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Journal : Gaster

Midwives’ Experiences in Providing Maternal Health Services during the COVID-19 Pandemic: A Qualitative Study at Sedayu I Primary Health Centre Rodliah Rosyad, Shelly; Astuti, Andari Wuri; Hidayat, Asri; Astuti, Dhesi Ari
Gaster Vol 23 No 2 (2025): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i2.1888

Abstract

Background During the COVID-19 pandemic, midwives experienced increased physical and emotional fatigue, elevating their risk of burnout and potentially impacting the quality of maternal healthcare services. Objective This study aimed to explore midwives’ lived experiences in delivering antenatal and childbirth care during the COVID-19 pandemic. Methods A qualitative study was conducted using a phenomenological approach. Seven midwives from Sedayu I Primary Health Centre were selected through purposive sampling. One-on-one in-depth interviews were carried out using an interview guide, audio recording, and field notes. Data were analyzed using Colaizzi’s thematic analysis method. Ethical approval was obtained from the Research Ethics Committee of Universitas ‘Aisyiyah Yogyakarta. Results Five major themes emerged: (1) psychological conditions, including anxiety and preparedness; (2) service changes during the pandemic, encompassing antenatal care, childbirth, and adaptation to new health protocols; (3) constraints, such as challenges in PPE usage and referral systems; (4) internal and external support systems; and (5) needs and expectations, including human resource support and access to updated information. Conclusion This study offers valuable insights into the challenges and adaptations experienced by midwives during the COVID-19 pandemic. Findings highlight the importance of integrating midwives’ experiences into healthcare system planning and policy formulation for future pandemic preparedness and maternal service resilience.
The Midwives’ Roles in Community-Based Stunting Prevention: A Qualitative Study in Primary Health Services Aryudaningrum, Nastiti; Hidayat, Asri; Kurniawati, Herlin Fitriani
Gaster Vol 23 No 2 (2025): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i2.1932

Abstract

Background Stunting remains a major public health concern in many low- and middle-income countries, with long-term consequences for cognitive development, educational achievement, and economic productivity. Midwives, particularly in decentralized health systems like posyandu in Indonesia, play a vital role in early prevention efforts. However, limited research has explored their contextualized contributions within community-based health services. Objective This study aimed to explore the strategic roles of midwives in preventing stunting, focusing on their functions as healthcare providers, educators, and community facilitators. Methods A qualitative phenomenological study was conducted involving six community midwives selected via purposive sampling. Data were collected through semi-structured in-depth interviews and analyzed thematically. Triangulation was performed using additional informants including coordinating midwives, nutritionists, and community health workers. Results Four primary themes emerged: (1) midwifery care in stunting prevention; (2) community engagement and educational activities; (3) communication and health promotion strategies; and (4) identification of local health issues. Midwives were actively involved in growth monitoring, nutrition counseling, home visits, and cross-sectoral collaboration. Challenges included low community participation, persistent stigma, and limited awareness about stunting. Conclusion Community midwives play a strategic role in stunting prevention through education, early detection, and collaborative community engagement. Strengthening their communication skills, cultural competence, and integration with local stakeholders is essential for optimizing the impact of stunting prevention programs and ensuring sustainable public health outcomes.