Cent Eur J Nurs Midw 2021, 12(4):521-529 | DOI: 10.15452/cejnm.2021.12.0029

The utilization of maternal healthcare services during the COVID-19 pandemic in South Sulawesi, Indonesia

Erfina Erfina1, Kusrini Semarwati Kadar2, Suni Hariati3, Nurmaulid Nurmaulid1
1 Maternal Health Nursing Department, Faculty of Nursing, Universitas Hasanuddin, Makassar, Indonesia
2 Community Health and Family Nursing Department, Faculty of Nursing, Universitas Hasanuddin, Makassar, Indonesia
3 Paediatric Nursing Department, Faculty of Nursing, Universitas Hasanuddin, Makassar, Indonesia

Aim: The aim of this study was to evaluate the utilization of healthcare services for pregnant women during the COVID-19 pandemic in South Sulawesi, Indonesia.

Design: An analytical cross-sectional study. Methods: A group of 226 pregnant women completed the study questionnaire. The questionnaire was developed based on the basic health research questionnaire from the Ministry of Health, Indonesia, and the Navigating Pregnancy during the COVID-19 Pandemic article from UNICEF.

Results: Of the 226 pregnant women, 122 (54%) had poor knowledge related to COVID-19 and negative attitudes regarding health protocols for COVID-19 (79.6%). Most (n = 189; 83.6%) experienced anxiety; however, this did not affect their intention to use healthcare services. Utilization of antenatal care services during the pandemic was associated with antenatal care visiting behavior (p = 0.000) and access to healthcare services (p = 0.000). The most significant predictor of utilization of antenatal care services during the pandemic was antenatal care visiting behavior (p = 0.002; OR = 5.904).

Conclusion: These findings provide important information on maternal healthcare provision during the pandemic in Indonesia.

Keywords: antenatal care, COVID-19, maternal healthcare, utilization

Received: February 4, 2021; Revised: August 4, 2021; Accepted: September 18, 2021; Prepublished online: October 9, 2021; Published: December 7, 2021  Show citation

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Erfina E, Kadar KS, Hariati S, Nurmaulid N. The utilization of maternal healthcare services during the COVID-19 pandemic in South Sulawesi, Indonesia. Central European Journal of Nursing and Midwifery. 2021;12(4):521-529. doi: 10.15452/cejnm.2021.12.0029.
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    References

