Provision of maternal health service in Indonesian primary care during the COVID-19 pandemic

Ekawati, Fitriana M. and Putri, Dwi Astuti Dharma and Novitasari, Dhiana Ayu and Muchlis, Mumtihana (2023) Provision of maternal health service in Indonesian primary care during the COVID-19 pandemic. JOURNAL OF FAMILY MEDICINE AND PRIMARY CARE, 12 (7). pp. 1320-1330. ISSN 2249-4863

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Abstract

Background:Maternal health services in Indonesia faced significant challenges during the COVID-19 pandemic. The service had to manage the infection and ensure the continuity of maternity service for women. This research explored in depth the way maternal health service was provided in Indonesia during the COVID-19 pandemic and provided suggestions to improve the service in primary care.Methods:We conducted a practical qualitative study using semi-structured interviews and focus groups (FGs) between May and October 2021, with the focus area of study in Yogyakarta province. The participants were general practitioners (GPs), midwives, nurses, obstetricians, and women who had experience providing or accessing maternity care during the pandemic. The data were analysed using an inductive approach of thematic analysis.Results:A total of 23 participants participated in the FGs/interviews. Three overarching themes were identified: applied COVID safety measures, confusion and further expectations. COVID-19 safety measures, such as screening, hygiene and triage, were applied in the service. However, challenges and confusion occurred, particularly regarding the limited clinical resources, limited guidelines and escalation plan and patients' low literacy levels. Participants also expected the development of mobile apps to support care for women.Conclusion:Despite the classical challenges in primary care practice, Indonesia implemented strategies to provide maternity care and limit the spread of COVID-19 infection. Continuous improvements and further research are needed to provide practical recommendations and escalation plans to optimise the quality of maternity service in primary care.

Item Type: Article
Uncontrolled Keywords: COVID-19 pandemic; Indonesia; maternal health; primary care; qualitative interview
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Faculty of Medicine, Public Health and Nursing > Public Health and Nutrition
Depositing User: Ngesti Gandini
Date Deposited: 13 Aug 2024 02:25
Last Modified: 13 Aug 2024 02:25
URI: https://ir.lib.ugm.ac.id/id/eprint/3640

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