Analysis of Factors Influencing the Utilization and Fulfillment of MCH (Maternal and Child Health) Handbook in Gowa Regency, Indonesia

Abstract

Introduction:The Maternal and Child Health (MCH) handbook is a critical tool for improving maternal and child health outcomes. However, its effective utilization and completion in Indonesia’s 2020 edition remain understudied. This study investigates factors influencing the use and fulfillment of the MCH handbook among pregnant women and healthcare workers.

Objectives:  This study aimed to identify determinants affecting MCH handbook utilization by pregnant women and completion by healthcare workers, focusing on sociodemographic, geographic, and knowledge-related factors..

Methods:  A cross-sectional study was conducted from May to June 2024, involving 120 pregnant women and 58 healthcare workers. Data were collected via questionnaires and simulations assessing MCH handbook completion. Chi-square and logistic regression analyses were employed to evaluate associations

Results:  Among pregnant women, employment status (p < 0.05), urban residence (p < 0.05), and maternal knowledge (OR = 16.26, 95% CI: 4.55–58.11, p < 0.001) significantly influenced MCH handbook use, with knowledge being the strongest predictor. The first trimester section was most frequently incomplete (59.2%). For healthcare workers, employment duration, training history, and knowledge significantly impacted handbook completion (p < 0.05). Urban proximity (<3 km to healthcare facilities) and maternal knowledge facilitated utilization, while employment status hindered it. Healthcare workers training and knowledge enhanced comprehensive completion.

Conclusions: Knowledge was the most influential factor for both groups, underscoring the need for targeted education programs. Addressing employment-related barriers for pregnant women and prioritizing healthcare workers training can optimize MCH handbook utilization. Policymakers should integrate these findings into strategies to enhance maternal and child health documentation in Indonesia.