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Advances in Social Sciences Research Journal – Vol. 9, No. 3
Publication Date: March 25, 2022
DOI:10.14738/assrj.93.12045. Irab, S. P., Makaba, S., Irmanto, M., Bella, S. R., Irjayanti, A., Rumaropen, N. F., & Rumbiak, H. R. (2022). The Urban and Rural
Limitation Health Services Pregnant Mother’s on the Pandemic Covid-19, Papua Province of Indonesia. Advances in Social Sciences
Research Journal, 9(3). 372-382.
Services for Science and Education – United Kingdom
The Urban and Rural Limitation Health Services Pregnant
Mother’s on the Pandemic Covid-19, Papua Province of Indonesia
Semuel Piter Irab
Faculty of Public Health, Cenderawasih University Of Jayapura
Sarce Makaba
Faculty of Public Health, Cenderawasih University Of Jayapura
Maxsi Irmanto
Faculty of Public Health, Cenderawasih University Of Jayapura
Sarni R. Bella
Faculty of Public Health, Cenderawasih University Of Jayapura
Apriyana Irjayanti
Faculty of Public Health, Cenderawasih University Of Jayapura
Nova F. Rumaropen
Faculty of Public Health, Cenderawasih University Of Jayapura
Helmin R. Rumbiak
Faculty of Public Health, Cenderawasih University Of Jayapura
ABSTRACT
Coronavirus disease-19 (Covid-19), has become a pandemic and spread very
quickly, reaching Indonesia and Papua Province. Impact covid-19, apparently
influenced public health services, especially in a woman. A cross-sectional study
design, to describe differences limitations in the pregnant mother's health services
urban and rural. Jayapura City and Jayapura Regency research sites. The sample
was 90 pregnant mothers living in urban areas, and 90 pregnant mothers living in
rural areas. Data analysis using Paired samples t-test. There were differences
between urban and rural pandemics covid-19 (p-value = 0.020), there are
limitations post integrated services health of the urban and rural (p-value = 0.049),
community health centers urban and rural(p-value = 0.026), hospital health
services urban and rural (p-value = 0.041), doctor/midwife health practices urban
and rural (p-value = 0.019), antenatal care urban and rural (p-value = 0.000), and
health services sick pregnant mothers for urban and rural (p-value = 0,000).
Confirmation of covid-19 patients has increased, community compliance with
implementing health protocols is low, it is increasingly difficult to break the chain
of coronavirus transmission in the community, and health service units are limited
to pregnant women in Papua Province.
Keywords: Covid-19, health services, pregnant mothers
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373
Irab, S. P., Makaba, S., Irmanto, M., Bella, S. R., Irjayanti, A., Rumaropen, N. F., & Rumbiak, H. R. (2022). The Urban and Rural Limitation Health
Services Pregnant Mother’s on the Pandemic Covid-19, Papua Province of Indonesia. Advances in Social Sciences Research Journal, 9(3). 372-382.
URL: http://dx.doi.org/10.14738/assrj.93.12045
BACKGROUND
Mysterious pneumonia cases were first discovered in Wuhan city, Hubei Province of China.
According to reports from China that the transmission of mysterious diseases comes from
markets fish and animals [1]. From 18 to 29 December 2019, five patients were suffering from
mysterious illnesses. Strange symptoms are caused by a respiratory disorder called Acute
Respiratory Distress Syndrome (ARDS) [2].
In January 2020 the prevalence of respiratory disorders increased, or spread very quickly from
Hubei Province, China, Japan, Korea, Thailand, Singapore, Indonesia, Europe, America, Africa,
Australia, and become a serious problem in the world [3]. Based on the first World Health
Organization research, this mysterious disease is called the novel 2019 coronavirus (2019 -
nCov). One of the official world health institutions gave the correct name for the new disease
with the name coronavirus disease-19, officially announced in February 2020 [2].
Pandemic infectious diseases cause morbidity and death to increase over time globally.
Coronavirus disease-19 (Covid-19) was an infectious disease found in China in Wuhan City and
spread very quickly to Indonesia and Papua Province. Up to December 2020, the prevalence of
covid-19 in Papua Province increased.
