Dampak COVID-19 Terhadap Pelayanan KIA di Kota Cilegon

Penulis

  • Zulfa Kevaladandra Magister Ilmu Kesehatan Masyarakat, Peminatan Promosi Kesehatan dan Ilmu Perilaku, Fakultas kesehatan Masyarakat, Universitas Indonesia, Depok, Indonesia
  • Evi Martha Departemen Promosi Kesehatan dan Ilmu Perilaku, Fakultas kesehatan Masyarakat, Universitas Indonesia, Depok, Indonesia

DOI:

https://doi.org/10.30651/jkm.v6i2.7776

Kata Kunci:

COVID-19, Health Services, Maternal and Child Health

Abstrak

Objective: The COVID-19 pandemic has challenged maternal and child health services in all regions of Indonesia, including the city of Cilegon. Various efforts have been made by the Cilegon City Health Office to suppress the decline in MCH services. The purpose of this study was to determine the impact of COVID-19 on MCH services in Cilegon City.

Methods: This article used a qualitative descriptive method by collecting data through focus group discussions (FGD) in the second week of October 2020. The informants of this study collected by purposive sampling with the number of informants. 4 informants, including the Head of the Cilegon City Health Office, the Head of the Family Health Section (Kesga), and 2 Kesga staff.

Results: The results showed that there were 7 indicators affected by COVID-19 in the city of Cilegon, including K1 coverage, K4 coverage, delivery assistance at health facilities, maternal mortality rate (MMR), neonatal visits, complete basic immunization services, and monitoring of toddler growth and development. The cause of the obstruction of MCH services was the existence of the PSBB policy and the concerns of the public and health workers of contracting the SARS-CoV-2 virus.

Conclusion: Several inovasions made by the Cilegon City Health Office include implementing health protocols in health services outside buildings, making appointments for antenatal and immunization services, conducting home visits, conducting classes for pregnant women and toddlers through live streaming, and providing isolation places for OTGs. It can be concluded that the COVID-19 pandemic has caused a challenges in MCH services. However, various efforts have also been made to increase the coverage of MCH services and improve maternal and child health in the city of Cilegon.

 

Biografi Penulis

Zulfa Kevaladandra, Magister Ilmu Kesehatan Masyarakat, Peminatan Promosi Kesehatan dan Ilmu Perilaku, Fakultas kesehatan Masyarakat, Universitas Indonesia, Depok, Indonesia

Magister Ilmu Kesehatan Masyarakat, Peminatan Promosi Kesehatan dan Ilmu Perilaku, Fakultas kesehatan Masyarakat, Universitas Indonesia, Depok, Indonesia

Evi Martha, Departemen Promosi Kesehatan dan Ilmu Perilaku, Fakultas kesehatan Masyarakat, Universitas Indonesia, Depok, Indonesia

Departemen Promosi Kesehatan dan Ilmu Perilaku, Fakultas kesehatan Masyarakat, Universitas Indonesia, Depok, Indonesia

Referensi

Dinas Kesehatan Kota Cilegon. Peta Sebaran COVID-19 di Kota Cilegon Update 29 April 2020. 29 April 2020. 2020.

Dinas Kesehatan Kota Cilegon. Peta Sebaran Konfirmasi COVID-19 di Kota Cilegon Update: 16 Oktober 2020. 16 Oktober 2020. 2020.

Direktorat Jenderal Pencegahan dan Pengendalian Penyakit. Pedoman Pencegahan dan Pengendalian Coronavirus Disease (COVID-19). Germas. Jakarta; 2020.

Diriba K, Awulachew E, Getu E. The effect of coronavirus infection (SARS-CoV-2, MERS-CoV, and SARS-CoV) during pregnancy and the possibility of vertical maternal-fetal transmission: a systematic review and meta-analysis. Eur J Med Res [Internet]. 2020;25:1–14. Available from: https://doi.org/10.1186/s40001-020-00439-w

Goyal M, Singh P, Singh K, Shekhar S, Agrawal N, Misra S. The Effect of the COVID-19 Pandemic on Maternal Health Due to Delay in Seeking Health Care: Experience from a Tertiary Center. Int J Gynecol Obs. 2020;

Kemenkes RI. Panduan Kesehatan Balita Pada Masa Tanggap Darurat Covid-19 [Internet]. Kementrian Kesehatan RI. Kementerian Kesehatan RI; 2020. 1–60 p. Available from: https://infeksiemerging.kemkes.go.id/download/Panduan_Yankes_Balita_Pada_Masa_GapDar_Covid19_Bagi_Nakes.pdf

Kemenkes, UNICEF. Laporan Kajian Cepat Kesehatan : Latar Belakang Layanan kesehatan esensial pada masa pandemi COVID-19 di Indonesia. 2020;1–8.

