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Brian Sahar Afifah
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Nursing Public Health

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If dukun receive support from village funds, are they more likely to have motivation to find ways to prevent maternal and infant mortality? Brian Sahar Afifah; Fitriana Puspitarani; Arinawati; Hasanbasri, Mubasyisir
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v0i0.1623

Abstract

Objective: This paper explores traditional healers role in developing an indigenous health approach in the context of making pregnancy safer in remote areas, where cultural resources are more accessible as compared to those of professionals. Content: In some remote areas, the half-hearted participation of traditional birth attendants in partnership maternal care programs signifies a lack of government trust in indigenous midwives. Even though the government assumes responsibility to increase access to trained health workers for women who choose traditional midwives to give birth, it is unlikely that the dukuns have the same response. Therefore, local actors need to bring this into their policy agenda. In the presence of the local government's engagement with the indigenous health approach, the bottom-up proposed usage of village funds for birth assistance, cultural ceremony, and referral transport costs help dukuns work confidently with village leaders to assure the child and mother's safety. Under local village leaders cultural support, the traditional birth attendants are more likely to accept the support as credit for their cultural practice and prepare for potential complications of pregnant women who need hospital referral. Not only that, local birth practitioners will use their autonomy to build their indigenous systems as a parallel approach to achieve the common goal both from the government and the local indigenous community. As the Pencerah Nusantara Program alumni working in remote areas in Central Kalimantan, we reexamine the nature of an indigenous health entity, growing from the cultural traditions in responding to reproductive health and maternal care.
Obstetric telemedicine during COVID-19 pandemic: Experience from teman ibu telemedicine for strengthening antenatal care Brian Sahar Afifah; Dyah Krisnawati Satia Pratiwi
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Objective: This paper explores midwives’role in developing yoga and pregnancy online class in the context of making pregnancy safer during COVID-19 pandemic, where obstetric telemedicine is more accessible as compared to face to face antenatal care. Content: Almost all over the world, antenatal care is restricted during COVID-19 pandemic, this risk delaying the progress of overcoming the danger signs of pregnancy which can lead to maternal mortality. In Indonesia, 90% of independent practice midwife services are closed and the coverage of K4 midwifery services antenatal care services for pregnant women 4 times during pregnancy continues to decline. Midwives’ have a strategic role in strengthening midwifery services through obstetric telemedicine, remote midwifery services from health facilities through audio and video. The services provided include antenatal care, classes for pregnant women including communication, information and education (KIE) on healthy lifestyles, as well as KIE COVID-19, and prenatal gentle yoga online, so as to provide safe, effective services, and minimize the risk of COVID-19 transmission. Within a year of the pandemic, temaniibu telemedicine provided service approximately 1,064 pregnant women from various regions in Indonesia through the Zoom meeting application. Technical barriers were found from users such as unstable internet signals, internal obstacles is such as unaccustomed in using electronic medical records, and the lack of insurance service providers that cover obstetric telemedicine services. Therefore, it is necessary to develop an Electronic Medica Record (EMR) and sustainable technology, in collaboration with donor and academia. Furthermore, the future of obstetric telemedicine can be used to strengthen health services during pandemic, since it reduces transportation usage to reach obstetric services, reduce waiting time for obstetric patients, and reduce the risk of maternal complications and newborn emergencies.
Co-Authors Arinawati Dyah Krisnawati Satia Pratiwi Fitriana Puspitarani Hasanbasri, Mubasyisir