Effectiveness of Literacy about COVID-19 to Compliance of Pregnant Women to Antenatal Care in Pematangsiantar City

Abstract

Background: In the COVID-19 pandemic situation, there are almost all routine services includingmaternal and newborn health services. For example, pregnant women are reluctant to go to the Puskesmasor other facilities for fear of being infected and services delay pregnancy checks and classes for pregnantwomen. This causes maternal and newborn health services to be one of the services affected, both in termsof access and quality. Therefore, in improving maternal health, literacy about covid-19 and ANC servicesare needed during the adaptation period of the covid-19 period. The general purpose of the study was todetermine the effectiveness of providing literacy about Covid-19 on the compliance of pregnant women inconducting Ante Natal Care in Pematangsiantar City. The specific objectives of the study were to determinethe level of health literacy about covid-19 in pregnant women, to know the coverage of ANC during thecovid-19 pandemic and to analyze the effectiveness of providing literacy about covid-19 on the complianceof pregnant women with ANC in Pematangsiantar City. Methods: This research uses a quasi-experimentaldesign by providing literacy about covid-19 and ANC to pregnant women. Literacy ability was assessedusing a 16-item S-HLS-EU-Q questionnaire with a Likert scale. The number of samples in this study was33 for the intervention group and 33 for the control group. Consecutive sampling and data analysis usingthe chi square test using the Statistical Package and Service Solutions (SPSS) version 25.0 application.Results: The results of the study were 33 respondents in the intervention group, all of whom had highliteracy about the health care domain. While in the control group only 75.8% had high literacy. The resultsof Fisher's test showed p value = 0.005. In the intervention group, 97% of the disease prevention domainhad high literacy and in the control group there were 84.8% who had high literacy. The results of Fisher'stest showed p value = 0.197. In the intervention group, the domain of health promotion, overall had highliteracy and in the control group there were 84.8% who had high literacy. Fisher's test results show p value= 0.053. Conclusion: The results, based on research, need to be made efforts to overcome the complianceof pregnant women in implementing an ANC..