Evidence map›Paper›PMID 36927532›Full record

ArticleBMC pregnancy and childbirth2023

Exploring the antenatal care challenges faced during the COVID-19 pandemic in rural areas of Indonesia: a qualitative study.

Mekar Dwi Anggraeni, Rahmi Setiyani, Endang Triyanto, Asep Iskandar, Desiyani Nani, Amin Fatoni

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Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mekar Dwi AnggraeniNursing Department, Faculty of Health Sciences, Universitas Jenderal Soedirman, Purwokerto, Indonesia. mekar.anggraeni@unsoed.ac.id.
Rahmi SetiyaniNursing Department, Faculty of Health Sciences, Universitas Jenderal Soedirman, Purwokerto, Indonesia.
Endang TriyantoNursing Department, Faculty of Health Sciences, Universitas Jenderal Soedirman, Purwokerto, Indonesia.
Asep IskandarNursing Department, Faculty of Health Sciences, Universitas Jenderal Soedirman, Purwokerto, Indonesia.
Desiyani NaniNursing Department, Faculty of Health Sciences, Universitas Jenderal Soedirman, Purwokerto, Indonesia.
Amin FatoniChemistry Department, Faculty of Sciences, Universitas Jenderal Soedirman, Purwokerto, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe COVID-19 pandemic affected almost all healthcare services in Indonesia, including antenatal care (ANC). Pregnant women were a vulnerable group during the pandemic since the Indonesian government's policies at the time influenced the delivery of ANC services, particularly in rural areas. Investigating the ANC challenges faced during the pandemic from the perspectives of pregnant women and healthcare providers is important for our understanding of ANC provision. This study, therefore explores barriers to ANC appointments faced during the COVID-19 pandemic in rural areas of Indonesia from the perspectives of pregnant women and health care providers.

methodsThis was a qualitative exploratory descriptive study involving 31 participants, consisting of 25 pregnant women and six healthcare providers who were selected via a purposive sampling method. Thadeus and Maine's Three Delays Model was used as the theoretical framework. Data were collected between March and August 2021, through two focus group discussions (FGDs), ten in-depth interviews, and field notes. Data were analyzed using a thematic analysis method.

resultsThree themes describing barriers to ANC during the COVID-19 pandemic in rural areas of Indonesia emerged from this study. Those themes were: (1) The fear of being infected with COVID-19, related to anxiety, perceived vulnerability, and the desire to protect oneself and loved ones; (2) The stay-at-home policy, related to transport barriers and restricted social activity; and (3) Re-designed ANC services, related to ANC adjustments, high-risk pregnancies, insufficient information, and adherence to COVID-19 preventive behaviors.

conclusionBased on the Three Delays Model, several challenges to carrying out ANC during the COVID-19 pandemic in rural areas of Indonesia were identified. These findings demonstrate the need to formulate and implement ANC packages to facilitate pregnant women's access to health care services.

Indexed as

COVID-19Prenatal CareFemaleHumansIndonesiaPandemicsPregnancyPregnant PeopleQualitative ResearchAntenatal careCOVID-19IndonesiaPregnancyRural areas

Identifiers

PMID36927532
PMCPMC10018858

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