Factors Influencing Access to ANC Services

Oct 13, 2025 by wbrum.org 100 views

Introduction

Affordability of Antenatal Care Services (ANC) is an essential factor in improving the health of the mother and baby. In Tebing Tinggi City, Rantau Laban Health Center faces challenges in achieving the target of the scope of ANC visits. This research aims to map the distribution of pregnant women who make ANC visits in the working area of the Rantau Laban Health Center in 2018. The study focuses on understanding the factors that influence access to ANC services and developing strategies to improve the quality of services and trust of pregnant women.

Methodology

This research uses a descriptive quantitative method with cross-sectional design. The data used includes primary data in the form of coordinate points and interview results, as well as secondary data in the form of a map of the Rantau Laban Puskesmas working area map. Data analysis was carried out using the Q-GIS mapping application. The research aims to identify the distribution of pregnant women who make ANC visits in the working area of the Rantau Laban Health Center and understand the factors that influence access to ANC services.

Results

The results showed that administratively, all pregnant women were within a radius close to the Rantau Laban Health Center. This indicates that the distance factor is not the main obstacle in accessing ANC services at the Puskesmas. However, this research also found several other reasons that caused pregnant women not to make ANC visits at the Rantau Laban Health Center. Further analysis of the reasons for pregnant women to choose other health facilities is needed to formulate the right strategy.

Factors Influencing Access to ANC Services

Several factors need to be considered, including:

*** Access Factor:** Even though geographically close, factors such as transportation and costs can be an inhibitor of access for some pregnant women. *** Service Quality Factor:** Service Quality provided at Rantau Laban Health Center may not meet the expectations or needs of pregnant women. *** Trust Factor:** Pregnant women may trust other health facilities, such as private clinics or midwives.

The Importance of Mapping ANC Service Access

Mapping of Pregnant Women Based on Geographic Information Systems (GIS) can be an effective tool for mapping ANC service access. The spatial data obtained can be used to:

*** Analyzing the density of pregnant women in the work area of Rantau Laban Health Center.** *** Creating an effective and efficient ANC service map.** *** Developing health promotion and education programs for pregnant women.**

Conclusion

The importance of the Rantau Laban Health Center in increasing the scope of ANC cannot be ignored. By understanding the factors that influence access to ANC services, Puskesmas can develop the right strategy to improve the quality of services and trust of pregnant women. This effort is expected to increase the scope of ANC in the working area of the Rantau Laban Health Center and guarantee the health of the mother and baby.

Recommendations

Based on the findings of this research, the following recommendations are made:

*** Conduct further analysis of the reasons for pregnant women to choose other health facilities.** *** Develop a strategy to improve the quality of services and trust of pregnant women.** *** Create an effective and efficient ANC service map using GIS technology.** *** Develop health promotion and education programs for pregnant women.**

Limitations of the Study

This study has several limitations, including:

*** The study only focuses on the working area of the Rantau Laban Health Center.** *** The study only uses primary and secondary data.** *** The study does not consider other factors that may influence access to ANC services.**

Future Research Directions

Future research should focus on:

*** Conducting a more comprehensive study that includes other factors that may influence access to ANC services.** *** Developing a more effective and efficient ANC service map using GIS technology.** *** Evaluating the effectiveness of the strategy to improve the quality of services and trust of pregnant women.**

Conclusion

In conclusion, this study highlights the importance of mapping ANC service access using GIS technology. The study shows that the distance factor is not the main obstacle in accessing ANC services at the Puskesmas. However, other factors such as access, service quality, and trust need to be considered to formulate the right strategy. The study recommends further analysis of the reasons for pregnant women to choose other health facilities, developing a strategy to improve the quality of services and trust of pregnant women, creating an effective and efficient ANC service map using GIS technology, and developing health promotion and education programs for pregnant women.

Q: What is the main objective of this research?

A: The main objective of this research is to map the distribution of pregnant women who make ANC visits in the working area of the Rantau Laban Health Center in 2018 and understand the factors that influence access to ANC services.

Q: What methodology was used in this research?

A: This research uses a descriptive quantitative method with cross-sectional design. The data used includes primary data in the form of coordinate points and interview results, as well as secondary data in the form of a map of the Rantau Laban Puskesmas working area map. Data analysis was carried out using the Q-GIS mapping application.

Q: What were the results of this research?

A: The results showed that administratively, all pregnant women were within a radius close to the Rantau Laban Health Center. However, this research also found several other reasons that caused pregnant women not to make ANC visits at the Rantau Laban Health Center.

Q: What are the factors that influence access to ANC services?

A: Several factors need to be considered, including:

*** Access Factor: Even though geographically close, factors such as transportation and costs can be an inhibitor of access for some pregnant women. *** Service Quality Factor: Service Quality provided at Rantau Laban Health Center may not meet the expectations or needs of pregnant women. *** Trust Factor: Pregnant women may trust other health facilities, such as private clinics or midwives.

Q: What is the importance of mapping ANC service access?

A: Mapping of Pregnant Women Based on Geographic Information Systems (GIS) can be an effective tool for mapping ANC service access. The spatial data obtained can be used to:

Q: What are the recommendations of this research?

A: Based on the findings of this research, the following recommendations are made:

Q: What are the limitations of this study?

A: This study has several limitations, including:

Q: What are the future research directions?

A: Future research should focus on:

Q: What is the conclusion of this research?

A: In conclusion, this study highlights the importance of mapping ANC service access using GIS technology. The study shows that the distance factor is not the main obstacle in accessing ANC services at the Puskesmas. However, other factors such as access, service quality, and trust need to be considered to formulate the right strategy.