Service Quality and Antenatal Care Visit Frequency at Klinik Utama Kehamilan Sehat in Bandung and Jakarta: A Comparative Cross-Sectional Study
Downloads
Perceived service quality may influence the use of antenatal care services. This comparative cross-sectional study compared perceived service quality and antenatal care visit frequency at Klinik Utama Kehamilan Sehat (KUKS) Jalan Peta, Bandung, and KUKS Duren Sawit, Jakarta. A total of 400 pregnant women were recruited, comprising 200 participants from each clinic. Perceived service quality was measured using a 26-item SERVQUAL-based questionnaire. Service-quality scores were compared using the Mann–Whitney U test, visit-frequency categories using the chi-square test, and dimension-specific associations using multiple linear regression. Overall service-quality scores were higher in Bandung than in Jakarta (97.92% vs. 90.42%; all SERVQUAL dimensions, p < 0.001). The proportion of participants reporting three or more antenatal care visits did not differ between Bandung and Jakarta (68.0% vs. 67.5%; p = 0.915). In Bandung, tangibles were negatively associated with visit frequency (B = −0.303; p = 0.018), whereas assurance was positively associated (B = 0.562; p = 0.023). In Jakarta, the overall regression model was not significant (p = 0.118). Perceived service quality was high at both clinics but higher in Bandung. Antenatal care visit frequency may be influenced by factors beyond perceived service quality, supporting branch-specific quality-improvement strategies.
Abdus-salam, R., Adeniyi, A., & Bello, F. (2021). Antenatal Clinic Waiting Time, Patient Satisfaction, and Preference for Staggered Appointment–A Cross-Sectional Study. Journal of Patient
Experience, 8.
https://doi.org/10.1177/23743735211060802
Alharbi, M. F. (2023). Patients’ experience of service quality in government and private hospitals in the Qassim Region, Kingdom of Saudi Arabia. Journal of Medicine and Life, 16(11), 1622–1627.
https://doi.org/10.25122/jml-2023-0184
Ali, J., Jusoh, A., Idris, N., & Nor, K. M. (2024). Healthcare service quality and patient satisfaction: A conceptual framework. International Journal of Quality and Reliability Management, 41(2), 608–627. https://doi.org/10.1108/IJQRM-04-2022-0136
Alibrandi, A., Gitto, L., Limosani, M., & Mustica, P. F. (2023). Patient satisfaction and quality of hospital care. Evaluation and Program Planning, 97, 102251. https://doi.org/10.1016/j.evalprogplan.2023.102251
Almutairi, G., Alshmrani, L. S., Alomairi, R. M., Alotaibi, M. S., Alhumaidi, N. H., Alotaibi, R. M., Aljebeli, S. M., Alarfaj, S. A., Alhenaki, S. A., Albedah, B. A., & Alhomaid, T. A. (2024). Assessment of pregnant women’s satisfaction with the model of care initiative: Antenatal care services at primary health care centers in the Qassim Health Cluster, Saudi Arabia. Cureus, 16(12), e76383. https://doi.org/10.7759/cureus.76383
Ayalew, M. M., Nebeb, G. T., Bizuneh, M. M., & Dagne, A. H. (2021). Women’s Satisfaction and Its Associated Factors with Antenatal Care Services at Public Health Facilities: A Cross-Sectional Study. International Journal of Women’s Health, Volume 13, 279–286. https://doi.org/10.2147/IJWH.S293725
Baron, J. C., & Kaura, D. (2021). Perspectives on waiting times in an antenatal clinic: A case study in the Western Cape. Health SA Gesondheid, 26. https://doi.org/10.4102/hsag.v26i0.1513
Bekele, G. G., Seifu, B., & Roga, E. Y. (2023). Determinants of maternal satisfaction with focused antenatal care services rendered at public health facilities in the West Shewa Zone, Central Ethiopia: A multicentre cross-sectional study. Frontiers in Global Women’s Health, 3. https://doi.org/10.3389/fgwh.2022.902876
Bergh, K., Bishu, S., & Taddese, H. B. (2022). Identifying the determinants of patient satisfaction in the context of antenatal care in Kenya, Tanzania, and Malawi using service provision assessment data. BMC Health Services Research, 22, 746.
https://doi.org/10.1186/s12913-022-08085-0
Chen, L.-H., Chen, C.-H., Loverio, J. P., Wang, M.-J. S., Lee, L.-H., & Hou, Y.-P. (2024). Examining soft and hard attributes of health care service quality and their impacts on patient satisfaction and loyalty. Quality Management in Health Care, 33(3), 176–191.
