Health Impact Assessment of Covid-19 Towards Maternal Health Care in West Jakarta

Abstract

Background:The Large-Scale Social Restriction Policy (PSBB) was implemented in DKI Jakarta to reduce the spread of COVID-19 due to its highest ranked case in Indonesia. A monitoring program for Maternal and Child Health (MCH) as well as Family Planning (FP) at Suku Dinas Kesehatan (Sudinkes) of West Jakarta was conducted during the pandemic. This study was done to describe the impact of the COVID-19 pandemic towards MCH and FP services, as a basis for policy analysis and recommendations for recovery or risk mitigation program on COVID-19. Subjects and Method: This is a mixedmethod study with deductive sequential design. Four indicators of the quantitative data was obtained from routine data on the Pulih Covid dashboard and analysed using SPSS version 26 become a control chart which was visualised into graphs, while the qualitative data was obtained to investigate the reasons of changing trends from quantitative data as the impact of COVID-19 on maternal health services using indepth interviews with responsible officers in Sudinkes of West Jakarta. Results: In the indicators of visiting pregnant women (K1 and K4), delivery process assisted by health personnel, and MCH services carried out at health facilities in West Jakarta were beyond the control showed by there were no direct points above or below the median line. As with the trend, the four data showed no trend and zigzag pattern starting from the third data (March 2018) to the 26 th data (January 2020) on the entire control chart. Conclusion: COVID-19 impacted the decrease number of pregnant women's visits, which coincided with the emergence of the first confirmed positive case of COVID-19 in West Jakarta. A digital monitoring system to guide the problematic patients had ever implemented, therefore, recommendation proposed in this study was the reactivation of the digitalisation on maternal health monitoring system in West Jakarta.

The Impact of the Covid-19 Pandemic on Maternal Mortality Attributes

“…The World Health Organization collaborated with the Indonesian Ministry of Health to conduct a rapid health assessment in 34 provinces in April-May 2020, The assessment showed that around 46% of health facilities delayed antenatal care (Ministry of Health Republic of Indonesia and United Nations International Children's Emergency Fund (UNICEF), 2020). A quantitative study in West Jakarta, Indonesia showed that the Large-Scale Social Restriction Policy (PSBB) reduced maternal visits (Fitrianingrum, Sabarinah and Pratomo, 2021). Similar trends were found in Sangurara Primary Healthcare Center, Palu in March-May 2020 (Hutagaol, Arini and Mujianti, 2021).…”