<![CDATA[Mother to child transmission of Human Immunodeficiency Virus (HIV), syphilis, and hepatitis B remains a major public health concern, particularly in low- and middle-income countries. Triple elimination screening during antenatal care is a key strategy to prevent vertical transmission; however, adherence to the recommended screening among pregnant women remains suboptimal. Family support has been recognized as an important determinant of maternal health behavior, yet evidence regarding its association with adherence to triple elimination screening in Indonesian primary healthcare settings remains limited. This study aimed to examine the association between family support and adherence to triple elimination screening among pregnant women attending a primary healthcare center in Indonesia. A quantitative study with a cross-sectional design was conducted at Cilacap Tengah II Primary Health Center, Central Java, Indonesia. A total of 76 pregnant women were recruited using purposive sampling. Data on family support and adherence to triple elimination screening were collected using validated structured questionnaires. Descriptive statistics were used to summarize participant characteristics and study variables. Since the data were not normally distributed, the association between family support and adherence to triple elimination screening was analyzed using Spearman's rank correlation test with a significance level of 0.05. The median family support score was 65 (range: 45–75), while the median adherence score for triple elimination screening was 65 (range: 30–75). Spearman's rank correlation analysis demonstrated a statistically significant positive association between family support and adherence to triple elimination screening (r = 0.676, p = 0.001). These findings indicate that pregnant women who received greater family support were more likely to comply with triple elimination screening during antenatal care. Family support was significantly associated with adherence to triple elimination screening among pregnant women. Strengthening family involvement, particularly spousal participation, in antenatal care education and counseling may improve adherence to triple elimination screening and contribute to the prevention of mother-to-child transmission of HIV, syphilis, and hepatitis B. Family centered interventions should therefore be considered an integral component of maternal healthcare programs in primary healthcare settings.]]>
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