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Salah satu prioritas utama pembangunan kesehatan di Indonesia yaitu menurunkan angka kematian ibu. Di Kabupaten Agam jumlah kematian ibu pada tahun 2019 yaitu 7 kasus (94,2/100.000 kelahiran hidup). Upaya untuk
menurunkan angka kematian ibu yaitu dengan memberikan pelayanan antenatal
care yang berkualitas minimal 4 kali selama kehamilannya dengan standar 10T.
Penelitian ini dilakukan di Puskesmas Kabupaten Agam , bulan FebruariMaret 2020, menggunakan mix methode. Responden yang diteliti adalah ibu hamil
trimester III sebanyak 69 orang dan Informan penelitian sebanyak 20 orang. Data di analisis dengan menggunakan uji chi square dan regresi logistik ganda dengan analisa data univariat, bivariate dan multivariate dan untuk kualitatif melalui wawancara mendalam. Hasil penelitian menunjukkan faktor yang berhubungan dengan cakupan pelayanan antenatal care yaitu pendidikan (p value = 0,028), paritas (p value = 0,021), pengetahuan (p value = 0,000), sikap (p value = 0,016), jarak (p value = 0,007) dan dukungan suami (p value = 0,001), faktor umur tidak berhubungan dengan cakupan pelayanan antenatal dan factor yang paling berpengaruh adalah pengetahuan ibu (p value = 0,000). Sementara hasil kualitatif yaitu kebijakan mengacu pada kebijakan program dari Kementerian Kesehatan, jumlah tenaga dan sarana prasarana belum mencukupi, ketersediaan dana cukup tetapi pelaksanaan pelayanan antenatal care di Puskesmas Kabupaten Agam belum maksimal. Disimpulkan bahwa program pelaksanaan pelayanan antenatal care di Puskesmas Kabupaten Agam belum maksimal dan untuk meningkatkan pengetahuan serta dukungan yang diberikan suami pada ibu hamil yaitu melalui kegiatan Kelas Suami Peduli Istri (KSPI).

One of the main priorities in health development in Indonesia is to reduce maternal mortality. In Agam District the number of maternal deaths in 2019 was 7 cases (94.2 / 100,000 live births). Efforts to reduce maternal mortality is to
provide quality antenatal care services at least 4 times during pregnancy with a
10T standard. This research was conducted at the Community Health Center in Agam Regency, from February to March 2020, using a mix method. The respondents studied were 69 third trimester pregnant women and 20 research informants. The data were analyzed using chi square test and multiple logistic regression with univariate, bivariate and multivariate data analysis and in-depth interview for qualitative. The results of the study showed that factors related to antenatal care service training were education (p value = 0.028), parity (p value = 0.021), knowledge (p value = 0,000), attitude (p value = 0.016), distance (p value = 0.007) and husband's support (p = 0.001), age is not associated with antenatal care support and the most important factor is maternal knowledge (p = 0,000). While the qualitative results are policies approved in the policy program of the Ministry of Health, insufficient number of personnel and infrastructure, adequate funding but the implementation of antenatal services at the Agam District Health Center is not yet optimal. It was concluded that the implementation of antenatal care services program at the Agam District Health Center was not optimal and to increase the knowledge and support provided to pregnant women through the "Husband Caring Wife Class" (KSPI).