Jurnal Ners
Vol. 10 No. 4 (2026)

The Influence of Health Literacy on Antenatal Care (ANC) Adherence Among Pregnant Women in Pajintan Village

Rahayu Khairiah (STIKes Abdi Nusantara)
Rosalia Noviana Glory (STIKes Abdi Nusantara)



Article Info

Publish Date
17 Sep 2026

Abstract

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.

Copyrights © 2026






Journal Info

Abbrev

ners

Publisher

Subject

Health Professions Medicine & Pharmacology Nursing

Description

Fokus Jurnal Ners meliputi bidang kajian riset keperawatan diantaranya Keperawatan Medikal Bedah, Keperawatan Maternitas, Keperawatan Gawat Darurat, Keperawatan Anak, Keperawatan Lansia, Keperawatan Jiwa, Keperawatan Keluarga, Keperawatan Masyarakat, Manajemen Keperawatan dan Terapi Komplementer ...