Experiences of Low-Income Indonesian Pregnant Women Regarding the Challenges of Receiving Health Services: A Qualitative Content Analysis.
Ema Wahyu Ningrum, Lely Lusmilasari, Emy Huriyati and 1 others
PMID 39411566WHAT IT FOUND
Low-income women in Indonesia described midwife counseling as rushed or harsh, e-health apps and handbooks as confusing, and family advice as unhelpful, leaving them embarrassed to ask questions and unable to apply pregnancy guidance.
Key findings
01Women described midwife counseling as limited by busy schedules, brief visits, and responses that did not help them learn.
02Participants found e-health pregnancy apps and Maternal and Child Health handbooks difficult to use or understand.
03Women felt embarrassed to ask providers questions and reported difficulty applying pregnancy guidance because of household duties and money.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was a qualitative study of 17 women in two rural Indonesian health centers, so the themes may not apply to other settings or populations. The findings are based on women's reported experiences and not on observed counseling or measured maternal outcomes. No midwives or healthcare providers were interviewed, so the study cannot show how providers understood or managed these barriers. Participants were recruited through community health center and midwife contacts, which may affect how willing they were to speak critically about care.
Declared interests
The supplied metadata lists non-U.S. government research support, but no author conflict-of-interest declaration is provided in the article text.
The easy way to misread this
Do not read these themes as proof that midwife counseling causes poor maternal outcomes or that communication training would fix them. This was 17 women's reported experiences in two rural Indonesian centers, with no provider interviews and no measured outcomes.