Kontribusi Kader Kesehatan Masyarakat Selama Masa Pandemi COVID-19

Berliana, Diksi Hera; Sahar, Junaiti; Rahmadiyah, Dwi Cahya

doi:10.31539/joting.v4i1.3299

Cited by 1 publication

(1 citation statement)

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“…Serving as front-line workers and an extension of the healthcare system in communities, CHWs play an essential role in strengthening healthcare services during the COVID-19 pandemic in Indonesia. 10 Nevertheless, to the best of our knowledge, no studies have been conducted to examine the critical challenges they faced in delivering health services to the community. Considering their significant role in bridging the gaps within the health system, investigating the barriers that CHWs faced during the pandemic will work to inform key policy recommendations for future pandemic preparedness in Indonesia.…”

Section: Introductionmentioning

confidence: 99%

Essential healthcare services during the COVID-19 pandemic: a cross-sectional study of community needs and perspectives in West Java, Indonesia

Kusnadi,

Fletcher,

Espressivo

et al. 2024

BMJ Open

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ObjectivesWhile issues in healthcare facilities during the COVID-19 pandemic have been widely discussed, little is known about health service issues from community (demand) sides. This study aimed to identify community needs in the utilisation of health services and highlight the key roles and barriers that community health workers (CHWs) face in delivering community-based services during the pandemic.DesignCross-sectional study.Setting38 randomly selected villages covered by 21 preidentified community health centres in 3 districts in West Java, Indonesia. The survey was conducted from 22 January 2022 to 7 February 2022 (2 years after the pandemic began).Participants118 respondents, consisting of community leaders, vulnerable group representatives and CHWs.ResultsLaboratory examination (55.1%), emergency care (52.5%), non-communicable disease screening (50%) and routine treatment (49.2%) were perceived as the highest unmet needs of essential healthcare services. Fear of infection (90.3%) became one main barrier to access healthcare services. Vulnerable populations including lower socioeconomic groups (61.2%), households with elderly (25.4%), persons with disabilities (25.4%), pregnant women, people with mental illness and people with lower education (26.9%) were reported facing difficulties in accessing healthcare services. Further, the pandemic was deemed to have significantly impacted the community economic situation (91.5%). CHWs were actively engaged in community-based services and were mentioned as the first contact when the community needed help (57.6%). CHWs reported essential needs on financial support (45.2%), logistics (54.8%) and protective equipment (22.6%).ConclusionsEssential health services for the community, including those belonging to vulnerable groups, were highly impacted during the pandemic. CHWs appear to have significant roles in delivering health services during this health crisis, hence, adequate support is needed to equip them in strengthening pandemic response.

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Section: Introductionmentioning

confidence: 99%