Dale Halliday, Mohammad Afzal Mahmood, Maskito Asmadi Soerjoasmoro, Rina Kutsumaratna, Masitah, Hafsa Raheel.
Adequate visits, inadequate service: comprehensiveness of ANC in Samarinda & Balikpapan, East Kalimantan.
Pak J Public Health Jan ;3(1):34-8.

Introduction: With reference to the recommended essential antenatal services in Indonesia, this study assessed the provision of essential minimum care to pregnant women who attended government primary health care centres. Method: Using a structured questionnaire, exit interviews were conducted with 182 pregnant women in their third trimester following receipt of ANC at primary health care centres in two cities of East Kalimantan province, Indonesia. Results: For those who attended the government health care centres, access to ANC in terms of number of visits and the timing of the visits were quite close to the national recommendations. At the government health centres a majority, however, did not receive the full set of even basic antenatal care components. The research also pointed that despite attending the government health centre for four or more ANC visits many women used the ANC services provided by the private doctors as well. Conclusion: The ANC at the government primary care facilities lacks comprehensiveness, and quality improvement measures are necessary if these services are to contribute to better health of mother and babies. The health departments and those involved in managing national safe motherhood initiatives should not be satisfied with the information that a large number of pregnant women may now be accessing ANC from skilled health care providers.

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