Association Between Family Support and Adherence to Triple Elimination Screening Among Pregnant Women in A Primary Healthcare Setting in Indonesia
DOI:
https://doi.org/10.37287/ijghr.v8i6.2593Keywords:
adherence, family support, pregnant women, primary healthcare, triple elimination screeningAbstract
Mother to child transmission of Human Immunodeficiency Virus (HIV), syphilis, and hepatitis B remains a major public health concern, particularly in low- and middle-income countries. Triple elimination screening during antenatal care is a key strategy to prevent vertical transmission; however, adherence to the recommended screening among pregnant women remains suboptimal. Family support has been recognized as an important determinant of maternal health behavior, yet evidence regarding its association with adherence to triple elimination screening in Indonesian primary healthcare settings remains limited. This study aimed to examine the association between family support and adherence to triple elimination screening among pregnant women attending a primary healthcare center in Indonesia. A quantitative study with a cross-sectional design was conducted at Cilacap Tengah II Primary Health Center, Central Java, Indonesia. A total of 76 pregnant women were recruited using purposive sampling. Data on family support and adherence to triple elimination screening were collected using validated structured questionnaires. Descriptive statistics were used to summarize participant characteristics and study variables. Since the data were not normally distributed, the association between family support and adherence to triple elimination screening was analyzed using Spearman's rank correlation test with a significance level of 0.05. The median family support score was 65 (range: 45–75), while the median adherence score for triple elimination screening was 65 (range: 30–75). Spearman's rank correlation analysis demonstrated a statistically significant positive association between family support and adherence to triple elimination screening (r = 0.676, p = 0.001). These findings indicate that pregnant women who received greater family support were more likely to comply with triple elimination screening during antenatal care. Family support was significantly associated with adherence to triple elimination screening among pregnant women. Strengthening family involvement, particularly spousal participation, in antenatal care education and counseling may improve adherence to triple elimination screening and contribute to the prevention of mother-to-child transmission of HIV, syphilis, and hepatitis B. Family centered interventions should therefore be considered an integral component of maternal healthcare programs in primary healthcare settings.
References
Ajzen, I. (2022). Theory of planned behavior. Routledge.
Armini, L. N., et al. (2024). Patient perspective on elimination of mother-to-child transmission of HIV, syphilis, and hepatitis B. BMC Public Health. https://doi.org/10.1186/s12889-024-19692-3
Bayti, B. J., & Pratiwi, C. S. (2023). Health behaviors in pregnant women with psychological problems and disorders: A scoping review. Women, Midwives and Midwifery.
Che, H., et al. (2023). Understanding the intention to use COVID-19 vaccine: A study based on the theory of planned behavior. Journal of Health Psychology, 28(1), 3–15.
Chekole, M. S., et al. (2025). Determinants of non-adherence to antenatal care among pregnant women. Maternal Health, Neonatology and Perinatology. https://doi.org/10.1186/s40748-025-00219-6
Elfrida, I., Widowati, H., Azizah, N., & Hanum, S. M. F. (2025). Maternal age, parity, and education in early antenatal care attendance. Indonesian Journal on Health Science and Medicine, 2(2).
Erika, & Muda, I. (2026). The family and health workers support role to undergo Triple Elimination screening in pregnant women based on the Health Belief Model perspective. Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery), 13(2), 232–240. https://doi.org/10.26699/jnk..v13i2.ART.p232-240
Hagger, M. S., & Hamilton, K. (2025). Progress on theory of planned behavior research: Advances in research synthesis and agenda for future research. Journal of Behavioral Medicine, 48, 43–56. https://doi.org/10.1007/s10865-024-00545-8
Halizhah, Z. N., et al. (2025). Evaluasi program triple eliminasi pada ibu hamil di Kota Makassar. Hasanuddin Journal of Public Health.
Iskandar, S. I., Aryanto, S., Prawitasari, S., & Wiratama, B. S. (2025). Strengthening the first antenatal visit to improve maternal health: Results from a cross-sectional study in Bantul, Indonesia. BMC Pregnancy and Childbirth, 25, 911.
Kahar, F. (2025). Perilaku ibu hamil dalam pemeriksaan triple eliminasi. Jurnal Laboratorium Medis.
