Indonesian midwives' perspectives on changes in the provision of maternity care during the COVID-19 pandemic: A qualitative study.

Hazfiarini, A; Zahroh, RI; Akter, S; Homer, CSE; Bohren, MA

Indonesian midwives' perspectives on changes in the provision of maternity care during the COVID-19 pandemic: A qualitative study.

Hazfiarini, A Zahroh, RI Akter, S Homer, CSE Bohren, MA

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Midwifery, 2022, 108, pp. 1-10
Issue Date:: 2022-05

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Field	Value	Language
dc.contributor.author	Hazfiarini, A
dc.contributor.author	Zahroh, RI
dc.contributor.author	Akter, S
dc.contributor.author	Homer, CSE
dc.contributor.author	Bohren, MA
dc.date.accessioned	2022-11-14T04:17:45Z
dc.date.available	2022-02-20
dc.date.available	2022-11-14T04:17:45Z
dc.date.issued	2022-05
dc.identifier.citation	Midwifery, 2022, 108, pp. 1-10
dc.identifier.issn	0266-6138
dc.identifier.issn	1532-3099
dc.identifier.uri	http://hdl.handle.net/10453/163443
dc.description.abstract	OBJECTIVE: To explore how COVID-19 influenced the provision of high-quality maternity care in Indonesia. DESIGN AND METHODS: A qualitative descriptive study using in-depth interviews was undertaken. Thematic analysis was used to analyse data, and behaviour change frameworks (Theoretical Domain Framework (TDF) and Capability, Opportunity, and Motivation (COM-B)) were used to identify and map facilitators and barriers influencing maternity care provision during the COVID-19 pandemic. SETTING AND PARTICIPANTS: Fifteen midwives working in community maternity care facilities in Surabaya and Mataram, Indonesia were included. Surabaya is in western Indonesia, with around 56,000 births per year and a population of around 3 million. Mataram is in eastern Indonesia, with around 7,000 births per year and a population of around 500,000. FINDINGS: The main changes to maternity care provision during the COVID-19 pandemic were reduced frequency of antenatal and postpartum care visits, reduced support for women, including unavailability of maternity care and reduced number of antenatal care and labour companions, changes in location of provision of care, and public health changes related to COVID-19. The main factors influencing the provision of high-quality maternity care during the COVID-19 pandemic were behavioural regulation, professional role and identity, and environmental context and resources. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Maternity care provision underwent substantial changes during the COVID-19 pandemic in Indonesia. Findings from this study can contribute to better understanding of how maternity care provision changed during the pandemic, and how positive changes can be reinforced, and negative changes can be addressed.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	Midwifery
dc.relation.isbasedon	10.1016/j.midw.2022.103291
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing, 1114 Paediatrics and Reproductive Medicine, 1117 Public Health and Health Services
dc.subject.classification	Nursing
dc.subject.mesh	COVID-19
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Indonesia
dc.subject.mesh	Maternal Health Services
dc.subject.mesh	Midwifery
dc.subject.mesh	Pandemics
dc.subject.mesh	Pregnancy
dc.subject.mesh	Qualitative Research
dc.subject.mesh	COVID-19
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Indonesia
dc.subject.mesh	Maternal Health Services
dc.subject.mesh	Midwifery
dc.subject.mesh	Pandemics
dc.subject.mesh	Pregnancy
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Humans
dc.subject.mesh	Midwifery
dc.subject.mesh	Pregnancy
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Maternal Health Services
dc.subject.mesh	Indonesia
dc.subject.mesh	Female
dc.subject.mesh	Pandemics
dc.subject.mesh	COVID-19
dc.title	Indonesian midwives' perspectives on changes in the provision of maternity care during the COVID-19 pandemic: A qualitative study.
dc.type	Journal Article
utslib.citation.volume	108
utslib.location.activity	Scotland
utslib.for	1110 Nursing
utslib.for	1114 Paediatrics and Reproductive Medicine
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Strength - WHO CC
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2022-11-14T04:17:33Z
pubs.publication-status	Published
pubs.volume	108

Abstract:

OBJECTIVE: To explore how COVID-19 influenced the provision of high-quality maternity care in Indonesia. DESIGN AND METHODS: A qualitative descriptive study using in-depth interviews was undertaken. Thematic analysis was used to analyse data, and behaviour change frameworks (Theoretical Domain Framework (TDF) and Capability, Opportunity, and Motivation (COM-B)) were used to identify and map facilitators and barriers influencing maternity care provision during the COVID-19 pandemic. SETTING AND PARTICIPANTS: Fifteen midwives working in community maternity care facilities in Surabaya and Mataram, Indonesia were included. Surabaya is in western Indonesia, with around 56,000 births per year and a population of around 3 million. Mataram is in eastern Indonesia, with around 7,000 births per year and a population of around 500,000. FINDINGS: The main changes to maternity care provision during the COVID-19 pandemic were reduced frequency of antenatal and postpartum care visits, reduced support for women, including unavailability of maternity care and reduced number of antenatal care and labour companions, changes in location of provision of care, and public health changes related to COVID-19. The main factors influencing the provision of high-quality maternity care during the COVID-19 pandemic were behavioural regulation, professional role and identity, and environmental context and resources. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Maternity care provision underwent substantial changes during the COVID-19 pandemic in Indonesia. Findings from this study can contribute to better understanding of how maternity care provision changed during the pandemic, and how positive changes can be reinforced, and negative changes can be addressed.

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http://hdl.handle.net/10453/163443