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Journal : Journal of Midwifery

Empowerment of Health Volunteers for Optimizing MCH and Family Planning (KB) Services During the COVID-19 Pandemic in Nagari Kambang Utara Yulizawati, Yulizawati; Syah, Nur Afrainin; Firdawati, Firdawati; Maputra, Yantri; Yulika, Marzatia; Afrah, Rahmayani; Lubis, Siska Ilannur; Aprila, Prety Zinta; Putri, Viorika Marsafa
Journal of Midwifery Vol. 9 No. 2 (2024): Published on Desember 2024
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.9.2.93-99.2024

Abstract

During the Covid-19 pandemic, there was a decrease in the availability of Maternal and Child Health (MCH) and contraceptive services, reduced access to services, and increased risk of infection for health workers. coverage of antenatal care, contraception and immunization has decreased significantly. Nagari Kambang Utara also experienced a decrease in the coverage of MCH services during the pandemic. Therefore, to support the recovery of maternal and child health services during the pandemic, health workers need to work together with cadres to reach all communities in order to get the health services they need. Empowering cadres is a step that is needed to help optimize maternal and child health services during the COVID-19 pandemic. The method of activities carried out is by using participatory methods from the target group, namely the health partners and the community of Nagari Kambang Utara. The activity began with conducting a workshop related to the formation of health cadres for the Nagari Kambang Utara. After the workshop was carried out, it was continued with data collection for cadres and training of health cadres in accordance with the work focus, namely cadres of pregnant women, maternity mothers, postpartum mothers, breastfeeding mothers, infant and toddler cadres and family planning cadres. The proposing team and partners agreed to work together to optimize the performance of health cadres by conducting cadre training and evaluation and agreed to carry out cooperation in the next 5 years. The results of this activity are expected to increase the achievement of MCH and family planning services and decrease MMR and IMR.
Quality and Women-Centered Care in Comprehensive Abortion Care (CAC) WHO 2024: Literature Review Yulizawati, Yulizawati; Mayasari, Shinta; Yulika, Marzatia; Pramawahyudi, Pramawahyudi; Qalbi, Tajri Syayidil; Intasir, M. Pemberdi
Journal of Midwifery Vol. 10 No. 1 (2025): Published on June 2025
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.10.1.71-79.2025

Abstract

Abortion care is an integral component of women's reproductive health services. Comprehensive Abortion Care (CAC), as outlined by the WHO, emphasizes not only clinical safety but also women-centered care that respects women's rights, experiences, and autonomy. This literature review aims to synthesize current evidence on the quality of care and the implementation of women-centered care within CAC services. A literature review was conducted using PubMed and Semantic Scholar, focusing articles published between 2020 and 2025. Fourteen studies meeting the inclusion criteria were analyzed through thematic synthesis. The findings indicate that women's satisfaction with abortion and post-abortion services is strongly influenced by interpersonal aspects of care, including respectful communication, empathy, emotional support, and involvement in decision-making. While many health facilities demonstrate adequate technical quality, gaps persist in the consistent delivery of women-centered care due to system readiness, stigma, legal constraints, and variability in provider attitudes. Evidence from interventional studies suggests that structured person-centered care models can significantly improve women's care experiences. This review highlights that high-quality CAC extends beyond clinical outcomes and requires deliberate integration of women-centered principles into routine practice. Strengthening provider competencies and health system support is essential to ensure equitable, respectful, and meaningful abortion care.