Experiences of Low-Income Indonesian Pregnant Women Regarding the Challenges of Receiving Health Services

Authors

1 Department of Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia;

2 Department of Nursing, Faculty of Health, Universitas Harapan Bangsa, Purwokerto, Indonesia;

3 Department of Nutrition, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia;

4 Department of Biostatistics, Epidemiology and Population Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia

10.30476/ijcbnm.2024.101795.2447

Abstract

Background: The information needs of low-income pregnant women are multisectoral, encompassing
both pregnancy-related and non-pregnancy-related information. Barriers to receiving information for
low-income pregnant women are specific and complex. This study aimed to explore the experiences
of low-income Indonesian pregnant women regarding the challenges of receiving health information.
Methods: A qualitative study was conducted using content analysis according to Graneheim and
Lundman’s approach between January and June 2022. A total of 17 women were selected for this
study using purposive sampling. In-depth interviews were done following semi-structured interview
guidelines, concluding when saturation was reached. Nvivo software version March 2020 was used
for organizing data and analysis.
Results: Three themes emerged concerning receiving health information among low-income women,
including encountering barriers to accessing information and care, access to ineffective information
sources, and difficulties in applying pregnancy health information.
Conclusion: This study shows that barriers to receiving information are specific to low-income
pregnant women. Therefore, solution approaches must also be specific. Efforts to improve receiving
health information can be achieved through developing educational materials that are easy to access
and understand, improving e-health literacy, refining counseling skills among village midwives,
holding culturally tailored educational programs, improving mothers’ health literacy by family and
husbands, integrating counseling with a focus on critical literacy, and formulating policies to alleviate
the midwife’s workload.

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