Determinants of Pregnant Women’s Compliance with the Triple Elimination Programme in Bandung City, Indonesia

Reynie Purnama Raya; Santi Nur Holizah; Bhekti Imansari

doi:10.56741/IISTR.jphs.001350

Authors

Reynie Purnama Raya
reynie.praya@unisa-bandung.ac.id
Universitas Aisyiyah Bandung https://orcid.org/0000-0002-4548-6820
Santi Nur Holizah Universitas Aisyiyah Bandung
Bhekti Imansari Universitas Aisyiyah Bandung https://orcid.org/0009-0000-4302-7279

Keywords:

Compliance, Family Support, Information Sources, Pregnant Women, Triple Elimination

Abstract

The Triple Elimination Programme was first introduced in 2017 to standardise screening for pregnant women nationwide. Moving into 2025, however, coverage rates in several regions—including Bandung City—remain below national targets, pointing to an ongoing struggle with programme compliance. This study examined the association between knowledge, information sources, and family support with pregnant women’s compliance in the Triple Elimination programme. A cross-sectional study was conducted among 132 pregnant women attending health facilities in Arcamanik Sub-district, Bandung City. Participants were selected using purposive sampling, and data were collected using structured questionnaire. Univariate analyses described the frequency and distribution of variables, whilst bivariate analyses using Chi-squared and Mantel-Haenszel odds ratio (95% CI) assessed associations between knowledge, information sources, and family support with the pregnant women’s compliance. The results showed that most respondents had high knowledge (66.7%), adequate access to information (71.2%), and positive family support (67.4%), while 56.1% were compliant with the programme. Knowledge (OR [95% CI] = 10.99 [4.59–26.32], p<0.01), information sources (5.97 [2.57–13.87], p<0.01), and family support (15.66 [6.10–40.18], p<0.01) were all significantly associated with compliance, with family support being the strongest determinant. These findings highlight the importance of involving families in health education to strengthen pregnant women’s participation and improve the success of the Triple Elimination Programme.

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Author Biographies

Reynie Purnama Raya, Universitas Aisyiyah Bandung

is a lecturer and epidemiologist at Universitas Aisyiyah Bandung, Indonesia. Her research focuses on viral coinfections among people living with HIV, with a particular emphasis on hepatitis C and the triple elimination of HIV, hepatitis B, and syphilis in maternal health programmes. She is actively involved in community-based health initiatives and capacity-building for healthcare workers, integrating data-driven research with public health practice. Her work aims to strengthen health systems and promote equitable access to diagnosis and treatment, particularly for women and vulnerable populations. (email: reynie.praya@unisa-bandung.ac.id).

Santi Nur Holizah, Universitas Aisyiyah Bandung

is a professional nursing student at Aisyiyah University, Bandung. A graduate of the Bachelor of Nursing program at Aisyiyah University, Bandung. She is actively involved in campus activities and has gained hands-on experience in the healthcare field through hospital internships and clinical practice. With strong initiative, communication, teamwork, and time management skills, she is eager to learn and explore innovations in nursing to improve patient care. (email: santinurholizah48@gmail.com).

Bhekti Imansari, Universitas Aisyiyah Bandung

is a lecturer at the Faculty of Health Sciences at Aisyiyah University of Bandung, Indonesia. She obtained her bachelor’s and master’s degrees from Padjadjaran University, specializing in maternity nursing. She has authored three books and has published numerous articles in national journals, reflecting her commitment to advancing knowledge and practices in maternity care. Her work not only enhances the academic environment but also contributes to improving maternal and child health outcomes. (email: bimansari@gmail.com).

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