Husband's Attitude Research Articles

Relationship Between Husband’s Support And Mother’s Attitude To Exclusive Breastfeeding For 6 Months

Introduction: Breastfeeding is the responsibility of a woman who has a baby. The decision of the Indonesian Ministry of Health assign exclusive breastfeeding was given for 6 months and continues until 2 years old. Until now in Indonesia there are still many women who have not given exclusive breastfeeding to their babies. The failure to give exclusive breastfeeding is caused by several factors, one of which is the husband's support and mother's attitude. Objective: To determine the relationship between husband's support and the mother's attitude to breastfeed exclusively for 6 months in the Kudu Village, Semarang City. Methods: This was a descriptive qualitative study with an analytical study design with Cross Sectional. The study populations was 116 pregnant womens, the research sample was 32 third trimester pregnant womens. The sampling technique in this study uses total sampling. Results: Fisher's Exact Test analysis results on the two variables of this study obtained p value = 0.018 where p value <0.05 then Ha is accepted, which means there is a relationship between the husband's support variable and the mother's attitude to breastfeed exclusively for 6 months. Conclusion: The mayority of respondents recived husband’s support and had a good attitude for exclusive breastfeeding for 6 months.

The role of husband in supporting exclusive breastfeeding among teenage mothers in Boyolali, Indonesia

This study aims to analyze the role of husbands of teenage mothers in exclusive breastfeeding practice in Boyolali Regency. Respondents in this study were husbands of teenage mothers with total of 233 participants. Research data were analyzed using logistic regression tests. The results of the Multiple Linear Regression analysis show that the husband's income variable in the study was the dominant factor associated with exclusive breastfeeding for teenage mothers. Factors of husband's income (AOR=3.263, 95% CI: 1.819-5.851), husband's knowledge (AOR=2.334, 95% CI: 1.307-4.167), and husband's support (p=<0.001, 95% CI: 1.669-5.383) were associated with exclusive breastfeeding to teenage mothers in Boyolali Regency. Husband's age, education, occupation, and attitude did not show a relationship with exclusive breastfeeding practices. Future studies are suggested to examine the role of other parties than husbands (biological mother/mother-in-law and health workers) in exclusive breastfeeding practice in teenage mothers.

HUBUNGAN PENGETAHUAN SUAMI TENTANG METODE KONTRASEPSI MOP (METODE OPERASI PRIA) DENGAN SIKAP SUAMI DALAM BER KB WILAYAH KERJA PUSKESMAS SEI PANAS KOTA BATAM TAHUN 2017

Participation in family planning will contribute significantly of population growth and treatment of reproductive. Factors that cause low men in the KB-lack of knowledge, the husband's attitude about ignorance and practice and the understanding that KB affairs is a woman's business. The purpose of this study was to determine the relationship of husband knowledge about contraceptive methods MOP (male surgery method) with the attitude of the husband in the KB MOP work area Health Center Sei Heat Batam Year 2017. This research is an analytical descriptive with cross sectional Sampling using purposive sampling method. This study was conducted in May-June 2017 with the number of respondents as many as 99 people. Data analysis using Chi-Square technique.From the resear ch result, the majority of husbands with less knowledge are 43 people (43,4%) and majority of husbands have negative attitude that is 66 people (66,7%). From the statistical test results obtained p = 0,000 <0,05 then there is a relationship between the husband's knowledge about KB MOP with the attitude of the husband in the KB MOP. It is expected that Sei Panas Health Center to provide health education to the husbands, especially about KB MOP MOP contraception.