    1. Addi, R. A., Benksim, A., & Cherkaoui, M. (2020). Pregnancy and COVID-19: what we need to know. Electronic Journal of General Medicine, 17(6), 2019-2020. https://doi.org/10.29333/ejgm/7891 Go to original source...
    2. Anikwe, C. C., Ogah, C. O., Anikwe, I. H., Okorochukwu, B. C., & Ikeoha, C. C. (2020). Coronavirus disease 2019: knowledge, attitude, and practice of pregnant women in a tertiary hospital in Abakaliki, southeast Nigeria. International Journal of Gynecology and Obstetrics, 151(2), 197-202. https://doi.org/10.1002/ijgo.13293 Go to original source... Go to PubMed...
    3. Ashish, K., Gurung, R., Kinney, M. V., Sunny, A. K., Moinuddin, M., Basnet, O., Paudel, P., Bhattarai, P., Subedi, K., Shrestha, M. P., Lawn, J. E., & Målqvist, M. (2020). Effect of the COVID-19 pandemic response on intrapartum care, stillbirth, and neonatal mortality outcomes in Nepal: a prospective observational study. The Lancet Global Health, 8(10), e1273-e1281. https://doi.org/10.1016/S2214-109X(20)30345-4 Go to original source... Go to PubMed...
    4. Busch-Hallen, J., Walters, D., Rowe, S., Chowdhury, A., & Arabi, M. (2020). Impact of COVID-19 on maternal and child health. The Lancet Global Health, 8(10), e1257. https://doi.org/10.1016/S2214-109X(20)30327-2 Go to original source... Go to PubMed...
    5. Corbett, G. A., Milne, S. J., Hehir, M. P., Lindow, S. W., & Oʼconnell, M. P. (2020). Health anxiety and behavioural changes of pregnant women during the COVID-19 pandemic. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 249, 96-97. https://doi.org/10.1016/j.ejogrb.2020.04.022 Go to original source... Go to PubMed...
    6. Culp, W. C. (2020). Coronavirus Disease 2019: in-home isolation room construction. A & A Practice, 14(6), e01218. https://doi.org/10.1213/xaa.0000000000001218 Go to original source... Go to PubMed...
    7. Islam, M. M., & Masud, M. S. (2018). Determinants of frequency and contents of antenatal care visits in Bangladesh: assessing the extent of compliance with the WHO recommendations. PLoS ONE, 13(9), 1-22. https://doi.org/10.1371/journal.pone.0204752 Go to original source... Go to PubMed...
    8. Kementrian Kesehatan Republik Indonesia. (2018). Riset Kesehatan Dasar 2018 [Basic Health Research Report 2018]. Retrieved from http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf.
    9. Kementrian Kesehatan Republik Indonesia. (2020). Pedoman bagi ibu hamil, ibu nifas, dan bayi baru lahir di era pandemi Covid-19 [Guidelines for pregnant mother, post-partum mother, and newborn baby in pandemic Covid-19]. Retrieved from https://covid19.kemkes.go.id/protokol-covid-19/pedoman-bagi-ibu-hamil-ibu-nifas-dan-bbl-selama-social-distancing
    10. Kimani, R. W., Maina, R., Shumba, C., & Shaibu, S. (2020). Maternal and newborn care during the COVID-19 pandemic in Kenya: re-contextualising the community midwifery model. Human Resources for Health, 18(1), 75. http://10.0.4.162/s12960-020-00518-3 Go to original source... Go to PubMed...
    11. Lee, R. W. K., Ling, L. S., Liying, Y., Chan, J. K. Y., & Kok, T. L. (2020). Attitude and perceptions towards COVID-19 among pregnant women in Singapore : a cross-sectional survey. Reseacrh Square, 1-17. https://doi.org/10.21203/rs.3.rs-67288/v1 Go to original source...
    12. Lemeshow, S., Hosmer Jr, D. W., Klar, J., & Lwanga, S. K. (1997). Adequacy of sample size in health studies. John Wiley & Sons.
    13. Luo, Y., & Yin, K. (2020). Management of pregnant women infected with COVID-19. The Lancet Infectious Diseases, 20(5), 513-514. https://doi.org/10.1016/S1473-3099(20)30191-2 Go to original source... Go to PubMed...
    14. Mahajan, H., & Sharma, B. (2014). Utilization of maternal and child health care services by primigravida females in urban and rural areas of India. International Scholarly Research Notices, 2014, Article ID 123918. https://doi.org/10.1155/2014/123918 Go to original source... Go to PubMed...
    15. Menendez, C., Gonzalez, R., Donnay, F., & Leke, R. (2020). Avoiding indirect effects of COVID-19 on maternal and child health. The Lancet Global health, 8(7), e863-e864. https://doi.org/10.1016/S2214-109X(20)30239-4 Go to original source... Go to PubMed...
    16. Moore, N., Blouin, B., Razuri, H., Casapia, M., & Gyorkos, T. W. (2017). Determinants of first trimester attendance at antenatal care clinics in the Amazon region of Peru: a case-control study. PLoS ONE, 12(2), 1-14. https://doi.org/10.1371/journal.pone.0171136 Go to original source... Go to PubMed...
    17. Murray, S., & McKinney, E. (2017). Foundations of maternal-newborn and women's health nursing (6th ed). Elsevier Health Sciences.
    18. Nuamah, G. B., Agyei-Baffour, P., Mensah, K. A., Boateng, D., Quansah, D. Y., Dobin, D., & Addai-Donkor, K. (2019). Access and utilization of maternal healthcare in a rural district in the forest belt of Ghana. BMC Pregnancy and Childbirth, 19(1), 1-11. https://doi.org/10.1186/s12884-018-2159-5 Go to original source... Go to PubMed...
    19. Rasmussen, A. S., & Jamieson, J. D. (2020). Caring for women who are planning a pregnancy, pregnant or postpartum during the COVID-19 pandemic. JAMA, 324(2), 190-191. https://doi.org/10.1001/jama.2020.8883 Go to original source... Go to PubMed...
    20. Roberton, T., Carter, E. D., Chou, V. B., Stegmuller, A. R., Jackson, B. D., Tam, Y., Sawadogo-Lewis, T., & Walker, N. (2020). Early estimates of the indirect effects of the COVID-19 pandemic on maternal and child mortality in low-income and middle-income countries: a modelling study. The Lancet Global Health, 8(7), e901-e908. https://doi.org/10.1016/S2214-109X(20)30229-1 Go to original source... Go to PubMed...
    21. Satuan Tugas Penanganan COVID-19 Indonesia. (2020). Peta Sebaran COVID-19 [COVID-19 Mapping]. Retrieved from https://covid19.go.id/peta-sebaran
    22. Stein, D., Kevin Ward, & Cantelmo, C. (2020). Estimating the potential impact of covid-19 on mothers and newborns in low- and middle-income countries. Health Policy Plus. Retrieved from. https://healthpolicyplus.medium.com/estimating-the-potential-impact-of-covid-19-on-mothers-and-newborns-in-low-and-middle-income-3a7887e4a0ff
    23. UNICEF. (2020). Navigating pregnancy during the COVID-19 pandemic. Retrieved from https://www.unicef.org/coronavirus/navigating-pregnancy-during-coronavirus-disease-covid-19-pandemic
    24. World Health Organization. (2020a). Coronavirus and pregnancy - preserving maternal health across the European Region. Retrieved from https://www.euro.who.int/en/health-topics/Life-stages/maternal-and-newborn-health/news/news/2020/6/coronavirus-and-pregnancy-preserving-maternal-health-across-the-european-region
    25. World Health Organization. (2020b). Report of the WHO-China joint mission on Coronavirus Disease 2019 (COVID-19) Retrieved from https://www.who.int/publications/i/item/report-of-the-who-china-joint-mission-on-coronavirus-disease-2019-(covid-19).
    26. Wu, H., Sun, W., Huang, X., Yu, S., Wang, H., Bi, X., Sheng, J., Chen, S., Akinwunmi, B., Zhang, C., & Ming, W. K. (2020). Online antenatal care during the COVID-19 pandemic: opportunities and challenges. Journal of Medical Internet Research, 22(7), e19916. https://doi.org/10.2196/19916 Go to original source... Go to PubMed...
    27. You, H., Yu, T., Gu, H., Kou, Y., Xu, X. P., Li, X. L., Cui, N., & Bai, L. (2019). Factors associated with prescribed antenatal care utilization: a cross-sectional study in Eastern Rural China. Inquiry (United States), 56. https://doi.org/10.1177/0046958019865435 Go to original source... Go to PubMed...
    28. Zhao, Q., Kulane, A., Gao, Y., & Xu, B. (2009). Knowledge and attitude on maternal health care among rural-to-urban migrant women in Shanghai, China. BMC Women's Health, 9, 1-8. https://doi.org/10.1186/1472-6874-9-5 Go to original source... Go to PubMed...

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