The Exploring the Acceptability Of An Online Systematic and Structured Consultation Management Service For Women’s Health In Indonesia: A Phenomenological Qualitative Study.
Abstract
Background: Since Indonesia has been dealing with COVID-19 since 2020, accessing health care providers has become a problem, especially for vulnerable groups, such as women and children. In this case, ‘Hay Bidan’ a structured and systematic online maternal care providing teleconsultation via WhatsApp, became one of strategies to tackle this issue. Nevertheless, patient acceptability became a critical consideration of the quality of healthcare. Objectives: This research explores the experience of patient's acceptability of ‘Hay Bidan’ as an online maternal care during the pandemic. Methods: A qualitative study with phenomenology design was performed through semi-structured interviews. Using purposive sampling, the informants included were women (n=5) and midwives (n=5) during the pandemic from January until March 2022. Thematic analysis was carried out according to Colaizzi's method approach. Results: ‘Hay Bidan’ was perceived as acceptable and fit with participant values. The researchers analyzed two main themes: the effectiveness of the health accessibility and the satisfaction with midwifery quality care. In addition, they reported that it was helpful regarding ease of use, flexibility, midwives' competencies, and attitude. Conclusion: This study showed that a systematic and structured online consultation management service using WhatsApp through the ‘Hay Bidan’ serviced, is acceptable and can be an alternative during the pandemic. This is because of its ease of use in terms of affordability, simplicity, and flexibility, and served by competent and well-behaved midwives. Besides, it can also help other health providers handle the patients due to COVID-19. Therefore, future research should explore the need for health workers to develop teleconsultation.
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