Search Repository Universitas Fort De Kock

Data dari Dinas Kesehatan Kabupaten Pasaman Barat didaptkan pada tahun 2024
untuk persentase cakupan kunjungan antenatal care K4 61%. Pada tahun 2025
sampai bulan Maret persentase K4 15%. Penelitian ini bertujuan untuk menganalisis
faktor-faktor yang mempengaruhi kualitas pelayanan antenatal care. Penelitian ini
dilakukan di Puskesmas Kabupaten Pasaman Barat pada bulan Juni Juli 2025,
menggunakan mix method. Responden yang diteliti adalah ibu hamil trimester III
sebanyak 101 dan informan penelitian sebanyak 20 orang. Data di analisis dengan
menggunakan uji chi square dan regresi logistic ganda dengan analisis data univariat,
bivariat, dan multivariat dan untuk penelitian kualitatif menggunakan wawancara
mendalam. Hasil penelitian menunjukkan dari 101 ibu hamil berpengetahuan rendah
65 (64,4%), sikap negatif 61 (60,4%), dukungan keluarga kurang baik 35 (34,7%),
konteks budaya dan sosial berdampak negatif 63 (62,4%), pelayanan ANC kurang
berkualitas 68 (67,3%). Analisis bivariat menunjukkan variabel pengetahuan
(p=0,001), sikap (p=0,018), dukungan keluarga (p=0,677), konteks budaya dan sosial
(p=0,026), dan hasil uji regresi logistic berganda variabel paling berpengaruh adalah
pengetahuan. Sementara hasil kualitatif yaitu kebijakan mengacu pada kebijakan
program dari Kemenkes, SDM kesehatan belum mecukupi, sarana prasarana dan dana
cukup tetapi pelaksanaan palayanan ANC di Puskesmas Kabupaten Pasaman Barat
belum maksimal. Kesimpulan penelitian faktor yang paling berpengaruh terhadap
kualitas pelayanan antenatal care adalah pengetahuan. Disarankan Puskesmas untuk
meningkatkan promosi kesehatan agar kegiatan antenatal care pada pelayanan
kesehatan ibu dan anak berjalan maksimal.

Data from the West Pasaman District Health Office showed that in 2024, the
coverage percentage for K4 antenatal care visits was 61%. In 2025, until March, the
K4 percentage was 15%. This study aims to analyze the factors influencing the
quality of antenatal care services. This research was conducted at the Community
Health Centers in West Pasaman District from June to July 2025, using a mixed
method. The respondents studied were 101 third-trimester pregnant women and 20
research informants. Data were analyzed using the chi-square test and multiple
logistic regression with univariate, bivariate, and multivariate data analysis, and for
qualitative research, in-depth interviews were used. The research results showed that
out of 101 pregnant women, 65 (64.4%) had low knowledge, 61 (60.4%) had
negative attitudes, 35 (34.7%) had poor family support, 63 (62.4%) had negative
cultural and social contexts, and 68 (67.3%) had poor quality ANC services. Bivariate
analysis showed that knowledge (p=0.001), attitude (p=0.018), family support
(p=0.677), and cultural and social context (p=0.026) were significant variables, and
the results of the multiple logistic regression test showed that the most influential
variable was knowledge. Meanwhile, the qualitative results indicated that policies
refer to program policies from the Ministry of Health, health human resources are
insufficient, infrastructure and funds are adequate, but the implementation of ANC
services at the West Pasaman District Community Health Centers is not optimal. The
conclusion of the study is that the most influential factor on the quality of antenatal
care services is knowledge. It is recommended that Community Health Centers
improve health promotion so that antenatal care activities in maternal and child health
services run optimally.