The influence of knowledge, attitude, and perceived need on caesarean section intention among pregnant women in the National Health Insurance in Indonesia

Abstract

This study examined the relationships among factors that influence pregnant women intention to the caesarean section. We
integrate Health-Seeking Behaviour into the Theory of Planned Behaviour framework. The research design used a mix-method.
Quantitative research by a survey of 282 respondents and analyzed using Structural Equation Modeling. Qualitative research was
conducted through Focus Group Discussion with 14 experts and examined by Content Analysis. Findings of this study highlight
knowledge, attitude, subjective norms, perceived need, and perceived behavioural control were determinants of caesarean section
intention. Since the first trimester of pregnancy, the intention management intervention of pregnant women should carry out as a
business process of the National Health Insurance Program.