Barriers and facilitators to the provision of maternal health services at community health centers during the COVID-19 pandemic: Experiences of midwives in Indonesia

H Herwansyah*, Katarzyna Czabanowska, Peter Schröder-Bäck, Stavroula Kalaitzi

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Objective: To explore the experiences of midwives in Indonesia on the provision of maternal health ser-
vices during the COVID-19 pandemic.
Design and methods: A qualitative descriptive study using focus group discussions was undertaken. A
conventional content analysis was used to analyze the data. Coding categories were generated from the
Setting and participants: Twenty-two midwives from five community health centers of three regions in
the Province of Jambi, Indonesia were included.
Findings: The interviewees shared similar barriers and facilitators in delivering the services, including
the unavailability of adequate protective equipment, the limitation of the number of services, and deal-
ing with the new public health measures related to the COVID-19. Overall, midwives demonstrated a
continued commitment to provide maternal health services during the pandemic.
Key conclusions and implications for practice: Significant changes in service delivery have been made to
comply with pandemic related restrictions. Despite the unprecedentedly difficult working environment,
the midwives continue to provide adequate services to the community by implementing a strict health
protocol. Findings from this study contribute to a better understanding of how the quality of the services
changed, as well as how new challenges can be addressed and positive changes can be reinforced
Original languageEnglish
Article number103713
Publication statusPublished - 4 May 2023

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