Perspektif Keadilan Dalam Rumah Tangga

Marriage has the goal of benefiting and prospering in life. Marriage is not only crucial to achieving the happiness of human life on earth. In terms of its kinds, marriage has much diversity. However, unions recognized in the Marriage Law and the Islamic Law Compilation are monogamous and polygamous marriages in Indonesia. Polygamy is discussed in Islam, but the government regulates it with stringent regulations regarding practising polygamy. Law Number 1 of 1974 concerning marriage as a positive response to regulating a husband who wants to marry more than one person. Republic of Indonesia Government Regulation No. 9 of 1975 concerning the Implementation of Law No.1 of 1974 concerning Marriage and in the Compilation of Islamic Law, which regulates polygamy and the requirements for polygamy for Muslims. Ideally, the two regulations of Law no. 1/1974 and KHI aim to provide terms and conditions for husbands who want to remarry (polygamy). These provisions aim to minimize the arbitrary attitude of husbands (men) towards wives (women). This provision is also for the creation of a sakinah, mawaddah and warrahmah. Polygamy that occurs around us still ignores the rules of polygamy as above. Most of them practice polygamy only because of the fulfilment of lust, so they often forget and even violate the main principles in Islamic law, namely the realization of justice and benefit.

Spousal violence and its determinants among married adolescent girls in Upper Egypt

IntroductionIn Egypt, many girls are still married before the age of 18, which is a fundamental violation of the girls’ human rights. Early marriage is associated with an alarmingly elevated risk of all types of intimate partner violence that have various negative consequences. The purpose of this study was to identify the predictors of exposure to spousal violence among the early married girls in rural Upper Egypt.MethodsA household survey was carried out and covered 23 villages in Assiut and Sohag governorates reaching to a sample of 729 married girls before the age of 20. Listing and enumeration of 4 districts was done to identify the study participants. Data was collected by personal interviews using a structured questionnaire. Bivariate and stepwise regression analyses were performed to identify the predictors of exposure to spousal violence.ResultsIt was found that 15.2% of the study participants were exposed to physical violence while 17.8% were exposed to sexual violence and 7.3% were exposed to both types. Girls married before the age of 18 were more exposed to spousal violence. Stepwise regression analysis found that girls’ acceptance to get married was a protective factor against exposure to physical (β = − 1.07, OR 0.34) and sexual (β = − 0.68, OR 0.51) violence. The perceived attitude of husbands and mothers-in-law about considering wife beating “a husband's right” was found to be a risk factor of exposure to physical and sexual violence. Longer duration till the first pregnancy was also associated with more exposure to sexual violence (β = 0.04, OR 1.04).ConclusionMarried adolescent girls (MAGs) are highly exposed to physical and sexual violence. This is mainly due to ignoring girls’ preference to postpone their marriage, cultural concepts of accepting violence against women, and low sexual satisfaction. This study shows that most determinants of spousal violence were related to culture issues. Identifying these determinants is required to combat such a crucial public health problem that has serious consequences on adolescent health.

Hubungan Pengetahuan Dengan Sikap Suami Terhadap Metode Kontrasepsi Vasektomi Di Banjar Penestanan Kelod Kabupaten Gianyar

Abstract&#x0D; &#x0D; Background and Objectives: The rate of population growth is one of the problems experienced by developing countries, including Indonesia. One of the efforts of the government to reduce the rate of growth is by holding a family planning (KB) program, in particular by increasing the participation of husbands in using the vasectomy contraceptive method. This study aims to determine the relationship between knowledge and attitudes of husbands towards the vasectomy contraceptive method&#x0D; Methods: This research design is a type of correlation analytic study with a cross-sectional approach. The population in this study were all male fertile age couples in the Kelod Penestanan Banjar, Sayan Village, Ubud District, totaling 256 couples. Selection of subjects using purposive sampling technique with a total sample of 65 people. The instrument used in data collection was a questionnaire. The data analysis used was univariate, bivariate analysis using the Pearson Chi-square statistical test.&#x0D; Results: The study showed that most of the respondents, namely 37 respondents (56.9%) had insufficient knowledge, and almost all of them, 53 respondents (81.5%), had negative attitudes towards the vasectomy contraceptive method. The results of the bivariate analysis showed that there was a relationship between knowledge and attitudes of the husband towards the vasectomy contraceptive method (p &lt;0.005)&#x0D; Conclusion: There is a significant relationship between knowledge and attitudes towards husbands the vasectomy contraceptive method.&#x0D; &#x0D;

