Implementasi Program Antenatal Care dalam Upaya Menurunkan Angka Kematian Ibu di Wilayah Kerja Puskesmas Karang Anyar Kecamatan Beringin Tahun 2025

Abstract

The high maternal mortality rate (MMR) in Indonesia remains a significant challenge in the health sector, including in the working area of Karang Anyar Public Health Center, Beringin Subdistrict. One of the efforts to reduce MMR is through the provision of Antenatal Care (ANC) services. This study aims to analyze the implementation of the antenatal care program in reducing MMR in the working area of Karang Anyar Public Health Center in 2025, with a focus on the implementation of ANC visits from K1 to K6. This research uses a descriptive qualitative method with in-depth interview techniques involving six informants, including the program coordinator, implementing midwives, and pregnant women. The results indicate that the ANC program has been carried out in accordance with established standards, including physical examinations, health education, iron tablet supplementation, and immunization. However, the achievement of complete ANC visits (K6) only reached 55.7 percent, which is still far from the ideal target of 100 percent as stated in the Minimum Service Standards (SPM). The main inhibiting factors include geographical access barriers, lack of understanding among pregnant women about the importance of complete ANC, and limited family support. Service documentation and reporting have been conducted both manually and digitally. The conclusion of this study is that the implementation of the ANC Program has not yet been fully effective in reducing maternal mortality. It is recommended to strengthen public education, improve the capacity of health workers, and enhance cross-sectoral support to optimize antenatal care services.