| dc.description.abstract | Antenatal Care is a health service by professionals to mothers during pregnancy
that is carried out according to antenatal service standards. Recommended ANC
visits include once in the first trimester, twice in the second trimester, and at least
three times in the third trimester. Based on data from the Medan Johor Health
Center in 2023, the coverage of K1 visits reached 57.37% and K6 was 57.81%.
This study aims to determine the factors that influence the utilization of Antenatal
Care services by pregnant women. This study used a descriptive quantitative
method with a cross-sectional design and was conducted from March to
November 2024. The study population was all third trimester pregnant women in
the Medan Johor Health Center working area, totaling 130 people, with a
research sample of 56 respondents. The sampling technique used purpose
sampling. Data analysis used multiple logistic regression test. The results showed
that 22 respondents (39.3%) utilized Antenatal Care services, while 34
respondents (60.7%) did not. Multivariate test showed that the variables that
influenced the utilization of ANC services were socioeconomic (occupation p value 0.008), individual characteristics (parity p-value 0.013), and psychosocial
(attitude p-value 0.004). In the influential variables, it was found that the
socioeconomic variable (work) had an Exp(B) value of 9.859, meaning that if
pregnant women who did not work had a chance of utilizing Antenatal Care 9.859
times greater than pregnant women who worked. The conclusion in this study is
the influence of socioeconomic (employment), individual characteristics (parity)
and psychosocial (attitude). It is expected that health workers at the Medan Johor
health center can carry out health promotion efforts that focus on education about
the importance of ANC utilization through routine counseling, digital-based
information dissemination, and collaboration with health cadres to reach
pregnant women in the community. In addition, improving the quality of service
and friendliness of health workers needs to be a concern to encourage the trust
and comfort of pregnant women in utilizing ANC services regularly. | en_US |