Level of Antenatal Care Services Utilization and Associated Factors Among Mothers who have Given Birth in the Past Twelve Months in Gelemso Town, West Hararghe Zone, Oromia National Regional State, East Ethiopia

Background In Ethiopia, the levels of maternal and infant morbidity and mortality are among the highest in the world. This is attributed to, among other factors, none use of modern health care services by women. According to the 2011 Ethiopian Demographic Health Survey, more than seven in ten mothers did not receive antenatal care at all. Objectives The objective of this study was to determine level and identify factors influencing maternal antenatal care services utilization among mothers who gave birth in the last twelve months in Gelemso town west Hararghe Oromia, Ethiopia. Methods A community-based cross sectional study design was conducted on 347 study participants in Gelemso town west Hararghe Oromia Ethiopia from July 15, 2017 to August 15, 2017 G.C.A probability to proportional to size sampling technique was used to select the study population in two urban Kebeles. Data were collected using a pre tested structured questionairs. Descriptive results were presented using frequencies, and numerical summary measures. Bivariate analysis was carried out to assess the association between outcome variable and each in dependent variables. Odds ratio with 95% confidence level was estimated to identify factors associated with Antenatal Care (ANC) utilization using multivariable logistic regression. The statistical significance was declared at p- value &lt; 0.05. Result The response rate this study was 98%. The prevalence of antenatal care service utilization was 64.6%. About 146 (42.1%) of the pregnant mother started antenatal care visit during the second trimester of pregnancy and a significant proportion 289(83.3%) had less than the recommended four visits. Educational status (AOR;15.19:CI 95%,6.006,38.417), husband attitude (AOR;1.995:CI 95%,1.016,3.916), marital status(AOR:4.587:CI 95%,1.888,11.146), planned pregnancy (AOR:4.938:CI 95%,2.514,9.702) were major factors associated with antenatal care service utilization. Conclusion Though more than half mother used antenatal care service in the study setting, two in ten of the mothers did not have the minimum number of visits recommended by World Health Organization. Promotion of information, education and communication in the community should be strengthened is to sustain antenatal care service utilization in the community.

Husband's Attitude Associated with Husband's Supports for Exclusive Breastfeeding at Bantul 1 Primary Health Center

Pemberian ASI eksklusif merupakan hal penting bagi pertumbuhan dan sistem imun anak. ASI eksklusif dapat mencegah penyakit infeksi saluran pencernaan (diare), infeksi saluran pernafasan, dan infeksi telinga. Dukungan suami yang optimal dapat meningkatkan pikiran positif isteri yang berdampak pada kecerdasan anak yang disusui. Isteri menjadi lebih berhati-hati dalam memberikan makanan tambahan, selain itu dapat juga meningkatkan hormon prolaktin dan refleks let down. Sikap suami memengaruhi niat ibu untuk menyusui sehingga durasi menyusui menjadi lebih lama jika suami mempunyai sikap yang positif untuk mendukung pemberian ASI. Tujuan penelitian adalah mengetahui hubungan sikap suami dengan dukungan suami dalam pemberian ASI eksklusif di Puskesmas Bantul 1. Desain penelitian Kuantitatif dengan mengunakan pendekatan cross-sectional study. Sampel diambil dengan teknik purposive sampling yaitu 39 suami yang memiliki isteri dengan bayi usia 6-12 bulan. Instrumen penelitian adalah kuesioner. Data dianalisis dengan menggunakan uji Kendall Tau. Hasil penelitian mendapatkan sikap suami di Puskesmas Bantul 1 sebagian besar pada kategori baik yaitu sebanyak 17 orang (43,6%). Dukungan suami dalam pemberian ASI eksklusif di Puskesmas Bantul 1 sebagian besar kategori tinggi sebanyak 16 orang (41,0%). Hasil uji Kendall’s Tau diperoleh nilai p (0,014) < 0,05 dengan koefisien korelasi (τ) sebesar 0,324. Terdapat hubungan antara sikap suami dengan dukungan suami dalam pemberian ASI eksklusif di Puskesmas Bantul 1 dengan keeratan hubungan pada kategori renda

