Path Analysis Factors Affecting Pregnant Women Participation to The Triple Elimination Examination in Semarang, Central Java

Abstract

ABSTRACT Background: Early diagnosis and immediate treatment during antenatal care are highly effective in to the prevention of mother-to-child-transmission (MTCT). The World Health Organization (WHO) launched the global initiative for the elimination of MTCT of syphilis, HIV, and Hepatitis B, and developed global guidance to reduce those incidences, named the triple elimination examination. This study aimed to examine factors affecting pregnant women participation to the triple elimination examination in Semarang, Central Java, using path analysis model. Subjects and Method: A cross sectional study was carried out at 25 community health centers in Semarang, Central Java, from December 2019 to February 2020. A sample of 200 pregnant women was selected by stratified random sampling. The dependent variable was participation to triple elimination examination. The independent variables were intention, attitude, outcome expectation, modeling, knowledge, husband support, access to information, and distance to the health center. The data were collected by questionnaire and analyzed by path analysis run on Stata 13. Results: Pregnant women participation to the triple elimination examination was directly increased with strong intention (b= 4.68; 95% CI= 1.50 to 7.86; p= 0.004), positive attitude (b= 2.61; 95% CI= 1.08 to 4.13; p= 0.001), strong self-efficacy (b= 1.98; 95% CI= 0.38 to 3.57; p= 0.015), modeling (b= 1.93; 95% CI= 0.44 to 3.42; p= 0.011), positive outcome expectation (b= 2.38; 95% CI= 0.69 to 4.06; p= 0.006), high knowledge (b= 1.61; 95% CI= 0.05 to 3.17; p= 0.044), strong husband support (b= 1.65; 95% CI= 0.21 to 3.09; p= 0.025), and accessible information (b= 1.85; 95% CI= 0.29 to 3.40; p= 0.020). Participation to the triple elimination examination was directly decreased with distance to health service (b= -2.15; 95% CI= -3.73 to -0.57; p= 0.008). It was indirectly affected by attitude, knowledge, outcome expectation, and access to information. Conclusion: Pregnant women participation to the triple elimination examination is directly increased with strong intention, positive attitude, strong self-efficacy, modeling, positive outcome expectation, high knowledge, strong husband support, and accessible information. Participation to the triple elimination examination is directly decreased with distance to health service. It is indirectly affected by attitude, knowledge, outcome expectation, and access to information. Keywords: triple elimination, pregnant women, path analysis Correspondence: Mei Fatimah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: meyfatimah21@gmail.com. Mobile: +6285801236097. DOI: https://doi.org/10.26911/the7thicph.03.105