<![CDATA[Maternal mortality remains a critical global health concern, with Antenatal Care (ANC) adhering to the minimum six-visit standard (K6) serving as a primary strategy for early detection of pregnancy complications. Health literacy, encompassing a pregnant woman's capacity to access, understand, appraise, and apply health information, is postulated as an essential determinant of ANC adherence. Objectives this study evaluated the effect of health literacy on compliance with Antenatal Care (ANC) visits among pregnant women. Methods an observational analytic study with a cross-sectional approach was conducted in June 2026. A total of 75 pregnant women were selected from a population of 300 using Slovin's formula and purposive sampling. Health literacy was measured using a structured 20-item questionnaire covering four dimensions (access, understand, appraise, apply), while ANC compliance was assessed via Maternal Health Book (Buku KIA) records. Data were analyzed using univariate distributions and bivariate Chi-Square test () along with Odds Ratio (OR) calculation. Results most respondents were aged years (82.7%), completed senior high school (49.3%), were housewives (61.3%), and had a gestational age of weeks (72.0%). The majority exhibited low health literacy (57.3%), while 61.3% were compliant with ANC visits. Statistical analysis revealed a significant effect of health literacy on ANC compliance (). Pregnant women with low health literacy had a 3.74-fold higher risk of non-compliance compared to those with good health literacy (). Conclusions health literacy significantly impacts ANC compliance among pregnant women. Targeted interactive health education strategies emphasizing health literacy are recommended to enhance maternal health adherence.]]>
