Factors Influencing Mothers' Interest in Attending Pregnancy Classes in the Mataraman Community Health Center Working Area
DOI:
https://doi.org/10.47134/ijatm.v2i4.105Keywords:
Interest, Antenatal Class, Accessibility, Information Exposure, Maternal EducationAbstract
Indonesia's Maternal Mortality Rate (MMR) remains high at 189 per 100,000 live births (SUPAS 2020), still far from the 2030 SDGs target of 70 per 100,000. The coverage of antenatal class visits at Mataraman Health Center was only 45.2% in 2024, well below the national target of 85%. This low participation is suspected to be strongly related to the lack of interest among pregnant women, influenced by various factors. To analyze factors associated with pregnant women's interest in participating in antenatal classes in the working area of Mataraman Health Center, Banjar Regency. This cross-sectional study with a quantitative approach was conducted from March to May 2025. The sample consisted of 30 third-trimester pregnant women selected through total sampling. Data were collected using structured questionnaires and analyzed using the Chi-Square test with a significance level of α=0.05. 63.3% of respondents showed high interest in antenatal classes. Analysis revealed significant relationships between age (p=0.000), education level (p=0.000), information exposure (p=0.000), and accessibility (p=0.001) with maternal interest. Employment status (p=0.449) and parity (p=0.397) showed no significant relationships. Age, education, information exposure, and accessibility significantly influence pregnant women's interest. Therefore, more aggressive and innovative health promotion efforts are needed, particularly through massive information dissemination and improved service accessibility, to optimize maternal participation in antenatal classes.
References
Ahsan, Z. (2016). Definition of human interest. Journal of Chemical Information and Modeling, 53(9).
BPS. (2021). Profile of the Indonesian population based on the 2020 SUPAS. Central Statistics Agency.
Frety, E. E., Ningrum, A. G., Prasetyo, B., & Izzati, D. (2024). Optimization of pregnant women classes and training of posyandu cadres for mothers of toddlers as an effort to prevent stunting. Jurnal Pengabdian Masyarakat Bangsa, 1(12). https://doi.org/10.59837/jpmba.v1i12.761
Gitonga, E. (2022). Geographic barriers to antenatal care in rural Africa. BMC Health Services Research, 22(1), 1–12.
McDonald, S. W., et al. (2020). Socioeconomic determinants of teenage pregnancy in Southeast Asia. Journal of Midwifery, 45(3), 215–228. https://doi.org/10.1016/j.jmwh.2020.02.005
Ministry of Health of the Republic of Indonesia. (2016). Guidelines for the implementation of pregnant women classes (Vol. 21, Issue 3). Ministry of Health of the Republic of Indonesia.
Ministry of Health of the Republic of Indonesia. (2018). National Report on the 2018 Riskesdas Survey. Jakarta: Health Research and Development Agency.
Ministry of Health of the Republic of Indonesia. (2023). National strategy for accelerating the reduction of maternal and infant mortality rates. Jakarta: Ministry of Health of the Republic of Indonesia. https://kesga.kemkes.go.id
Mulyani, S., & Santoso, H. (2019). The influence of education level on the knowledge and attitudes of pregnant women regarding pregnancy checkups. Journal of Midwifery and Health, 13(1), 75–83. https://doi.org/10.5678/jkk.v13i1.2019
Notoatmodjo. (2018). Health research methodology. Jakarta: Rineka Cipta.
Novriani, T., Simanjuntak, R. R., & Nainggolan, O. (2020). Maternal age at birth and low birth weight in Indonesia: Analysis of Riskesdas 2018. Indonesian Nutrition. Retrieved from persagi.org
Nugroho, H., & Sari, R. P. (2021). Risk perception and interest of pregnant women in attending antenatal care visits in Bantul District. Journal of Midwifery and Health, 15(2), 80–88. https://doi.org/10.5678/jkk.v15i2.2021
Putri, A., & Wulandari, S. (2022). The effect of ease of access to health services on compliance with antenatal care visits in Malang Regency. Journal of Public Health, 17(2), 98–105. https://doi.org/10.1234/jkm.v17i2.2022
Putri, N. A., Rahmawati, D., & Susanti, E. (2020). Factors influencing compliance with antenatal visits among pregnant women at risk. Indonesian Journal of Public Health, 15(1), 50–58. https://doi.org/10.1234/jkmi.v15i1.2020
Putri, N. A., Rahmawati, D., & Susanti, E. (2021). The effect of exposure to health information on compliance with antenatal care visits in Bandung Regency. Journal of Public Health, 16(3), 175–182. https://doi.org/10.1234/jkm.v16i3.2021
Rahmawati, E. B. S., Kuntoro, R., & Trijanto, B. (2018). Participation in prenatal classes influences mothers' knowledge and attitudes toward early breastfeeding initiation practices. Journal of Obstetrics & Gynecology, 24(1). https://doi.org/10.20473/mog.v24i12016.8-12
Rosenstock, I. M. (1974). The health belief model and preventive health behavior. Health Education Monographs, 2(4), 354–386. https://doi.org/10.1177/109019817400200405
Sandall, J., et al. (2019). Maternal age and pregnancy outcomes: A global cohort analysis. BMJ, 365, l2345. https://doi.org/10.1136/bmj.l2345
Sari, R. P., & Nugroho, H. (2021). The influence of interest and knowledge on compliance with antenatal care visits in Bantul District. Journal of Public Health, 16(1), 45–52. https://doi.org/10.1234/jkm.v16i1.2021
South Kalimantan Provincial Health Office. (2021). South Kalimantan Province Health Profile 2020. South Kalimantan Provincial Health Office.
Statistics, B. P. (2023). Health statistics profile 2023 (Vol. 07). Central Statistics Agency.
Stone, D. N., Deci, E. L., & Ryan, R. M. (2008). Beyond talk: Creating autonomous motivation through self-determination theory. Journal of General Management, 34(3). https://doi.org/10.1177/030630700903400305
Sulastri, S., Ambarwati, W. N., Hudiyawati, D., Rachmawati, W. P., & Jannah, A. F. (2022). Education and early detection of intestinal worms in pregnant women in the working area of the Gatak Sukoharjo Community Health Center. LPM Bulletin. https://doi.org/10.23917/warta.v25i3.1088
Towongo, M. F., Ngome, E., Navaneetham, K., & Letamo, G. (2022). Factors associated with women’s timing of first antenatal care visit during their last pregnancy: Evidence from 2016 Uganda demographic health survey. BMC Pregnancy and Childbirth, 22(1). https://doi.org/10.1186/s12884-022-05167-z
Ulya, Y., & Idyawati, S. (2018). The influence of pregnant women's class on their knowledge and attitudes about childbirth preparation. Jurnal Kesehatan Qamarul Huda, 6(2). https://doi.org/10.37824/jkqh.v6i2.2018.36
Vermanda, M. S., & Indratno, I. (2022). Measuring the interests of rural communities.


