Abstract :

The Maternal and Child Health (MCH) book is an important medium for improving pregnant women’s knowledge and awareness of maternal and fetal health. However, several health centers still report low MCH book ownership among pregnant women, including Kuala Lempuing Health Center (52.55%) and Anggut Atas Health Center (77.92%). This study aimed to identify factors influencing the utilization of MCH books among pregnant women and to determine the most dominant factor. This descriptive analytic study used a cross-sectional design. It was conducted from June 8 to June 18, 2025, in the working areas of Kuala Lempuing and Anggut Atas Health Centers, Bengkulu City. The study involved all 70 eligible pregnant women in their second and third trimesters through total sampling. Primary data were collected using structured questionnaires, and secondary data were obtained from relevant records. The results showed significant associations between MCH book utilization and knowledge (p < 0.001), attitude (p < 0.001), and family support (p < 0.001). Multivariate analysis showed that family support was the most dominant factor (p = 0.001; OR = 10.800). These findings highlight the importance of family involvement and the role of health care providers in delivering health education and social support to optimize MCH book utilization.

---

Keywords :

Attitude, Family Support, Knowledge, MCH book, Pregnant women

---

References :

1. Kementerian Kesehatan RI. Profil Kesehatan Indonesia Tahun 2023. Jakarta: Kementerian Kesehatan RI; 2024.
2. Sarbini N, Galaupa R. Efektifitas penggunaan Buku Kesehatan Ibu dan Anak (KIA) terhadap peningkatan pengetahuan ibu hamil di PMB Nining Sarbini Kota Tasikmalaya. Malahayati Nursing Journal. 2024;6(5):2036-2047. doi:10.33024/mnj.v6i5.11331.
3. Dasni ES, Pabidang S, Prabandari FH. Pemanfaatan Buku KIA untuk ibu hamil di Posyandu Nusa Indah Desa Mon Dua Kecamatan Tripa Timur. Jurnal Pengabdian Sosial. 2024;1(7):648-652. doi:10.59837/cw4sbw27.
4. Pakpahan M, Siregar D, Susilawaty A, Tasnim, Ramdany MR, Manurung EI, Sianturi E, Tompunu MRG, Sitanggang YF, Maisyarah M. Promosi Kesehatan & Perilaku Kesehatan. Medan: Yayasan Kita Menulis; 2021.
5. Susanti YYE, Suryani L. Faktor yang mempengaruhi pemanfaatan Buku Kesehatan Ibu dan Anak (KIA) pada ibu hamil di wilayah kerja Puskesmas Pangkalan Lesung. JKEMS-Jurnal Kesehatan Masyarakat. 2024;2(2):87-95. doi:10.58794/jkems.v2i2.876.
6. Halida N, Anggreni E, Restianingsih R. Hubungan pengetahuan ibu hamil tentang Buku KIA dengan pemanfaatan Buku KIA di wilayah kerja Puskesmas Sipayung tahun 2022. Jurnal Kebidanan. 2023;12(2):96-102. doi:10.47560/keb.v12i2.544.
7. Ambarita E, Pane M, Manurung K, Nababan D, Silitonga EM. Faktor-faktor yang memengaruhi pemanfaatan Buku Kesehatan Ibu dan Anak (KIA) oleh ibu hamil yang mempunyai balita di Puskesmas Saitnihuta Kabupaten Humbang Hasundutan tahun 2021. Journal of Healthcare Technology and Medicine. 2021;7(2):21-32.doi:10.33143/jhtm.v7i2.1767.
8. Silviani YE, Fitriani D. Hubungan sikap ibu hamil dengan pemanfaatan Buku KIA di wilayah kerja Puskesmas Muara Nasal. Journal of Health Sciences Leksia (JHSL). 2024;2(1):1-7. Available from: https://jhsljournal.com/index.php/ojs/article/view/17.
9. Dewi KAP, Nurtini NM, Dewi NWEP, Teja NMAYR. Faktor-faktor yang mempengaruhi pemanfaatan dan kelengkapan pengisian Buku KIA pada ibu hamil. Menara Medika. 2023;5(2):228-241. doi:10.31869/mm.v5i2.4088.
10. Shalihah M, Indriastuti NA. Hubungan dukungan keluarga terhadap pemanfaatan Buku KIA pada ibu hamil. Malahayati Nursing Journal. 2025;7(6):2609-2623. doi:10.33024/mnj.v7i6.20644.