HUSBANDS’ ATTITUDE OF CERVICAL CANCER EARLY DETECTION: IVA TEST

The increasing incidence of advanced cervical cancer is caused by the lack of women's participation in cancer early detection. One factor that may influence women to participate in early detection of cervical cancer through IVA test is the lack of husbands’ involvement, suggest, and support the wife to participate in cancer screening. The purpose of this study was to determine the husband's attitude about the IVA examination. This research method used quantitative descriptive, the sample in this study was 100 men, the sampling was chosen using the consecutive sampling method. Data was collected using a questionnaire about the husband's attitude and support. The research location was in Pasundan Public Health Center in Garut Regency. Data were analyzed using a univariant statistical test. The results of the analysis showed that most respondents, 87 people (87%) respondents did not support and only 13 people (13%) respondents supported the IVA test. The conclusions from this study show that most husbands do not support their wives who do VIA tests. Health education about IVA examinations to husbands and the socialization of the importance of wives to conduct IVA examinations would increase women's participation. Keywords: Attitude, Early Detection of Cervical Cancer, husbands, IVA Examination.

Factors influencing infertility-related quality of life in infertile women

Infertile women experience various physical, psychological, and relational problems that affect their infertility-related quality of life (QoL). This study investigated infertile women's infertility-related QoL with the goal of identifying how it is influenced by fatigue, depression, and marital intimacy. A sample of 140 infertile women was surveyed in a cross-sectional study. Data were collected from February to April 2018 using self-report structured questionnaires at three infertility clinics located in Jeonju, Korea. Data were analyzed using the independent t-test, analysis of variance, Pearson correlation coefficients, and stepwise multiple regression analysis in SPSS for Windows version 25.0. The subjects agreed to complete a face-to-face interview, including administration of the Fatigue Severity Scale, Depression Anxiety Stress Scale-21, Marital Intimacy Scale, and the Fertility Quality of Life tool. The mean age of the participants was 35.6±4.3 years. Infertility-related QoL was negatively correlated with fatigue (r=-.42, p<.001) and depression (r=-.56, p<.001), and positively correlated with marital intimacy (r=.30, p<.001). Multiple regression analysis showed that depression (β=-0.44, p<.001), fatigue (β=-0.27, p<.001), and husband's attitude (β=-0.19, p=.007) had significant effects on the QoL of infertile women, accounting for 40.5% of the variance in infertility-related QoL. The study provides insights into how infertile women's infertility-related QoL was influenced by depression, fatigue, and their husbands' attitudes regarding infertility treatment. To improve infertile women's infertility-related QoL, healthcare providers should consider developing strategies to decrease depression and fatigue in infertile women and to address their husbands' attitudes.

A case study of psychosocial challenges in the implementation of Family Planning health in the patriarchal society of West Sulawesi

This study aims to categorize and analyze cases of psychosocial challenges to patriarchal cultural communities in the Family Planning health program in West Sulawesi. Research using qualitative methods through a case study approach. The informants chosen were three Family Planning counselors and ten infertile couples. Data collection techniques were carried out through non-participant observation and in-depth interviews. Data analysis uses a three-step interactive model, namely first; data condensation, data display, conclusion drawing and verification. This study found a categorization of three cases based on the psychosocial challenges of the patriarchal culture community in the implementation of the Family Planning health program. The first factor, internal barriers within women who oppose using contraceptives, fear of side effects due to direct ego involvement in the use of contraceptives. External factors, perceptions and attitudes of husbands, as well as family environments and reference groups. The dominant factor is culture and religion toward the implementation of the Family Planning program. Psychosocial challenges in patriarchal cultural societies are still dominant due to cultural and religious factors. Furthermore, there are factors internal challenges and external challenges also affect the acceptance of Government programs through Family Planning to reduce the population.

