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All Journal Journal of Health Science and Medical Therapy Journal of Community Service and Society Empowerment
Panduragan, Santhana L.
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Agriculture, Biological Sciences & Forestry Humanities Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences

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Antenatal Care Compliance within a Matrilineal Society: Husbands’ Knowledge and Attitudes among Urang Sumando in Padang Pariaman Maifita, Yesi; Sansuwito, Tukimin bin; Panduragan, Santhana L.
Journal of Health Science and Medical Therapy Том 4 № 01 (2026): Journal of Health Science and Medical Therapy
Publisher : PT. Riset Press International

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59653/jhsmt.v4i01.2158

Abstract

Husband involvement is a critical determinant of Antenatal Care (ANC) compliance. In Padang Pariaman Regency, this involvement is uniquely shaped by the matrilineal culture through the concept of Urang Sumando, in which husbands are positioned as “guests” within the wife’s family, often limiting their authority in maternal health decision-making. This study aimed to analyze the relationship between husbands’ knowledge and attitudes and maternal ANC compliance within this specific cultural context. A cross-sectional study was conducted between May and August 2025 involving 100 pairs of pregnant women and their husbands. Husbands’ knowledge and attitudes were assessed using validated questionnaires, while ANC compliance was verified through an audit of the Maternal and Child Health Book. Data were analyzed using chi-square tests and logistic regression. The results showed that ANC compliance reached 71%, with 58% of husbands demonstrating good knowledge and 62% showing positive attitudes toward ANC. Good knowledge was significantly associated with ANC compliance (OR = 3.21; 95% CI 1.30–7.93; p = 0.009), as was a positive attitude (OR = 2.74; 95% CI 1.16–6.49; p = 0.019). After controlling for age, education, and living status with in-laws, both knowledge (aOR = 2.70; 95% CI 1.12–6.52; p = 0.027) and attitude (aOR = 2.33; 95% CI 1.03–5.25; p = 0.042) remained significant predictors of compliance. Living with in-laws tended to reduce the likelihood of ANC compliance, although this association was not statistically significant (aOR = 0.52; 95% CI 0.24–1.13; p = 0.097). In conclusion, husbands’ knowledge and attitudes play a significant role in improving ANC compliance. Educational interventions grounded in local wisdom and involving both husbands and extended family members are strongly recommended.
Husband-Focused Education and Antenatal Care Compliance: A Quantitative Study in a Matrilineal Urang Sumando Community Maifita, Yesi; Sansuwito, Tukimin bin; Panduragan, Santhana L.
Journal of Community Service and Society Empowerment Том 4 № 01 (2026): Journal of Community Service and Society Empowerment
Publisher : PT. Riset Press International

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59653/jcsse.v4i01.2161

Abstract

Husband involvement is a key determinant of antenatal care (ANC) compliance. In Padang Pariaman Regency, this involvement is influenced by the matrilineal Urang Sumando culture, which may limit husbands’ authority in maternal health decision-making. This study aimed to analyze the association between husbands’ knowledge and attitudes and maternal ANC compliance. A cross-sectional study was conducted among 100 pregnant women–husband pairs from May to August 2025. Husbands’ knowledge and attitudes were measured using validated questionnaires, while ANC compliance was assessed through audits of the Maternal and Child Health (MCH) handbook. Data were analyzed using chi-square tests and logistic regression. The results showed that ANC compliance reached 71%. Husbands with good knowledge and positive attitudes were significantly more likely to support compliant ANC attendance, and these associations remained significant after adjusting for demographic factors. These findings indicate that culturally sensitive, husband-focused educational interventions are essential for improving ANC compliance in matrilineal communities.
Co-Authors maifita, yesi Sansuwito, Tukimin bin