The data source for Papua Province Covid-19 Control, Prevention and Handling Task Force (12
June 2020). Peoples in Monitoring 50,1%, Patients in Monitoring 12,1%, patients positive
18,9%, and treated 13,3%, while 5,3% patients recovered and 0,2% deeds. Province Papua of
positive patients increased 19 while those who recovered and died were lower than in March -
June 2020. This causes a very large influence covid-19 on socioeconomic status in the
Regencies/City in Papua Province of Indonesia [4].
Covid-19 has a big influence globally, December 2019. The limits health services to the
community, which is not positive covid-19. However, people who have other diseases do not
get maximum health services in the health service unit. However, people who have other
diseases do not get maximum health services in the health service unit. Such as
doctors/midwives service in low practice, hospitals, and health centers do not provide excellent
health services to the community, besides that integrated health service posts are functioned
every month, weighing toddlers, antenatal care, toddlers and pregnant mothers sick is the
limited treatment to the health service unit [5].
Government policies in the field of the health law are very important to protect the public so
they are not infected with dangerous diseases. Thus the community stays at home, works at
home, does not carry out social activities in general or in groups, does not gather in large
numbers in public places, public places are closed or restricted. This is bad for pregnant
mothers, breastfeeding mothers, infants, and toddlers who are sick or not sick. So that those
who visit the health service unit, do not get maximum health services [6].
Large-scale social restrictions on society globally, causing the mother and child morbidity to
increase, even though the mother and toddlers are not sufferers covid-19 [7]. All health services
for the general public were restricted, the government only focuses on health services for covid- 19 patients. The impact of covid-19 caused world-class health services, the government has
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Advances in Social Sciences Research Journal (ASSRJ) Vol. 9, Issue 3, March-2022
Services for Science and Education – United Kingdom
compiled programs in all fields to build a better society, stopped by new diseases that emerged
in December 2019 [8].
Health care services for all populations according to age groups and becomes low, an important
part of this research is to prove that health services are stopped for pregnant women,
breastfeeding mothers, infants, and toddlers in the Indonesian Papua Province.
METHOD
Cross-sectional study research design to measure pregnant women not getting maximum
health services during the COVID-19 pandemic March - December 2020[9]. This study compares
the viability of COVID-19 with the imposition of Large-Scale Social Restrictions (PSBB) and
lockdowns which have an impact on the health of pregnant women in Papua Province.
Population and Sample
The study population was that all family mothers living in Papua Province did not get maximum
health services during the COVID-19 pandemic. Health Protocol Policy Urban population and
rural population are the obligation to break the chain of transmission of COVID-19 in Papua
Province.
The research sample was that all pregnant women in Papua Province did not get maximum
health services during the COVID-19 pandemic. Inclusion criteria for the study sample were
pregnant women from the first to the third trimester, willingness to become respondents,
pregnant women could be contacted by telephone or watshap during the Covid-19 pandemic,
pregnant women were married, pregnant women lived in urban and rural areas, pregnant
women came from Jayapura City and Jayapura City. The sample selection is that the number of
urban pregnant women selected is the same as the number of selected rural pregnant women
(total sampling) namely sample was 90 pregnant mothers living in urban areas and 90 pregnant
living in rural areas.
The research sites are twenty-eight districts and one municipality in Papua province. The
criteria for selecting research sites are Jayapura City and Jayapura Regency, namely Jayapura
City is a seaport and Jayapura Regency is an aircraft airport. These two districts were chosen
because COVID-19 entered Papua Province through transportation by ships and planes.
Secondary Data Sources
This research uses data sources from the Papua Province COVID-19 Response Task Force.
Secondary data is important to describe the morbidity and mortality rates for COVID-19 in
Papua Province.
Primary Data Sources
Primary data of this research are pregnant women living in urban and rural areas who do not
get maximum health services from Posyandu, Puskesmas, Public and Private Hospitals, Doctors
/ Practicing Midwives. Pregnant women are the impact of the COVID-19 pandemic.