Contextual Effect of the Community Health Center on the Use of Antenatal Care: A Multilevel Analysis Evidence from Semarang, Central Java

Abstract

Background: The completeness of antenatal care is an effort to reduce prenatal mortality. This study aimed to analyze the contextual effect of the community health center on the use of antenatal care. Subjects and Method: This study was an analytical observational study with a cross-sectional approach. This study was conducted from June to August 2020. The sample consisted of 250 study subjects that were selected by simple random sampling. The dependent variable was antenatal care. The independent variables were husband support, knowledge, attitude, antenatal information, self-efficacy, cues to action, perceived seriousness, perceived susceptibility, perceived benefits, perceived barriers, and complete facilities. This study used questionnaires to collect the data with multilevel analysis through a logistic regression approach in STATA 13. Results: Complete antenatal care visits increased with strong support (b= 4.36; 95% CI= 0.92 to 7.81; p= 0.013), high knowledge (b= 3.59; 95% CI= 0.67 to 6.51; p= 0.016), positive attitude (b= 4.07; 95% CI= 0.65 to 7.50; p= 0.020), much antenatal information (b= 4.20; 95% CI= 0.94 to 7.46; p= 0.012), high self-efficacy (b= 3.05; 95% CI= 0.20 to 5.90; p= 0.036), high cues to action