Enhancing antenatal care appointments: Analysis of influential factors at Hadimulyo Primary Health Centre, Lampung

Background: Antenatal care has an important impact on preventing complications that cause maternal death. The coverage of K1 ANC in Indonesia in 2023 was 96.9%, but K4 was 68.1%, and K6 was only 17.6%. At the Hadimulyo Primary Health Centre, the coverage of ANC was only 68.1% for K4 and only 30.3% for K6. This study aims to analyze the factors associated with antenatal care (ANC) visits in pregnant women at the Hadimulyo Primary Health Centre. 

Method: This research used a quantitative approach with a cross-sectional design, involving 54 pregnant women in their second and third trimesters selected using consecutive sampling techniques at the Hadimulyo Primary Health Centre in 2025. The study employed questionnaires as its research instruments. Independent variables include age, parity, education, knowledge, distance from health facilities, a husband's support, and healthcare provider support, while the dependent variable is ANC visits. The data were processed and analyzed using chi-square and Spearman tests. For a multivariate analysis, use the logistic regression model. 

Results: In this research, the significant factors found were age (p=0.061), parity (p=0.031), education (p=0.014), knowledge (p=0.716), distance to health facilities (0.018), husband's support (p=0.012), and healthcare provider support (p=0.043). Based on the multivariate analysis, a husband's support had a 10,122-times increase in ANC visits. 

Conclusion: There is a significant association between education, distance to health facilities, husband's support, and healthcare provider support with ANC visits. However, there is no relationship between age, parity, and knowledge with ANC visits. The most related factor to ANC visits is the husband's support.