Husband-Focused Education and Antenatal Care Compliance: A Quantitative Study in a Matrilineal Urang Sumando Community

Authors

  • Yesi Maifita Sekolah Tinggi Ilmu Kesehatan Piala Sakti, Indonesia
  • Tukimin bin Sansuwito Lincoln University College, Malaysia https://orcid.org/0000-0001-7323-4308
  • Santhana L. Panduragan Lincoln University College, Malaysia

DOI:

https://doi.org/10.59653/jcsse.v4i01.2161

Keywords:

antenatal care, ANC compliance, husband education, Urang Sumando, matrilineal culture

Abstract

Husband involvement is a key determinant of antenatal care (ANC) compliance. In Padang Pariaman Regency, this involvement is influenced by the matrilineal Urang Sumando culture, which may limit husbands’ authority in maternal health decision-making. This study aimed to analyze the association between husbands’ knowledge and attitudes and maternal ANC compliance. A cross-sectional study was conducted among 100 pregnant women–husband pairs from May to August 2025. Husbands’ knowledge and attitudes were measured using validated questionnaires, while ANC compliance was assessed through audits of the Maternal and Child Health (MCH) handbook. Data were analyzed using chi-square tests and logistic regression. The results showed that ANC compliance reached 71%. Husbands with good knowledge and positive attitudes were significantly more likely to support compliant ANC attendance, and these associations remained significant after adjusting for demographic factors. These findings indicate that culturally sensitive, husband-focused educational interventions are essential for improving ANC compliance in matrilineal communities.

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References

Agus, Y., & Horiuchi, S. (2021). Cultural barriers to antenatal care in matrilineal societies: A study in West Sumatra. International Journal of Cultural Health and Social Science, 15(2), 112–125. https://doi.org/10.1016/j.ijchss.2021.05.003

Febriati, S., & Zakiyah, Z. (2022). Mental health in pregnancy: The risk of anxiety, stress, and antenatal depression. Journal of Midwifery and Women’s Health, 7(3), 210– 222.

Fitrayeni, Agus, Y., & Horiuchi, S. (2021). Cultural barriers to antenatal care in matrilineal societies: A qualitative study in West Sumatra. International Journal of Cultural Health and Social Sciences, 14(2), 145–158.

Fitrayeni, I., Suryani, D., & Amelia, R. (2022). Dinamika budaya matrilineal dan otoritas pengambilan keputusan kesehatan pada keluarga Urang Sumando di Sumatera Barat. Jurnal Kesehatan Masyarakat Andalas, 16(1), 45–58.

Indriyani, D. (2025). Keperawatan maternitas: Dimensi psikososial, dukungan pasangan, dan asuhan keluarga (3rd ed.). Salemba Medika.

Kementerian Kesehatan Republik Indonesia. (2021). Peraturan Menteri Kesehatan Republik Indonesia Nomor 21 Tahun 2021 tentang penyelenggaraan pelayanan kesehatan masa hamil, masa bersalin, masa sesudah melahirkan, dan layanan kontrasepsi. Kementerian Kesehatan RI.

Kementerian Kesehatan Republik Indonesia. (2023). Laporan nasional Survei Kesehatan Indonesia (SKI) 2023. Badan Kebijakan Pembangunan Kesehatan.

Mullany, B. C. (2017). Barriers to and attitudes towards promoting husbands’ involvement in maternal health in low- and middle-income countries: A systematic review. Social Science & Medicine, 176, 117–131. https://doi.org/10.1016/j.socscimed.2017.01.036

Rahmawati, A., Setiawan, H., & Lestari, P. (2025). Dukungan pasangan dan stabilitas emosional ibu hamil pada trimester III di era digital. Jurnal Ilmu Keperawatan Maternitas, 8(1), 22–34.

Sari, N., Wahyuni, S., & Pratama, A. (2025). Implementasi kebijakan K6 dan tantangan kepatuhan antenatal care di Indonesia. Alfabeta.

Siregar, R., Prasetyo, B., & Utami, S. (2020). The effect of husband’s involvement on the compliance of integrated antenatal care visits during the COVID-19 pandemic. Journal of Health Science and Prevention, 4(2), 88–96. https://doi.org/10.29080/jhsp.v4i2.352

Tokhi, M., Comrie-Thomson, L., Davis, J., Portela, A., Chersich, M., & Luchters, S. (2018). Involving men to improve maternal and newborn health: A systematic review of the effectiveness of interventions. PLOS ONE, 13(1), e0191620. https://doi.org/10.1371/journal.pone.0191620

UNICEF. (2021). The critical role of fathers in maternal and newborn survival: A global thematic report. UNICEF.

World Health Organization. (2020). WHO recommendations on antenatal care for a positive pregnancy experience: Executive summary. World Health Organization

Yargawa, J., & Leonardi-Bee, J. (2015). Male involvement and maternal health outcomes: Systematic review and meta-analysis. Journal of Epidemiology & Community Health, 69(6), 604–612. https://doi.org/10.1136/jech-2014-204784

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Published

2026-01-23

How to Cite

Maifita, Y., Sansuwito, T. bin, & Panduragan, S. L. (2026). Husband-Focused Education and Antenatal Care Compliance: A Quantitative Study in a Matrilineal Urang Sumando Community. Journal of Community Service and Society Empowerment, 4(01), 80–89. https://doi.org/10.59653/jcsse.v4i01.2161