Multilevel Analysis of the Implementation of the Health Belief Model on Antenatal Visit at Integrated Health Posts in Kapuas Hulu, West Kalimantan, Indonesia

Authors

  • Titis Cipta Purwanti Master's Program of Public Health, Universitas Sebelas Maret, Indonesia
  • Argyo Demartoto Faculty of Social and Political Sciences, Universitas Sebelas Maret, Indonesia
  • Bhisma Murti Master's Program of Public Health, Universitas Sebelas Maret, Indonesia

DOI:

https://doi.org/10.26911/thejhpb.2024.09.03.05

Abstract

Background: Antenatal care (ANC) is carried out to prevent causes of morbidity (illness or complications) and mortality (death) in pregnant women and children. This study aimed to determine the relationship between the application of the health belief model and the behavior of utilizing/visiting antenatal services.

Subjects and Method: The research was conducted with a cross-sectional study design. The approach taken was to use an analytical observational model with a sample size of 213 pregnant women. This research was conducted at the Kapuas Hulu District Health Center. This research was conducted in November-December. A sample of 213 pregnant women was selected using stratified random sampling. The dependent variable in this study is ANC visits. Meanwhile, the independent variables in this study were perceived vulnerability, perceived severity, perceived benefits, self-efficacy, and gestational age. Data collection was carried out using a questionnaire and data was analyzed using a multilevel multiple linear regression analysis model.

Results: ANC visits increased with high perceived susceptibility (b= 0.13; 95% CI= 0.06 to 0.20; p < 0.001), high perceived severity (b= 0.17; 95% CI= 0.12 to 0.21; p < 0.001), high perceived benefit ( b=0.13; 95% CI= 0.09 to 0.18; p <0.001), high self-efficacy (b= 0.11; 95% CI= 0.03 to 0.18; p=0.005), and high gestational age (b= 0.15; 95% CI = 0.10 to 0.20; p < 0.001).

Conclusion: Several constructs in the Health Belief Models which include perceived vulnerability, perceived severity, perceived benefits and perceived self-efficacy can be used as predictors of antenatal visits for pregnant women at Integrated service post, Kapuas Hulu Regency, West Kalimantan Province. Resulting in an ICC of 14.9%, which means there is a contextual influence of Integrated service post on antenatal visits of pregnant women.

Keywords:

multilevel analysis, health belief model theory, antenatal care, pregnant women

References

Adedokun T, Yaya S (2020). Correlates Of Antenatal Care Utilization Among Women of Reproductive Age in Sub-Saharan Africa: Evidence from multinomial analysis of demographic and health surveys (2010–2018) from 31 countries. Arch Public Health. 78(1): 100-134. Doi: 10.1186/s13690-020-00516-w.

Aduloju OP, Akintayo AA, Ade IP, Awoleke JO, Aduloju T, Ogundare OR (2016). Gestational age at initiation of antenatal care in a tertiary hospital, South-western Nigeria. Niger. J. Clin. Pract. 19(6):772–777. Doi: 10.4103/1119-3077.181398.

Alanazy W, Brown A (2020). Individual and healthcare system factors influencing antenatal care attendance in Saudi Arabia. BMC Health Serv. Res. 20(1): 1–11. Doi: 10.1186/s12913-020-4903-6.

Izadirad H, Niknami S, Zareban I, Hidarnia A (2018). Improving prenatal care in pregnant women in Iranshahr, Iran: Applying Health Belief Model. Women Health. 58(10):1167–1178. Doi: 10.1080/03630242.2017.1388333.

Kementerian Kesehatan Republik Indonesia. (2018c). Pentingnya pemeriksaan kehamilan (ANC) di fasilitas kesehatan. Accessed on September 10, 2023.

Kementerian Kesehatan Republik Indonesia (2022). Pelayanan Antenatal Care (ANC) pada masa pandemi COVID-19. Accessed on September 10, 2023.

Mekonnen A, Alemnew W, Abebe Z, Demissie GD (2021). Adherence to iron with folic acid supplementation among pregnant women attending antenatal care in public health centers in Simada district, Northwest Ethi-opia: using health belief model perspective. Patient Prefer Adherence Pati-ent prefer adherence. 21(15):843-851. Doi: 10.2147/ppa.s299294.

Mkandawire P, Atari O, Kangmennaang J, Arku G, Luginaah I, Etowa J (2019). Pregnancy intention and gestational age at first antenatal care (ANC) visit in Rwanda. Midwifery. 6(8):30–38. Doi: 10.1016/j.midw.2018.08.017

Muthingu MC, Osero S, Chomi E (2018). The Perceptions of women of reproductive age towards the uptake of focused antenatal care services in Nakuru county. Public Health Nurs. 1(2):50–67.

Nainggolan S, Harista J (2021). Faktor yang berhubungan dengan antenatal care pada ibu hamil: Literature Review. Jurnal Aisyiyah Medika. 6(2):1-8 Doi: 10.36729/jam.v6i2.654.

Nisaa’ A, Ariyanti F, Studi P (2023). Hubungan persepsi ibu hamil dengan perilaku pemeriksaan antenatal care selama masa pandemi COVID-19 di Kota Depok tahun 2022. J. Kesehatan Reproduksi, 13(2):133–140. Doi: 10.-58185/jkr.v13i2.47.

Nisa R (2023). Health belief model keteraturan pemeriksaan antenatal ibu hamil selama pandemi COVID-19. Jurnal Ilmiah Ilmu Kesehatan. 11(1): 96– 110.

Rachmawati A, Puspitasari R, (2017). Faktor-faktor yang memengaruhi kun-jungan antenatal care (ANC) ibu hamil factors affecting the antenatal care (anc) visits on pregnant women. J. Medical of Lampung University. 7(12):72–76.

Simbolon M, Nahak A (2021). Hubungan budaya dengan kunjungan antenatal care ibu hamil di Puskesmas lurasik kecamatan biboki utara tahun 2019 (. J. Ekonomi, Sosial dan Humaniora 2(07):131–135.

Tsai YJ, Hsu YY, Hou TW, Chang CH (2018). Effects of a web-based ante-natal care system on maternal stress and self-efficacy during pregnancy: A Study in Taiwan. J. Midwifery and Wom Heal. 63(2):205–213. Doi: 10.1111/jmwh.12685.

Warri D, George A (2020). Perceptions of pregnant women of reasons for late initiation of antenatal care: A qualitative interview study. BMC Pregnancy Childbirth. 20(1): 1–12. Doi: 10.1186/s12884-020-2746-0.

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Published

2024-07-16

How to Cite

Purwanti, T. C., Demartoto, A., & Murti, B. (2024). Multilevel Analysis of the Implementation of the Health Belief Model on Antenatal Visit at Integrated Health Posts in Kapuas Hulu, West Kalimantan, Indonesia. Journal of Health Promotion and Behavior, 9(3), 236–244. https://doi.org/10.26911/thejhpb.2024.09.03.05

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