Exploring Husband's Attitude Towards Involvement in his Wife's Antenatal Care in Urban Slum Community of Mumbai.

Background:Developing countries continue to have a high maternal mortality ratio. Antenatal care (ANC) has been termed as one of the “four pillars” of safe motherhood by the World Health Organization. Male involvement has been recognized as having a great impact on women's utilization of maternal health-care service.Objectives:The objective was to assess husband's knowledge and attitude toward their involvement in ANC and to determine factors that influence husband's attitude toward involvement in ANC.Methodology:A community-based observational cross-sectional study on husbands of pregnant women enrolled in an urban health center located in the Malvani slum community of Mumbai with a sample size of 86 was undertaken.Results:The study findings revealed that majority of the husbands 67.4% had a positive attitude, whereas 32.6% had a negative attitude toward involvement in ANC. Knowledge of the husbands regarding early registration of pregnancy, tetanus toxoid, routine blood investigations, and increased dietary requirements were 35%, 45%, 51%, and 65%, respectively. Husband's level of education, their occupation type, distance of health facility from home, length of time spent at health-care facility, and attitude of health-care providers affect the attitude toward involvement in their wife's ANC.Conclusion:Changes in husband's knowledge and attitude about ANC are necessary conditions required to detect pregnancy-related complications at the earliest and for prompt referral.

Resiliencia, transición a la paternidad y adopción: una encuesta exploratoria

Objetivos La transición a la paternidad representa un proceso crucial, seguido de importantes cambios relacionados con el bienestar psicológico individual y familiar. La paternidad adoptiva puede ser particularmente crítica. Saber cómo apoyar la actitud resiliente de las familias adoptivas puede conducir a una adopción exitosa. Nuestro principal objetivo era analizar las estrategias y procesos de afrontamiento que caracterizan la adopción. Materiales y métodos Se reclutaron 19 familias que asistieron a cursos sobre adopción; la edad de los padres oscila entre 35 y 65 años. Se utilizó una entrevista semiestructurada ad-hoc basada en los tres supuestos de resiliencia familiar (sistemas de creencias, configuraciones organizacionales y procesos comunicativos). Resultados El análisis cualitativo ha sido realizado por tres árbitros independientes.Según el 53% de los entrevistados, la adopción representa la oportunidad de expandir la familia; para el 47%, las circunstancias negativas después de la adopción han sido superadas por la actitud del esposo y la esposa de mantenerse juntos; En el 37% de los casos, los más aptos para fortalecer a la pareja son la estabilidad de la relación y el diálogo duradero, para seguir un curso de acción compartido.Fuera de la familia, los recursos sociales más utilizados en los primeros meses después de la adopción fueron: familia extensa (63%), amigos (47%) y profesionales (74%). El 100% de las familias se sienten capaces de hablar sobre la adopción con niños. Conclusiones La actitud de las parejas adoptivas para establecer estrategias de afrontamiento efectivas y habilidades de adaptación a la nueva situación revela una excelente resistencia familiar. Apoyar a las familias es de suma importancia, prestando atención a los factores de protección dentro de la pareja, durante la transición a la paternidad adoptiva.

Transformation of attitude through brief psychoeducation program for the husbands of women with postpartum psychiatric disorders.

According to existing literature on Perinatal Psychiatric Services, husbands have not often been involved in the treatment of their spouses with Perinatal Psychiatric disorders, especially in India, despite the advantages as an adjunctive form of therapy. The current study aimed at evaluating the effectiveness of brief psychoeducation on the attitude of husbands of women with postpartum psychiatric disorder through a biopsychosocial based informative and supportive model of intervention. A 3 session based Brief Psychoeducation Program (BPP) was developed for the targeted population and its effectiveness was evaluated through quasi-experimental research design. Using Community Attitude towards Mentally Ill Scale (CAMI) assessment of the outcome variable was done at 3 levels i.e., Pre (baseline), Post (immediately after the intervention) and Follow-up post (1 month after the intervention). A total of 21 participants were recruited meeting the study criteria. Friedmans test and descriptive statistics were used to analyze the data. Results indicated the transformation in the attitude of the participants in all the 4 domains of the scale from pre-intervention to post-intervention phase. The study has a strong implication for mental health professionals in this area at both clinical (medical and psychiatry settings) and nonclinical settings.

