Abstract
Background: Antenatal care is the care you get from health professionals during pregnancy. Antenatal care standard ensures the health of pregnant woman with early detection of risk factors, prevention, and treatment provided by competent health practitioners. Stunting is the impaired growth and development that children experience from poor nutrition, repeated infection, and inadequate psychosocial stimulation. This study aimed to analyze midwife compliance in antenatal care to prevent stunting in Tulungagung.
Subjects and Method: A cross-sectional study was conducted in Tulungagung, East Java, from June to July 2022. A total of 76 midwives were selected by purposive sampling. The dependent variable was midwife compliance in implementing antenatal care standards. The independent variables were the midwife’s competency incompetence, clarity of standard operational procedure (SOP), midwife's understanding, motivation, years of service, age, and facility. The data were collected by questionnaire and analyzed by logistic regression test.
Results: Midwife’s competency incompetence (OR = 0.48; 95% CI= 0.22 to 1.03; p= 0.117), years of service (OR= 3.44; 95% CI= 1.43 to 7.34; p= 0.037), age (OR= 2.70; 95% CI= 1.11 to 6.84), facility (OR= 0.56; 95 CI = 1.32 to 1.02; p= 0.102), although it was non-statistically significant. Midwife’s Motivation (OR = 6.12; 95% CI= 1.15 to 31.22; p = 0.027), clarity of SOP (OR = 8.82; 95% CI= 2.23 to 28.11; p = 0.037), and understanding of stunted (OR = 9.27; 95% CI= 3.80 to 22.64; p<0.001) affects midwife compliance in implementing antenatal care standard in Tulungagung.
Conclusion: Motivation, clarity of SOP, and understanding of stunting affect midwives' compliance in implementing antenatal care standards in Tulungagung.
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