Evidence map›Paper›PMID 38253458›Full record

ArticleBMJ open2024

Essential healthcare services during the COVID-19 pandemic: a cross-sectional study of community needs and perspectives in West Java, Indonesia.

Gita Kusnadi, Emma Fletcher, Aufia Espressivo, Nisaatul Maharanita Fitrianingrum, Muhammad Anugrah Saputra, Nabilla Sophiarany, Febriansyah Soebagio

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Gita KusnadiCenter for Indonesia's Strategic Development Initiatives, Jakarta Pusat, Indonesia gita.kusnadi@cisdi.org.ORCID 0000-0001-9740-2257
Emma FletcherCenter for Indonesia's Strategic Development Initiatives, Jakarta Pusat, Indonesia.
Aufia EspressivoCenter for Indonesia's Strategic Development Initiatives, Jakarta Pusat, Indonesia.
Nisaatul Maharanita FitrianingrumCenter for Indonesia's Strategic Development Initiatives, Jakarta Pusat, Indonesia.
Muhammad Anugrah SaputraCenter for Indonesia's Strategic Development Initiatives, Jakarta Pusat, Indonesia.
Nabilla SophiaranyCenter for Indonesia's Strategic Development Initiatives, Jakarta Pusat, Indonesia.
Febriansyah SoebagioCenter for Indonesia's Strategic Development Initiatives, Jakarta Pusat, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWhile issues in healthcare facilities during the COVID-19 pandemic have been widely discussed, little is known about health service issues from community (demand) sides. This study aimed to identify community needs in the utilisation of health services and highlight the key roles and barriers that community health workers (CHWs) face in delivering community-based services during the pandemic.

designCross-sectional study.

setting38 randomly selected villages covered by 21 preidentified community health centres in 3 districts in West Java, Indonesia. The survey was conducted from 22 January 2022 to 7 February 2022 (2 years after the pandemic began).

participants118 respondents, consisting of community leaders, vulnerable group representatives and CHWs.

resultsLaboratory examination (55.1%), emergency care (52.5%), non-communicable disease screening (50%) and routine treatment (49.2%) were perceived as the highest unmet needs of essential healthcare services. Fear of infection (90.3%) became one main barrier to access healthcare services. Vulnerable populations including lower socioeconomic groups (61.2%), households with elderly (25.4%), persons with disabilities (25.4%), pregnant women, people with mental illness and people with lower education (26.9%) were reported facing difficulties in accessing healthcare services. Further, the pandemic was deemed to have significantly impacted the community economic situation (91.5%). CHWs were actively engaged in community-based services and were mentioned as the first contact when the community needed help (57.6%). CHWs reported essential needs on financial support (45.2%), logistics (54.8%) and protective equipment (22.6%).

conclusionsEssential health services for the community, including those belonging to vulnerable groups, were highly impacted during the pandemic. CHWs appear to have significant roles in delivering health services during this health crisis, hence, adequate support is needed to equip them in strengthening pandemic response.

Indexed as

COVID-19AgedCross-Sectional StudiesDelivery of Health CareFemaleHumansIndonesiaPandemicsPregnancyCOVID-19Primary CarePrimary Health Care

Identifiers

PMID38253458
PMCPMC10806686

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.