Does Relation Between Women’s Justification of Wife Beating and Intimate Partner Violence Differ in Context of Husband’s Controlling Attitudes in Nigeria?

Controlling and domineering attitudes of husbands are risk factors for women’s experience of physical, sexual, and emotional violence in Nigeria. Other studies imply that husband’s attitudes may also influence the risk of women’s justification of wife beating. Consistently, it was hypothesized that husband’s controlling and domineering attitudes would influence the relationship between women’s justification of wife beating and the three types of violence experience. Participants were 19,360 nationally representative sample of married women in Nigeria. Data were collected through face-to-face interviews. Regression analyses were conducted to analyze the contributions of justification of wife beating and husband attitudes to the three types of women’s violence experience. Findings showed that women who justified wife beating experienced more physical, sexual, and emotional violence. The relationship of justification of wife beating still persisted with sexual and emotional violence in the context of husband’s controlling and domineering attitudes. Implications of study findings were discussed.

HUBUNGAN PENGETAHUAN SUAMI TENTANG METODE KONTRASEPSI MOP (METODE OPERASI PRIA) DENGAN SIKAP SUAMI DALAM BER KB WILAYAH KERJA PUSKESMAS SEI PANAS KOTA BATAM

Participation in family planning will contribute significantly of population growth and treatment of reproductive. Factors that cause low men in the KB-lack of knowledge, the husband's attitude about ignorance and practice and the understanding that KB affairs is a woman's business. The purpose of this study was to determine the relationship of husband knowledge about contraceptive methods MOP (male surgery method) with the attitude of the husband in the KB MOP work area Health Center Sei Heat Batam Year 2017. This research is an analytical descriptive with cross sectional Sampling using purposive sampling method. This study was conducted in May-June 2017 with the number of respondents as many as 99 people. Data analysis using Chi-Square technique.From the resear ch result, the majority of husbands with less knowledge are 43 people (43,4%) and majority of husbands have negative attitude that is 66 people (66,7%). From the statistical test results obtained p = 0,000 &lt;0,05 then there is a relationship between the husband's knowledge about KB MOP with the attitude of the husband in the KB MOP. It is expected that Sei Panas Health Center to provide health education to the husbands, especially about KB MOP MOP contraception

Peran Suami dalam Perawatan Kehamilan Istri di Kelurahan Mulyorejo

National health development strategy has resulted in improved public health status. One of indicators public health is Maternal Mortality Rate (MMR). Maternal Mortality Rate is a health problem that still many still occur in Indonesia. One factor contributing to high incidence of maternal mortality is lack of antenatal care attention. Antenatal care is an important and mandatory thing done by mother during pregnancy because it can maintain the health of mother and fetus until the birth process. Antenatal care can identify the risk of complications experienced by the mother during pregnancy. Participation of antenatal care not only from wife, but participation of pregnancy care can also be from support of the closest person is husband. Husband role is needed in the care of pregnancy because wife needs a lot of biological and psychological support. Purpose of research is to know characteristics husband to antenatal care in Mulyorejo. Type of research is descriptive with cross sectional using qualitative method. Techniques data collection using questionnaires with the sample number of respondents is 20 husbands who have pregnant wives. Respondent is taken from Mulyorejo Health Center data. Analysis Method with descriptive statistics by displaying the frequency in the form of tables showing the categories of characteristics husband. This study lasted for one month in October to November 2017. The results showed that characteristics of husbands in antenatal care in Mulyorejo is sufficient category. Knowledge of husband is 14 people (70%), husband attitude is 10 people (50%), and husband behavior is 13 people (65%).

