<![CDATA[Background: Pregnant women's perceptions of the quality of Antenatal Care (ANC) services are important indicators in improving the utilization and quality of maternal health services. Educational approaches that actively involve participants, such as collaborative learning, can improve understanding and shape more positive perceptions toward health services. Through interaction, discussion, and experience sharing among participants, collaborative learning may enhance pregnant women's awareness and evaluation of ANC services. Methods: This quasi-experimental study used a one-group pre-test and post-test design involving 97 pregnant women in the working area of Puskesmas Aur Duri, Jambi City, in 2025. Data were collected using a validated questionnaire and analyzed using univariate analysis and the Wilcoxon Signed Rank Test. Results: The mean perception score increased from 97.67 before the intervention to 108.55 after the collaborative learning intervention. The Wilcoxon test showed a statistically significant difference (Z = -6.013; p < 0.0001). Most respondents experienced an increase in perception scores, with an effect size of 0.61, indicating a large effect. Conclusion: Collaborative learning is effective in improving pregnant women's perceptions of the quality of ANC services and can be applied as an educational strategy to support improvements in maternal health services.]]>
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