https://doi.org/10.1097/QMH.0000000000000420
Duc Thanh, N., My Anh, B. T., Xiem, C. H., Quynh Anh, P., Tien, P. H., Thi Phuong Thanh, N., Huu Quang, C., Ha, V. T., & Thanh Hung, P. (2022). Patient Satisfaction With Healthcare Service Quality and Its Associated Factors at One Polyclinic in Hanoi, Vietnam. International Journal of Public Health, 67.
https://doi.org/10.3389/ijph.2022.1605055
Endeshaw, B. (2021). Healthcare service quality-measurement models: A review. Journal of Health Research, 35(2), 106–117.
https://doi.org/10.1108/JHR-07-2019-0152
Hibusu, L., Sumankuuro, J., Gwelo, N. B., & Akintola, O. (2024). Pregnant women’s satisfaction with the quality of antenatal care and the continued willingness to use health facility care in Lusaka district, Zambia. BMC Pregnancy and Childbirth, 24, 20.
https://doi.org/10.1186/s12884-023-06181-5
Hussen, M. A., & Worku, B. T. (2022). Quality of Antenatal Care Service and Factors Associated with Client Satisfaction at Public Health Facilities of Bele Gasgar District. Journal of Patient Experience, 9.
https://doi.org/10.1177/23743735221083163
Jonkisz, A., Karniej, P., & Krasowska, D. (2022). The Servqual Method as an Assessment Tool of the Quality of Medical Services in Selected Asian Countries. International Journal of Environmental Research and Public Health, 19(13), 7831.
https://doi.org/10.3390/ijerph19137831
Kebede, D. B., Belachew, Y. B., Selbana, D. W., & Gizaw, A. B. (2020). Maternal Satisfaction with Antenatal Care and Associated Factors among Pregnant Women in Hossana Town. International Journal of Reproductive Medicine, 2020, 1–8.
https://doi.org/10.1155/2020/2156347
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(1), 977.
https://doi.org/10.1186/s12884-022-05331-5
Li, Y., Li, H., & Jiang, Y. (2023). Factors influencing maternal healthcare utilization in Papua New Guinea: Andersen’s behaviour model. BMC Women’s Health, 23(1), 544. https://doi.org/10.1186/s12905-023-02709-1
Miller, P. A., Afulani, P. A., Musange, S., Sayingoza, F., & Walker, D. (2021). Person-centered antenatal care and associated factors in Rwanda: A secondary analysis of program data. BMC Pregnancy and Childbirth, 21, 290.
https://doi.org/10.1186/s12884-021-03747-z
Nguyen, N. X., Tran, K., & Nguyen, T. A. (2021). Impact of Service Quality on In-Patients’ Satisfaction, Perceived Value, and Customer Loyalty: A Mixed-Methods Study from a Developing Country. Patient Preference and Adherence, Volume 15, 2523–2538.
https://doi.org/10.2147/PPA.S333586
Sadiku, F., Bucinca, H., Talrich, F., Molliqaj, V., Selmani, E., McCourt, C., Rijnders, M., Little, G., Goodman, D. C., Rising, S. S., & Hoxha, I. (2024). Maternal satisfaction with group care: a systematic review. AJOG Global Reports, 4(1), 100301. https://doi.org/10.1016/j.xagr.2023.100301
Saetrum, A., Kaiser, S., & Martinussen, M. (2024). User satisfaction with antenatal care in Norway. Birth, 51(1), 89–97.
https://doi.org/10.1111/birt.12768
Shie, A.-J., Huang, Y.-F., Li, G.-Y., Lyu, W.-Y., Yang, M., Dai, Y.-Y., Su, Z.-H., & Wu, Y. J. (2022). Exploring the relationship between hospital service quality, patient trust, and loyalty from a service encounter perspective in elderly with chronic diseases. Frontiers in Public Health, 10, 876266.
https://doi.org/10.3389/fpubh.2022.876266
Sserwanja, Q., Nuwabaine, L., Gatasi, G., Wandabwa, J. N., & Musaba, M. W. (2022). Factors associated with utilization of quality antenatal care: a secondary data analysis of Rwandan Demographic Health Survey 2020. BMC Health Services Research, 22(1), 812. https://doi.org/10.1186/s12913-022-08169-x
Ubery, Y. F., & Ernawaty, E. (2024). Determinants of patient loyalty: A systematic review. MAHESA: Malahayati Health Student Journal, 4(9), 4127–4147.
https://doi.org/10.33024/mahesa.v4i9.15612
World Health Organization. (2020). Quality health services: a planning guide. World Health Organization, (July), 1–48.
https://www.who.int/news-room/fact-sheets/detail/quality-health-services
Copyright (c) 2026 Johanes C. Mose, Muhardi, Titik Respati

This work is licensed under a Creative Commons Attribution 4.0 International License.
All Content should be original and unpublished.