Description Of Factors Affecting KB Acceptors In Selecting Condom Contraceptions

The choice of condom contraception makes husbands not satisfied with sexual intercourse. This shows that husband's attitude is still negative towards use of condom contraception that only thinks of himself, as well as role of wife in use of condom contraception selection in intercourse which is still negative in work area of ​​the Karassing Health Center. The population in this study was husband of EFA active family planning acceptors who visited in last 7 months (September 2017 - March 2018), population in this study was 44 respondents, sample of this study was 30 respondents. The sampling technique uses a probability sampling technique with a simple random sampling approach. This type of research is a descriptive study. Analysis to measure wife's knowledge, attitudes, and support is univariate analysis. Good knowledge results as many as 11 respondents (36.7%), while sufficient knowledge of 10 respondents (33.3%), and lack of knowledge as many as 9 respondents (30.3%). The results of positive attitudes were 29 respondents (96.7%), while negative attitudes were 1 respondent (3.3%). The results of wife's support received support of 16 respondents (53.3%), while those who did not receive support were 14 respondents (46.7%). The conclusion of this study is, the majority of respondents' knowledge is in a good category, most of husband's attitudes are in a positive category, most of husbands have support of their wives in selection of condom contraception in work area of ​​the Karassing Health Center in 2018.

Whether to have a second child or not? An integrative approach to women's reproductive decision-making in current China

Abstract The transition to low fertility worldwide has led to introduction of diverse frameworks across disciplines to understand its causes and consequences. Previous attempts to compare the relative importance of the key factors influencing women's fertility decision-making largely focused on a single rather than multiple steps of decision-making—an important problem if different factors are associated with different steps. Furthermore, insufficient attention has been paid explicitly to husband's and already-born children's influences, two potentially important factors. Here we introduce a framework covering three steps of reproductive decision-making—ideal family size, fertility desire and fertility intention—and test it using multi-level survey data collected from Chinese one-child mothers. Mother's attitudes towards having two children were paramount factors underlying her ideal family size, and husband's and the firstborn child's attitudes were critical to her desire to have a second child, which in turn played a decisive role in her intention to have a second child. Although husband's attitude was related to all steps, most factors were only relevant to one step; e.g., perceived child mortality and value for old-age security predicted ideal family size, admiration—a prerequisite for social learning—for two-child families predicted fertility desire, and physical/economic constraints primarily predicted fertility intention. Our study emphasizes multiple decision-makers in family reproduction; indicates the relative importance of fertility-influencing factors could vary with steps of decision-making; and has important implications for population policy in low-fertility societies.

FAKTOR YANG MEMPENGARUHI PEMANFAATAN KELAS IBU HAMIL TAHUN 2018

Based on the 2015 Intercensal Population Survey, the maternal mortality rate is still high at 305 per 100,000 live births. One of the efforts to prevent maternal death is through antenatal class activities which are group learning facilities for pregnant women to improve maternal knowledge and skills regarding pregnancy, childbirth, postpartum care and newborns. In Indonesia the antenatal class is still weak in its implementation although it is known to be very likely to reduce maternal mortality. This study aims to determine the factors that influence the class utilization of pregnant women in the work area of Puskesmas Lima Puluh Pekanbaru in 2018. This type of observational analytic quantitative research with cross sectional designe. The study population consisted of 315 third trimester pregnant women with a sample of 104 mothers. Data analysis was carried out in univariate, bivariate and multivariate. The results of the multivariate analysis showed that the variables that were significantly related to the utilization of the antenatal class were knowledge (POR: 4,248; CI 95%: 1,444-12,501), husband's support (POR: 3,707; 95% CI: 1,252-10,975), attitude (POR: 3,479; CI 95%: 1,210-9,997) and support from health workers (POR: 5,367; 95% CI: 1,758- 16,382). It is suggested to health workers to further enhance their role in providing health promotion on the importance of antenatal classes through mass media, electronic media and integrated counseling by establishing cross-program and cross-sectoral cooperation.