FACTORS AFFECTING PREGNANT MOTHERS IN NON-MACHING HEALTH FACILITIES IN MANDREHE UTARA DISTRICT BARAT NIAS REGENCY IN 2021.

SAWATO ZEBUA (2021) FACTORS AFFECTING PREGNANT MOTHERS IN NON-MACHING HEALTH FACILITIES IN MANDREHE UTARA DISTRICT BARAT NIAS REGENCY IN 2021. , TESIS, UNIVERSITAS PRIMA INDONESIA

ABSTRAK

Choosing location for delivery by pregnant women and deliveries assisted by skilled health workers are important keys in reducing MMR and IMR. The low birth rate at health facilities in Mandrehe Utara Subdistrict, Nias Barat Regency is a serious challenge to achieve the success of the maternal and child health service program. This study analyzes the factors that influence pregnant women who do not give birth in health facilities. This study uses a quantitative method with a cross-sectional approach. The samples were 180 people. The data were collected using a questionnaire and then tested using the Chi-Square test and logistic regression test. The results showed that the reason why mothers did not choose to give birth in health facilities was influenced by knowledge (p=0.022), attitude toward birth attendants (p=0.002), perception of distance (p=0.004), husband and family support (p=0.000), and access to health information (p=0.007). The role of health workers had no significant effect in this study (p=0.756). The results of the logistic regression test showed that husband and family support was the most dominant variable affecting mothers who did not give birth in health facilities. Mothers who perceive the lack of support from their husbands and families are 5,668 times more to choose to give birth outside a health facility. Education and socialization by health workers to mothers and their husbands and families are suggested to increase knowledge, awareness and change attitudes. No less important are the government's efforts to provide health facilities and infrastructure development to reduce access difficulties.

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