ANALISIS PERBEDAAN FAKTOR PEMANFAATAN PELAYANAN ANTENATAL ANTARA PUSKESMAS WULUHAN DAN PUSKESMAS ARJASA KABUPATEN JEMBER

Abstract

Antenatal care is a health service by proffesional health staff for pregnant women, aim to cope with obstetrics complication which are the cause of maternal mortality. Indicator of success for prenatal care is K4 coverage. Jember had coverage of K4 with percentage 70,67% which was the district with the lowest coverage. In 2012, Wuluhan Health Center had the highest coverage of K4 with percentage 107,13% and Arjasa Health Center had the lowest with percentage 50,49% in Jember. The objective of this research was to analyzed the differences factor of antenatal care utilization between Wuluhan and Arjasa Health Center, which cover predisposing, enabling and need factors. This research was analytical study using cross sectional design. Samples were pregnant women who are checkup pregnancies in working area Wuluhan and Arjasa Health Center in 2013, that is 73 mothers in Wuluhan and 65 mothers in Arjasa. Data was analyzed using Chi-Square (α=0.05). Results showed that there were the difference of antenatal care utilization in Wuluhan and Arjasa Health Center. Beside that there were difference of antenatal care utilization based on knowledge and accesibility based on distance to health service between Wuluhan and Arjasa Health Care. However, there was not difference of age, education, attitudes, availability of health care, worker’s service, transportation, mother health condition and case history. It was suggested to formed class of pregnant women, to enlarge methods and quality of counseling about antenatal care, and make a proposal to Local Goverment to repair and maintenence of road infrastructure in accessibility area.