Lessons Learned on The Success of Accessing Antenatal Care During The COVID-19 Pandemic: A Qualitative Study From Patients' Perspectives

Arsyadila Nur Sabila(1), Merita Arini(2*)
(1) School of Medicine, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta
(2) 1. Department of Family Medicine and Community Medicine, School of Medicine, Faculty of Medicine and Health Science, Universitas Muhammadiyah Yogyakarta 2. Center of Sustainable Development Goals, Universitas Muhammadiyah Yogyakarta
(*) Corresponding Author
DOI : 10.30604/jika.v7i3.1069

Abstract

Coronavirus disease (COVID-19) impacted the disruption of overall health care services globally. In the early stage of the pandemic, the Indonesian government also recommended that pregnant women postpone their healthcare visits if they did not need a specific examination and/or emergency care. High-quality antenatal care (ANC) is critical for the mother's health and the fetus's welfare. This study aimed to explore pregnant women's experiences and perspectives during ANC visits during the COVID-19 pandemic. This study was qualitative descriptive research. The informants were five pregnant women after February 2020 and had at least one ANC at Kasihan I and II community health centers (CHC), Bantul, Province of Special Region of Yogyakarta. In-depth interviews were stopped when data saturation was reached. Despite several challenges and barriers, pregnant women still have received ANC following government guidelines during the pandemic with several adjustments. In-depth interviews revealed three major themes: (1) ANC examinations experiences; (2 joys and sorrows dealing with health service constraints; (3) factors influencing ANC visits. Albeit the existing obstacles, healthcare recipients can still manage to access the ANC. Innovation in healthcare services management and cross-sectoral collaboration is required to increase the quality and safety of ANC of CHC.

 

Abstrak: Penyakit virus corona (COVID-19) berdampak pada terganggunya keseluruhan layanan perawatan kesehatan secara global. Pada tahap awal pandemi, pemerintah Indonesia juga merekomendasikan ibu hamil untuk menunda kunjungan kesehatan jika tidak memerlukan pemeriksaan khusus dan/atau perawatan darurat. Perawatan antenatal (ANC) berkualitas tinggi sangat penting untuk kesehatan ibu dan kesejahteraan janin. Penelitian ini bertujuan untuk mengeksplorasi pengalaman dan perspektif ibu hamil terhadap kunjungan ANC selama pandemi COVID-19. Jenis penelitian ini merupakan penelitian deskriptif kualitatif. Informan adalah lima ibu hamil setelah Februari 2020 dan memiliki setidaknya satu kali kunjungan ANC di wilayah kerja Puskesmas Kasihan I dan II, Bantul, Provinsi Daerah Istimewa Yogyakarta. Wawancara mendalam dihentikan ketika dicapai saturasi data. Hasil penelitian ini menunjukkan bahwa meskipun menghadapi berbagai tantangan dan hambatan selama pandemi, wanita hamil masih mendapatkan ANC sesuai pedoman pemerintah dengan beberapa penyesuaian. Wawancara mendalam mengungkapkan tiga tema utama: (1) pengalaman pemeriksaan yang didapatkan; (2) suka duka selama pembatasan pelayanan kesehatan; (3) faktor-faktor yang mempengaruhi kunjungan ANC. Kesimpulan dalam penilitian ini, meskipun ada hambatan, penerima layanan kesehatan masih dapat mengelolanya untuk mengakses ANC. Inovasi manajemen pelayanan kesehatan dan kerjasama lintas sektor diperlukan untuk meningkatkan kualitas dan keamanan ANC Puskesmas.

Keywords


Pregnancy; antenatal care; COVID-19; maternal health; ibu hamil; pemeriksaan kehamilan; kesehatan ibu

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