Factors Associated with Adequate Antenatal Care among Pregnant Women in Rural Indonesia

Abstract

Antenatal care (ANC) is crucial for the health of both mother and child. However, information on ANC in rural Indonesia is limited despite its essential role. This research examined the determinants of adequate antenatal care among rural Indonesian pregnant women. A cross-sectional study analysed pregnant Indonesian women aged 18-49, focusing on adequate antenatal care (ANC) during the third trimester. The study included sociodemographic variables and component factors (knowledge, motivation, social support, and health services). A multivariate logistic regression analysis was performed. A total number of 350 pregnant women aged 18–49 years old enrolled in this study. Almost half (47.1) % of women received adequate ANC (≥ eight visits) during their pregnancy, and about 79.1% of participants had adequate ANC (4 or more visits). Mothers with higher education and married were more likely to have adequate ANC (AOR = 1.52; 95% CI [1.12–3.46]) and (AOR = 1.17; 95% CI [1.01–3.32]), respectively. Poor knowledge toward ANC (AOR = 0.41; 95% CI [0.12–0.65], low motivation (AOR = 0.73; 95% CI [0.31–0.97]), poor health service (AOR = 2.76; 95% CI [1.85–4.32]), and poor social support (AOR = 3.24; 95% CI [2.11–5.34]) was negatively associated with adequate ANC. The intervention aims to improve access to maternity care for women in rural Indonesia by enhancing social support, reproductive health awareness, and expanding safety net services