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All Journal JURNAL MUTIARA NERS International Journal of Public Health Excellence (IJPHE) International Journal of Community Service (IJCS)
Suryani, Elvi
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Analysis of Anemia Screening Policy Implementation for Pregnant Women in Tier I Healthcare Facilities: A Mixed-Methods Study in Urban-Rural Areas of South Tapanuli Fatimah, Fatimah; Suryani, Elvi; Siregar, Rahmah Juliani; Harahap, Maryam Latifah
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1066

Abstract

Background: Anemia in pregnant women remains a significant public health issue in Indonesia, including in South Tapanuli. Anemia screening is a crucial policy for early detection and timely intervention, yet its implementation in primary healthcare facilities (Tier I) remains suboptimal. Objective: This study aims to analyze the implementation of anemia screening policies for pregnant women in Tier I healthcare facilities across urban-rural areas of South Tapanuli using a mixed-methods approach. Methods: The study employed a sequential explanatory mixed-methods design, combining quantitative data (a survey of 150 pregnant women and 30 healthcare workers) and qualitative data (in-depth interviews with 15 stakeholders, including health workers and policymakers). Quantitative data were analyzed using descriptive statistics, while qualitative data were examined using framework analysis. Results: Quantitatively, anemia screening coverage reached 68%, with disparities between urban (78%) and rural (58%) areas. Barriers included limited equipment, insufficient healthcare worker training, and low public awareness. Qualitative findings revealed issues in inter-stakeholder coordination, uneven budget allocation, and inadequate policy socialization. Conclusion: The implementation of anemia screening policies in South Tapanuli remains suboptimal, particularly in rural areas. Improvements in infrastructure, healthcare worker training, and culturally adapted community education are needed to enhance screening coverage.
Determinants of First-Trimester Antenatal Care Delay in Indonesia's Disadvantaged Regions: A Cross-Sectional Study of Socioeconomic Barriers in South Tapanuli Suryani, Elvi; Fatimah, Fatimah; Siregar, Rahmah Juliani; Harahap, Maryam Latifah
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1100

Abstract

Background: Delayed access to first-trimester Antenatal Care (ANC) among pregnant women in underdeveloped, frontier, and outermost (3T) regions is a significant public health issue, as it increases the risk of pregnancy complications. This study aims to analyze the socio-economic determinants associated with delayed ANC access in South Tapanuli, a 3T region in Indonesia. Methods: This cross-sectional study involved 250 pregnant women selected through purposive sampling in South Tapanuli. Data were collected through structured interviews using a questionnaire covering socio-demographic variables (education, income, occupation, distance to health facilities) and ANC practices. Statistical analysis employed chi-square tests and logistic regression to identify dominant factors influencing ANC delay. Results: A total of 62.4% of respondents delayed accessing ANC in the first trimester. Significant socio-economic factors associated with delayed ANC included low income (OR=3.21; 95% CI: 1.87-5.49), low education (OR=2.45; 95% CI: 1.42-4.22), distance to health facilities >10 km (OR=4.12; 95% CI: 2.34-7.25), and lack of knowledge about ANC importance (OR=2.89; 95% CI: 1.65-5.07). Conclusion: Socio-economic factors such as income, education, geographic access, and maternal knowledge significantly influence delayed ANC access in 3T regions. Community-based interventions and equitable health service policies are needed to improve first-trimester ANC coverage.
Co-Authors Anggriani, Ririn Batubara, Novita Sari Fatimah fatimah Fatimah Ihram Kurnia Agusta MARIA BINTANG Maryam Latifah Harahap Rambe, Normayanti Rangkuti, Nur Aliyah SIREGAR, RAHMAH JULIANI Siregar, Ratna Dewi Siregar, Rya Anastasya