Speaker: Rizka Ayu Setyani
Facilitator: Adetoro Adegoke
Maternal and child health is a critical public health priority in Indonesia; however, fragmented healthcare delivery and inequitable access to services continue to hinder optimal outcomes. This study evaluates the effectiveness of an integrated primary health service model in improving maternal and child health outcomes, focusing on midwives as central agents connecting healthcare systems, communities, and families.
A mixed-methods approach was employed across 10 primary healthcare facilities in urban and rural Indonesia. Quantitative data from patient records and service utilization statistics were analyzed, complemented by qualitative insights from interviews and focus group discussions with midwives, healthcare workers, and families.
The findings revealed a significant increase in antenatal and postnatal care visits (p 0.05) and improved continuity of care, including timely referrals and follow-ups. Midwives reported strengthened collaboration with community health workers and local facilities, while families highlighted better access to culturally responsive and holistic care. The introduction of digital tools further streamlined coordination and reduced delays in service delivery.
These results demonstrate that integrated primary health services can strengthen maternal and child healthcare systems, with midwives playing a pivotal role in bridging gaps and fostering trust. Scaling such models nationwide could enhance Safe Motherhood initiatives and accelerate progress toward achieving the Sustainable Development Goals.
Speaker: Jamie Hanson
Facilitator: Celine Lemay
Non-access to Perinatal mental health services for Black African Women can lead to increased perinatal morbidity and mortality in relation to mental health. Three quarters of Black and Brown Women’s morbidity is associated with suicide in the postnatal period, and they are more likely to experience adverse outcomes during pregnancy and the postnatal period compared to white women (MBRRACE, 2023). Health inequalities within maternity services also increase the risk of mental health challenges which is exacerbated by unemployment, poverty and homelessness which adds to the challenges of the women accessing perinatal mental health services (Rothman et al, 2020). There is also the associated stigma within the Black African community in declaring mental health challenges and it being viewed as ‘shameful’ and embarrassing to admit to feeling depression leading to alienation and preventing the women form seeking help from health professionals (Watson et al, 2019). The reluctance to access support is also compounded by negative experiences from health professionals and engagement with primary care (Edge and Mackian, 2010). What we don’t know is how the women can be supported in accessing services and what is required to be on place. The contribution to knowledge is exploring and describing attitudes to perinatal mental health, listening to the women’s voices and understanding the service and how it can be improved. Methods An Exploratory Descriptive Qualitative (EDQ) study design was employed which allows for a social constructivist and interpretivist approach (Reid and Happell, 2012).
Speaker: Carla Godoy
Facilitator: Susana Ku
Las parteras desempeñan un papel fundamental en la salud y el bienestar de nuestras comunidades, pero han enfrentan desafÃos como la falta de reconocimiento, apoyo institucional y oportunidades laborales. Es esencial fortalecer su rol, generar empleo y garantizar el respeto por su labor.
Más que un oficio, ser partera es una vocación que implica acompañar a las madres en momentos cruciales con profesionalismo y seguridad. Sin embargo, a pesar de su importancia histórica, muchas veces no reciben el reconocimiento que merecen. Para cambiar esta realidad, es clave impulsar oportunidades laborales en hospitales, clnicas y programas comunitarios de salud.
La solución pasa por la organización, la creación de redes de apoyo y la búsqueda de alianzas con el sector público y privado. Al unir fuerzas, es posible reducir el desempleo dentro de la comunidad de parteras y asegurar que su labor sea vista como indispensable para el bienestar social.
El camino hacia un mayor reconocimiento y estabilidad laboral requiere compromiso y trabajo conjunto. La unión de las parteras es su mayor fortaleza para lograr que su profesión sea valorada y esencial en la sociedad.
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Midwives play a fundamental role in the health and well-being of our communities, but they have faced challenges such as a lack of recognition, institutional support, and job opportunities. It is essential to strengthen their role, create jobs, and ensure respect for their work.
More than a profession, being a midwife is a vocation that involves accompanying mothers in crucial moments with professionalism and confidence. However, despite their historical importance, they often do not receive the recognition they deserve. To change this reality, it is key to promote job opportunities in hospitals, clinics, and community health programs.
The solution lies in organization, the creation of support networks, and the pursuit of partnerships with the public and private sectors. By joining forces, it is possible to reduce unemployment within the midwifery community and ensure that their work is seen as indispensable to social well-being.
The path to greater recognition and job stability requires commitment and collaborative work. The unity of midwives is their greatest strength in ensuring that their profession is valued and essential in society.
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