Kementerian Kesehatan Republik Indonesia. Buku Ajar Kesehatan Ibu dan Anak [Internet]. Departemen Kesehatan Republik Indonesia. 2015. Available from: http://bppsdmk.kemkes.go.id/pusdiksdmk/wp-content/uploads/2017/10/02Buku-KIA-06-10-2015-small.pdf

Kementrian Kesehatan RI. Menjaga Kesehatan Ibu & Anak. Warta Kesmas [Internet]. 2018;3:48. Available from: http://www.kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Warta-kesmas-edisi-3-2018_1219.pdf

Luo Y, Yin K. Management of Pregnant Women Infected with COVID-19. 2020. p. 513–4.

Montagnoli C, Zanconato G, Ruggeri S, Cinelli G, Eugenio A. Restructuring Maternal Services During The COVID-19 Pandemic: Early Result of a Scoping Review for Non-Infected Women. Midwefery [Internet]. 2020; Available from: https://doi.org/10.1016/j.midw.2020.102916

Ouassou H, Kharchoufa L, Bouhrim M, Daoudi NE, Imtara H, Bencheikh N, et al. The Pathogenesis of Coronavirus Disease 2019 (COVID-19): Evaluation and Prevention. J Immunol Res. 2020;2020.

Pemerintah Kota Cilegon. Peraturan Wali Kota Cilegon Nomor 43 Tahun 2020 tentang Pembatasan Kegiatan dalam Rangka Pelaksanaan Pembatasan Sosial Berskala Besar Provinsi Banten. 43 Indonesia; 2020.

PKMK FK UGM. e-Monev untuk Pemulihan Pelayanan Kesehatan Ibu-Anak, KB, dan Gizi dari Dampak Pandemi COVID-19. Yogyakarta; 2020.

PKMK FK UGM. Hasil Analisis Dampak Pandemi COVID-19 pada Pelayanan KIA dan KB di 120 Kabupaten/Kota. 2020.

Saputri NS, Anbarani MD, Toyamah N, Yumna A. DAMPAK PANDEMI COVID-19 PADA LAYANAN GIZI DAN KESEHATAN IBU DAN ANAK (KIA): STUDI KASUS DI LIMA WILAYAH DI INDONESIA [Internet]. 2020. Available from: https://smeru.or.id/sites/default/files/publication/cp05_covidkia_in.pdf

Sistirani C, Gamelia E, Hariyadi B. Analisis Kualitas Penggunaan Buku Kesehatan Ibu Anak. J Kesehat Masy [Internet]. 2014;10:14–20. Available from: https://doi.org/10.15294/kemas.v10i1.3065

Suwantika AA, Boersma C, Postma MJ. The potential impact of COVID-19 pandemic on the immunization performance in Indonesia. Vol. 19, Expert Review of Vaccines. 2020. p. 687–90.

Tadesse E. Antenatal Care Service Utilization of Pregnant Woman Attending Antenatal Care in Public Hospitals During the COVID-19 Pandemic Period. Int J Womens Health. 2020;12:181–8.

UNICEF. Maternal and Newborn Health and COVID-19 [Internet]. 2020. Available from: https://data.unicef.org/topic/maternal-health/covid-19/

UNICEF. Pertanyaan Umum ( FAQ ) Imunisasi selama pandemi COVID-19 [Internet]. 2020. Available from: https://www.unicef.org/indonesia/media/4546/file/FAQ COVID-19 dan Imunisasi.pdf

World Health Organization. Maintaining Essential Health Services: Operational Guideance for the COVID-19 Context [Internet]. 2020. Available from: https://www.who.int/publications/i/item/WHO-2019-nCoV-essential-health-services-2020.1

World Health Organization. Transmisi SARS-CoV-2: Implikasi terhadap Kewaspadaan Pencegahan Infeksi [Internet]. 2020. Available from: https://www.who.int/docs/default-source/searo/indonesia/covid19/transmisi-sars-cov-2---implikasi-untuk-terhadap-kewaspadaan-pencegahan-infeksi---pernyataan-keilmuan.pdf?sfvrsn=1534d7df_4

Unduhan

Diterbitkan

2021-06-02