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All Journal UG Journal MATRIK : Jurnal Manajemen, Teknik Informatika, dan Rekayasa Komputer Journal of Midwifery Jurnal Aisyah : Jurnal Ilmu Kesehatan Community Development Journal: Jurnal Pengabdian Masyarakat INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL Jurnal Abdi Masyarakat Multidisiplin Jurnal Bidan Srikandi Prosiding SeNTIK STI&K JHN: Journal of Health and Nursing
Nina Herlina
Faculty Of Health And Pharmacy Sciences, Department Of Midwifery, Gunadarma University
Humanities Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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PENGARUH PENERAPAN FOUR PILLARS APPROACH TERHADAP KEPATUHAN IBU HAMIL DALAM MELAKUKAN ANTENATAL CARE (ANC) Dinda Pramestya Utami; Nina Herlina
JHN: Journal of Health and Nursing Vol. 4 No. 1 (2026): JHN: Journal of Health and Nursing, May 2026
Publisher : ASIAN PUBLISHER

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58738/jhn.v4i1.1823

Abstract

Adherence to antenatal care (ANC) visits among pregnant women is crucial for the early detection of pregnancy risks and the improvement of maternal and fetal health. However, non-adherence to ANC visit schedules remains a frequently encountered issue. The Four Pillars Approach is a comprehensive strategy encompassing healthy lifestyle habits during pregnancy, family social support, healthcare worker competence, and the professional behavior of healthcare workers. This study aimed to analyze the impact of implementing the Four Pillars Approach on ANC visit adherence among pregnant women at the Cogreg Community Health Center (Puskesmas), Bogor Regency, in 2025. A quantitative method with a cross-sectional design was employed. The study sample consisted of 56 third-trimester pregnant women selected via purposive sampling. Data analysis was conducted using the chi-square test. The results indicated that a healthy lifestyle during pregnancy had a significant influence on ANC adherence (p = 0.029). Meanwhile, family social support, healthcare worker competence, and professional behavior among healthcare workers did not show a statistically significant influence (p > 0.05), although they remained supporting factors. The study concludes that a healthy lifestyle during pregnancy is the dominant factor influencing ANC adherence. This study also discusses practical implications, strengths, and limitations, serving as a basis for recommendations regarding maternal health services and future research.
Co-Authors Amabel Kyla Charity Andriansyah Andriansyah Antarsih, Novita Rina Anugriaty Indah Asmarany Desi Rosdian Diah Ayu Luthfiani Dinda Pramestya Utami Dwi Puji Astiti Ekowati, Erik Erik Ekowati Estu Lovita Pembayun Fidya Aminin Harun Al Rasyid Holyness Nurdin Singadimedja Kasyafia Jayanti Muhammad Dava Ramadhan Muji Lestari Pujiati Pujiati Rini Damayanti Robby Kurniawan Harahap Rochmawati Rochmawati Sri Mulyati Sri Nawangsari Veronika Fary Weni Guslia Refti Widyo Nugroho Winnie Tunggal Mustikha Yudhia Fratidhina