Indonesian midwives' perspectives on changes in the provision of maternity care during the COVID-19 pandemic: A qualitative study.
Indonesian midwives' perspectives on changes in the provision of maternity care during the COVID-19 pandemic: A qualitative study.
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DOI：
10.1016/j.midw.2022.103291
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发表时间：
2022-05
期刊：
影响因子：
2.7
通讯作者：
Bohren MA
中科院分区：
文献类型：
--
作者：
Hazfiarini A;Zahroh RI;Akter S;Homer CSE;Bohren MA
探讨COVID-19如何影响印度尼西亚提供高质量的孕产妇护理。采用深入访谈进行了定性描述性研究。使用主题分析来分析数据，并使用行为变化框架（理论领域框架（TDF）和能力，机会和动机（COM-B））来识别和绘制COVID-19大流行期间影响孕产妇护理提供的促进因素和障碍。其中包括在印度尼西亚泗水和马塔兰社区产妇护理机构工作的15名助产士。泗水位于印度尼西亚西部，每年约有56，000名新生儿，人口约300万。马塔兰位于印度尼西亚东部，每年约有7，000名新生儿，人口约为50万。COVID-19疫情期间，孕产妇护理服务的主要变化为产前及产后护理就诊频率减少、对女性的支持减少（包括无法获得孕产妇护理及产前护理及分娩陪伴人数减少）、提供护理的地点改变，以及与COVID-19相关的公共卫生变化。在COVID-19疫情期间，影响提供高质量孕产妇护理的主要因素为行为规范、专业角色及身份，以及环境背景及资源。在印度尼西亚的COVID-19疫情期间，孕产妇护理服务经历了重大变化。这项研究的结果有助于更好地了解在大流行期间孕产妇保健服务的变化，以及如何加强积极的变化，解决消极的变化。
To explore how COVID-19 influenced the provision of high-quality maternity care in Indonesia. 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. 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. 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. 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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DOI：
10.1016/j.wombi.2021.08.010
发表时间：
2022-05
期刊：
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影响因子：
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作者：
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影响因子：
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DOI：
10.1186/1748-5908-6-42
发表时间：
2011-04-23
期刊：
Implementation science : IS
影响因子：
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作者：
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DOI：
10.1186/s13012-017-0605-9
发表时间：
2017-06-21
期刊：
Implementation science : IS
影响因子：
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作者：
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Michie S
影响因子：
3.8
作者：
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