Kapoh, M. G., et al. (2025). Hubungan dukungan keluarga dengan kepatuhan ibu hamil dalam pemeriksaan antenatal care. JINTAN: Jurnal Ilmu Keperawatan, 5(1), 199–206. https://doi.org/10.51771/jintan.v5i1.941
Kementerian Kesehatan Republik Indonesia. (2023). Pedoman pemeriksaan triple eliminasi pada ibu hamil. Kementerian Kesehatan Republik Indonesia.
Kurnia, N. (2023). Persepsi, dukungan keluarga, dan peran petugas kesehatan hubungannya dengan kepatuhan ibu hamil trimester III dalam pemeriksaan triple eliminasi di Klinik Pratama Sumarno Medika 2022. Jurnal Keperawatan, 11(2), 123–130.
Naskar, S. T., & Merigó Lindahl, J. M. (2026). Forty years of the theory of planned behavior: A bibliometric analysis (1985–2024). Management Review Quarterly, 76, 573–632.
Pitriani, E., et al. (2024). Hubungan motivasi, dukungan keluarga, dan sumber informasi dengan kepatuhan pemeriksaan triple eliminasi. Jurnal Ilmiah Kebidanan Indonesia.
Prastia, T. N., Nauli, H. A., Listyandini, R., Parwati, S. S., Ranida, L., Putri, D. A., Fitriani, A., & Nuraini, F. D. (2025). Edukasi ibu hamil dan penguatan peran suami dalam pemeriksaan Triple Eliminasi sebagai strategi pencegahan masalah gizi dan kesehatan anak. Jurnal Pemberdayaan Masyarakat Universitas Al Azhar Indonesia, 7(2), 121–128. https://doi.org/10.36722/jpm.v7i2.4049
Raya, R. P., Holizah, S. N., & Imansari, B. (2026). Determinants of pregnant women’s compliance with the Triple Elimination programme in Bandung City, Indonesia. Journal of Public Health Sciences, 5(2), 573–582. https://doi.org/10.56741/IISTR.jphs.001350
Riauni, S., et al. (2025). Performance analysis of triple elimination screening programme in antenatal care. Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan, 17(3), 391–401. https://doi.org/10.35960/vm.v17i3.1617
Salsalina, Y. G., et al. (2024). Kepatuhan ibu hamil dalam pemeriksaan triple eliminasi. Jurnal Kebidanan, 14(2).
Sari, R. P. E., et al. (2024). Correlation between perception and attitude of pregnant women toward triple elimination examination. An Idea Health Journal.
Scott, A. M., et al. (2025). Effective dietary interventions during pregnancy. BMC Pregnancy and Childbirth.
Sude, E. V., et al. (2024). Kepatuhan ibu hamil dalam pemeriksaan triple eliminasi di Puskesmas Waena. Jambura Journal of Health Sciences and Research, 6(2), 71–80. https://doi.org/10.35971/jjhsr.v6i2.22048
Titaley, C. R., Tjandrarini, D. H., Malakauseya, M. L. V., et al. (2025). Determinants of non-use of antenatal care services in eastern Indonesia: Analysis of the 2023 Indonesia health survey. Frontiers in Global Women's Health, 6, 1649276.
Utami, F. P., et al. (2025). GIS distribution of triple elimination implementation in pregnant women. Jurnal Ilmiah Kesehatan, 17(1), 84–92. https://doi.org/10.37012/jik.v17i1.2264
WHO Country Guidance for Triple Elimination (2025)
Widyastuti, E., et al. (2023). Pemeriksaan triple eliminasi pada ibu hamil. Jurnal Kesehatan Reproduksi, 10(1), 1–8.
World Health Organization & United Nations Children’s Fund. (2025). Country guidance for planning triple elimination of mother-to-child transmission of HIV, syphilis and hepatitis B virus programmes. WHO. WHO publication
World Health Organization. (2022). Triple elimination of mother-to-child transmission of HIV, syphilis, and hepatitis B.
World Health Organization. (2025). First-ever guidance for Triple Elimination of mother-to-child transmission of HIV, syphilis and hepatitis B. WHO Triple Elimination guidance.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Indonesian Journal of Global Health Research
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
