Hubungan Antara Kepatuhan Antenatal Care (ANC) dengan Kejadian Kekurangan Energi Kronis (KEK) di Puskesmas Prambontergayang Kabupaten Tuban

Latar Belakang: Angka kematian ibu (AKI) meningkat dari 4.005 kasus (2022) menjadi 4.129 kasus (2023) di Indonesia. Salah satu faktor penyebabnya adalah ketidakpatuhan kunjungan antenatal care (ANC) yang meningkatkan risiko kekurangan energi kronis (KEK). Di Kabupaten Tuban pada tahun 2023, KEK mencapai 7,8% dan AKI terdapat 6 kasus. Ibu hamil dengan KEK memiliki risiko yang lebih tinggi untuk mengalami perdarahan, infeksi, hingga kematian. Penelitian ini dilaksanakan di Puskesmas Prambontergayang, Kabupaten Tuban, untuk mengukur dan memperkuat sistem kesehatan ibu dan anak serta mencegah malnutrisi pada ibu hamil. Tujuan: Mengetahui hubungan antara kepatuhan kunjungan antenatal care (ANC) dengan kejadian kekurangan energi kronis (KEK) di Puskesmas Prambontergayang Kabupaten Tuban. Metode: Penelitian ini memakai jenis penelitian kuantitatif analitik observasional dengan desain cross sectional. Populasi penelitian ini adalah ibu hamil yang berkunjung antenatal care periode Januari – Desember 2023. Besar sampel penelitian ini berjumlah 319 ibu hamil dan diambil dengan cara stratified random sampling dengan proportional allocation tanpa duplikasi. Data berupa data sekunder yang diambil dari pihak rekam medis Puskesmas Prambontergayang. Hasil: Uji korelasi chi-square menunjukkan p-value 0.002 < 0.05 pada kepatuhan antenatal care dengan kekurangan energi kronis. Kesimpulan: Terdapat hubungan kontraintuitif antara kepatuhan antenatal care dengan kejadian kekurangan energi kronis di Puskesmas Prambontergayang Kabupaten Tuban.

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Background: Maternal Mortality Rate (MMR) in Indonesia is still a health problem. MMR increased from 4,005 cases (2022) to 4,129 cases (2023). One of the contributing factors is non-compliance with antenatal care (ANC) visits which can increase the risk of chronic energy deficiency (CED) in pregnant women. In Tuban Regency in 2023, the CED rate reached 7.8% and there were 6 cases of MMR. CED in pregnant women still needs attention because it can cause complications such as bleeding, infection, and death. This study was conducted at the Prambontergayang Health Center, Tuban Regency, to measure and strengthen the maternal and child health system and prevent malnutrition in pregnant women. Objective: To determine the relationship between compliance with antenatal care (ANC) visits and the incidence of chronic energy deficiency (CED) at the Prambontergayang Health Center, Tuban Regency. Method: This study uses an observational analytical quantitative research type with a cross-sectional design. The population of this study was pregnant women who visited antenatal care in the period January - December 2023. The sample size of this study was 319 pregnant women and was taken by stratified random sampling with proportional allocation without duplication. The data was secondary data taken from the medical records of the Prambontergayang Health Center. Results: The results of the correlation test with chi-square showed a p value of 0.002 <0.05 on antenatal care compliance with the incidence of chronic energy deficiency. Conclusion: There is a counterintuitive relationship between antenatal care compliance and the incidence of chronic energy deficiency at the Prambontergayang Health Center, Tuban Regency.