Enhancing General Practitioners’ Compliance with Antenatal Care Standards and Pregnant Women’s Satisfaction Through Point-of-Care Quality Improvement in Indonesian Community Health Centers

Desy Linasari,1 Raden Tina Dewi Judistiani,2 Deni Kurniadi Sunjaya,2 Budi Handono3 1Doctoral Study Program, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia; 2Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia; 3Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Padjadjaran, Bandung, IndonesiaCorrespondence: Raden Tina Dewi Judistiani, Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, Jalan Eyckman No. 38, Bandung, Indonesia, Tel +62811249731, Email [email protected]: Point-of-Care Quality Improvement (POCQI) is a technique used to improve the quality of health services. Improving antenatal care (ANC) is essential for better health outcomes in pregnant women. This study aimed to evaluate the effectiveness of the POCQI in improving general practitioners (GPs) compliance with ANC service standards and its impact on pregnant women’s satisfaction in Indonesian community health centers. Indonesia was selected because it still faces gaps in maternal healthcare quality and resources.Methods: A quasi-experimental pre–post study was conducted over six months at six community health centers in Cianjur District, West Java, Indonesia. The intervention involved eight GPs and 172 pregnant women. GPs’ compliance and pregnant women’s satisfaction were measured using structured questionnaires administered before and after the intervention. Data were analyzed using Rasch modeling with stacking and racking techniques, and the Wilcoxon signed-rank test.Results: Significant improvements were found in both GPs’ compliance and pregnant women’s satisfaction. Stacking analysis showed an increases in mean logit person values from 2.78 to 5.24 for GPs’ compliance (p = 0.018) and from 2.94 to 7.76 for pregnant women’s satisfaction (p < 0.001). Racking analysis showed a significant decrease in item difficulty, with logit values decreasing from 0.01 to – 2.42 for GPs’ compliance (p < 0.001) and from 1.89 to – 1.89 for pregnant women’s satisfaction (p = 0.043).Conclusion: The POCQI approach effectively improved GPs’ compliance with ANC standards and increased pregnant women’s satisfaction. As a practical quality improvement strategy, the POCQI should be scaled up and integrated into primary health care systems to enhance the quality of ANC services in Indonesia.Keywords: antenatal care, general practitioner, pregnant women’s satisfaction, POCQI, Rasch analysis