwhile, respondents in age pregnancy were at the first trimester (1-12 weeks) were 2 (9.1%).

Table 5: Total Pregnancy Distribution

Total Pregnancy

N

%

First time

8

36.4

Twice

8

36.4

Three times

4

18.2

Four times or more

2

8.1

Total

22

100

Based on the table above, it is obtained that the larger respondent was in the first and second times each was eight people (36.4%). While total pregnancy as much three times to respondents, namely four people (18.2%) and the amount pregnancy as many four times to respondents, two people (8.1%).

Behaviour is influenced by knowledge, attitudes, and practices (Faour-Klingbeil, Kuri, & Todd, 2015; Salas-Zapata, Ríos-Osorio, & Cardona-Arias, 2018). Other factors, such as education, also influence behaviour. It is consistent with the research conducted by Siti Komariyah (2018), who also explained that good behaviour would result in increasingly regular pregnancy check-ups (Gokyildiz, Alan, Elmas, Bostanci, & Kucuk, 2014; Weerth, Hees, & Buitelaar, 2003). It is also by univariate analysis, which is obtained from the description of knowledge of pregnant women about antenatal care in the village of Kebon Kalapa, Sumedang Regency, namely pregnant women who have good knowledge of 9 people (40.9%), pregnant women who have enough knowledge as much as four people (18.2%), and nine pregnant women who have good knowledge (40.9%). Besides, it was also an overview of pregnant women's attitude about antenatal care in the village of Kebon Kalapa, Sumedang Regency, which had 17 positive practices (77.3%). For pregnant women who adhere to antenatal care, as many as 18 people (81.8%).

CONCLUSION

Based on the results of the research "Description of Pregnant Women Behavior on Compliance with Antenatal Care in Kebon Kalapa Village, Cisarua District, Sumedang Regency, West Java in 2019" which was conducted on 22 samples, the following conclusions were obtained: a) Based on the univariate analysis of pregnant women, it can be concluded that most of the pregnant women in Kebon Kalapa Village, Cisarua District, Sumedang Regency, West Java In 2019, 9 people (40.9%) had good knowledge and 4 people (18.2%) had sufficient knowledge; b) Based on the univariate analysis of pregnant women, it can be concluded that the majority of pregnant women in Kebon Kalapa Village, Cisarua District, Sumedang Regency, West Java in 2019 had positive attitudes as many as 21 people (95.5%); c) Based on the univariate analysis of pregnant women, it can be concluded that the majority of pregnant women in Kebon Kalapa Village, Cisarua District, Sumedang Regency, West Java in 2019 had positive practices as many as 17 people (77.3%); and d) Based on univariate analysis, most pregnant women in Kebon Kalapa Village, Cisarua District, Sumedang Regency, West Java in 2019 obeyed antenatal care, namely 18 people (81.8%). The description of good knowledge was nine people (40.9%), and sufficient knowledge was four people (18.2%). There were 21 people (95.5%) with a positive attitude. There were 17 positive practice figures (77.3%). The description of adherence to antenatal care was 18 people (81.8%).

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