Abstract
High-quality antenatal care (ANC) requires effective interprofessional collaboration among healthcare providers to ensure comprehensive, integrated, and patient-centered maternal services. The implementation of the Indonesian 12T ANC standard involves multidisciplinary contributions from midwives, physicians, laboratory personnel, nutritionists, pharmacists, and nurses. However, evidence regarding interprofessional collaboration in primary healthcare settings remains limited. This study aimed to analyze the implementation of interprofessional collaboration in providing 12T antenatal care at Bangetayu Primary Health Center, Semarang City. A descriptive cross-sectional study was conducted involving seven healthcare professionals directly involved in ANC services and twenty pregnant women receiving antenatal care. Healthcare professionals completed the Assessment of Interprofessional Team Collaboration Scale (AITCS)-based questionnaire, while pregnant women completed a structured questionnaire assessing their experiences of receiving 12T ANC services. Descriptive statistics including frequencies, percentages, means, and domain scores were used for data analysis. The results of the study showed that most healthcare professionals (71.4%) perceived inerprofessional collaboration as high, while 28.6% rated it as moderate. Partnership demonstrated the highest domain score (81.8%), followed by cooperation (77.8%) and coordination (76.6%). Among pregnant women, 80% received comprehensive ANC services categorized as good, whereas 75% reported positive perceptions regarding service integration. Basic ANC components such as blood pressure measurement, weight assessment, and iron supplementation achieved high coverage, whereas psychological screening (45%) and ultrasound examination planning (65%) remained relatively low. This study concludes that interprofessional collaboration in delivering 12T antenatal care at Bangetayu Primary Health Center has generally been well implemented. Strengthening interprofessional coordination, integrated documentation systems, routine multidisciplinary meetings, and comprehensive maternal psychological screening are recommended to further improve the quality of antenatal services.
References
Bouton, C., Journeaux, M., Jourdain, M., Angibaud, M., Huon, J. F., & Rat, C. (2023). Interprofessional collaboration in primary care: what effect on patient health? A systematic literature review. BMC Primary Care, 24(1). https://doi.org/10.1186/s12875-023-02189-0
Ekawati, F. M., Muchlis, M., & Tuteja, A. (2023). Adopting international recommendations to design a model for maternal health service to cope with pandemic disruption for Indonesian primary care. BMC Pregnancy and Childbirth, 23(1), 132. https://doi.org/10.1186/s12884-023-05433-8
Espejord, S., Auberg, S. H., Kvitno, T. K., Furskog-Risa, C., & Lukasse, M. (2024). Norwegian community midwives’ experience of interdisciplinary collaboration in care of pregnant women with vulnerabilities. Sexual and Reproductive Healthcare, 39. https://doi.org/10.1016/j.srhc.2024.100951
Fikrah, M., Isrona, L., & Izzah, A. Z. (2024). Enhancing Ante Natal Care (ANC) Quality Through Interprofessional Collaboration (IPC) Among Health Workers. International Journal of Medicine and Health, 3(4), 18–23. https://doi.org/10.55606/ijmh.v3i4.4353
Hendrix, M. J. C., Daemers, D. O. A., Osterhaus, J. M. A., Quadvlieg, L., van den Hof-Boering, M., de Jong, E. I. F., & Nieuwenhuijze, M. J. (2024). The extent of implementation and perceptions of maternity and social care professionals about two interprofessional programs for care for pregnant women: a mixed methods study. BMC Pregnancy and Childbirth, 24(1). https://doi.org/10.1186/s12884-024-06731-5
Howard, L. M., & Khalifeh, H. (2020). Perinatal mental health: a review of progress and challenges. World Psychiatry, 19(3), 313–327. https://doi.org/10.1002/wps.20769
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(1). https://doi.org/10.1186/s12884-025-08038-5
Jolivet, R. R., Gausman, J., Kapoor, N., Langer, A., Sharma, J., & Semrau, K. E. A. (2021). Operationalizing respectful maternity care at the healthcare provider level: A systematic scoping review. Reproductive Health, 18, 194. https://doi.org/10.1186/s12978-021-01241-5
Kementerian Kesehatan Republik Indonesia. (2020). Pedoman pelayanan antenatal terpadu (Edisi ke-3).
Kementerian Kesehatan Republik Indonesia. (2025). Profil kesehatan Indonesia tahun 2024.
Khatri, R. B., Mengistu, T. S., & Assefa, Y. (2022). Input, process, and output factors contributing to quality of antenatal care services: A scoping review of evidence. BMC Pregnancy and Childbirth, 22, 977. https://doi.org/10.1186/s12884-022-05331-5
Panjarwanto, D. A., Restalia, F., Indrawan, I. W. A., Utomo, R. P., & Permana, A. Y. (2024). The relationship between antenatal care quality and pregnancy outcomes: Systematic literature review. Jurnal Info Kesehatan, 22(4), 792–802. https://doi.org/10.31965/infokes.Vol22.Iss4.1595
Reeves, S., Pelone, F., Harrison, R., Goldman, J., & Zwarenstein, M. (2017). Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews, 2018(8). https://doi.org/10.1002/14651858.CD000072.pub3
Samosir, Y., & Sulistyaningsih. (2023). Interprofessional Collaboration Practices in Integrated ANC Services: Scoping Review. Poltekita: Jurnal Ilmu Kesehatan, 17(2), 445–458. https://ojs.polkespalupress.id/index.php/JIK/article/view/2488?articlesBySimilarityPage=31
Sangaleti, C., Schveitzer, M. C., Peduzzi, M., Zoboli, E. L. C. P., & Soares, C. B. (2017). Experiences and shared meaning of teamwork and interprofessional collaboration among health care professionals in primary health care settings: a systematic review. JBI Database of Systematic Reviews and Implementation Reports, 15(11), 2723–2788. https://doi.org/10.11124/JBISRIR-2016-003016
Seyoum, K. (2022). Determinants of antenatal care service satisfaction among women in Ethiopia: A systematic review and meta-analysis. Obstetrics and Gynecology International, 2022, 9527576. https://doi.org/10.1155/2022/9527576
Sirimsi, M. M., De Loof, H., Van den Broeck, K., De Vliegher, K., Van Royen, P., Pype, P., Driessens, K., Verté, E., Remmen, R., & Van Bogaert, P. (2023). Development of a toolkit to improve interprofessional collaboration and integration in primary care using qualitative interviews and co-design workshops. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1140987
Witti, M. J., Zottmann, J. M., Wershofen, B., Thistlethwaite, J. E., Fischer, F., & Fischer, M. R. (2023a). FINCA – a conceptual framework to improve interprofessional collaboration in health education and care. Frontiers in Medicine, 10. https://doi.org/10.3389/fmed.2023.1213300
World Health Organization. (2022). WHO recommendations on antenatal care for a positive pregnancy experience.
World Health Organization. (2025a). Trends in maternal mortality 2000 to 2023: Estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA/Population Division.
Yuliyanti, S., Utarini, A., & Trisnantoro, L. (2024). A mixed-method analysis of provider adherence to integrated antenatal care guideline in BEmONC and Non BEmONC primary health center: An Indonesian case. PLoS ONE, 19(8 August). https://doi.org/10.1371/journal.pone.0309454

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