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Pelayanan ANC merupakan salah satu upaya peningkatan derajat kesehatan ibu dan anak serta salah satu tolak ukur keberhasilan pelayanan kehamilan pada ibu hamil, Puskesmas Koto Alam merupakan puskesmas dengan cakupan pelayanan antenatal care yang cukup rendah pada trimester I 2021 yaitu sebesar 12,6%. Penelitian ini bertujuan untuk menganalisis pelaksanaan
layanan antenatal care (ANC) di wilayah kerja Puskesmas Koto Alam. Jenis penelitian deskriptif kualitatif dengan pendekatan field research yang dilaksanakan bulan Juli Agustus tahun 2021. Informan sebanyak 6 orang. Pengumpulan data menggunakan lembar wawancara mendalam. Analisis dilakukan dengan teknik colaizzi. Dari hasil penelitian diketahui bahwa pelaksanaan layanan antenatal care di Puskesmas Koto Alam merujuk pada program pelayanan antenatal care terpadu dengan standar asuhan 10 T. Puskesmas Koto Alam memiliki program khusus dalam layanan antenatal care yaitu membentuk group WhatsApp yang diberi nama Kring-kring Ibu Hamil. Permasalahan dalam pelayanan antenatal care yang ditemukan adalah kedisiplinan ibu hamil, hal ini berkaitan dengan pengetahuan dan pemahaman tentang kunjungan kehamilan serta faktor jarak yang ditemukan khusus bagi ibu hamil yang tinggal jauh dari fasilitas kesehatan. Ketidakdisiplinan ibu dalam melakukan kunjungan kehamilan juga dipengaruhi oleh faktor paritas.
Puskesmas Koto Alam melakukan upaya kunjungan rumah untuk menangani permasalahan kunjungan kehamilan. Disimpulkan bahwa dalam pelaksanaan layanan antenatal care, Puskesmas Koto Alam telah melaksanakan program ANC terpadu dengan standar asuhan 10T, masalah utama dalam pelayanan antenatal care berasal dari sasaran yaitu ketidak disiplinan ibu dalam melakukan kunjungan kehamilan. Maka dari itu diharapkan kepada ibu hamil untuk selalu meningkatkan pengetahuan tentang ANC agar ibu dapat disiplin dalam melakukan kunjungan kehamilan.

Antenatal care services are one of the efforts to improve the health status formothers and children and one of the success benchmarks of pregnancy services for pregnant women. Koto Alam Community Health Center was one of the community health centers with a fairly low coverage of antenatal care services in the first trimester of 2021 (12.6%). The study aimed to analyze the implementation of antenatal care (ANC) services at Koto Alam Community Health Center. The type of this study was qualitative descriptive research with a field research. It was conducted on July - August 2021. 6 people were chosen as the informant.The datawere collected by using in-depth interview sheets. It was analyzed by the colaizzi technique. From the study showed that the implementation of antenatal care services at the Koto Alam Community Health Center refers to an integrated antenatal care program with 10 T standards of care. Koto Alam Community Health Center had a special program in antenatal care services, namely forming a special WhatsApp group for pregnant women named "Kring- ring for pregnant women". The problem in antenatal care
services was found the discipline of pregnant women, it was related to the knowledge and understanding of pregnancy visits and the distance factor specifically for pregnant women who live far from health facilities. Maternal indiscipline in conducting pregnancy visits was also influenced by parity factors, namely pregnant women with high parity tend to show low discipline in antenatal care visits. The Koto Alam Community Health Center make home visits to deal with the problem of pregnancy visits. It was concluded that the implementation of antenatal care services, Koto Alam Community Health Center had implemented an integrated ANC program with 10T standard of care, main problem in antenatal care services came from the target, namely the the mother's indiscipline in conducting pregnancy visits. Therefore, it is expected that pregnant women always increase their knowledge about ANC so that mothers can be disciplined in conducting pregnancy visits.