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Padjadjaran of Nursing Journal

Original

Vol. 11 No. 2 (2023): Jurnal Keperawatan Padjadjaran

The fulfillment of pregnancy-related needs of women in refugee camps in Indonesia: A phenomenology study

DOI
https://doi.org/10.24198/jkp.v11i2.2137
Submitted
October 10, 2022
Published
2023-07-24

Abstract

Background: As Indonesia lies on several tectonic plates, it is often hit by natural disasters such as earthquakes. Women are included in the vulnerable group category during disaster situations, especially pregnant women. Purpose: This study aims to explore the needs of pregnant women in refugee camps after natural disasters. Methods: This   is qualitative research with a phenomenological approach. The data were collected in 2019 through in-depth interviews with 9 women who were pregnant when the disaster occurred using purposive and snowball sampling techniques. The participants were refugees who were victims of the earthquake in Kalibening, Banjarnegara, Central Java, in 2018. Interview transcripts were analyzed using  thematic analysis. Results: The following three themes were found and discussed: (1) the basic needs of pregnant women during a disaster situation in refugee camps, (2) comprehensive health examinations for pregnant women in disaster situations, and (3) pregnant women’s reluctance to stay in refugee camps. Conclusions: This study shows that pregnant women’s limited mobility restricts them from meeting their basic and perinatal needs in refugee camps. After natural disasters, many   pregnant women experience complications during their pregnancy. Moreover, from a cultural aspect, being together with family was found to be important for pregnant women. Thus, there is a need for coordination between local governments and other stakeholders regarding the needs of pregnant women so that they can receive appropriate assistance accordingly.

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References

  1. Adji, B., & Zuraya, N. (2018, December). Pengungsi tsunami butuh selimut dan alas tidur. Republika. Retrieved from https://news.republika.co.id/berita/pk6zc3383/pengungsi-tsunami-butuh-selimut-dan-alas-tidur
  2. American College of Obstetricians and Gynecologists. (2010). Preparing for disasters: perspectives on women. Obstetrics & Gynecology, 115(6), 1339–1342. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=a2h&AN=51406385&site=ehost-live
  3. Buleleng Regency Social Service. (2017). Pengkajian tempat pengungsian akibat peningkatan aktivitas gunung agung. Buleleng. Retrieved from https://dtm.iom.int/sites/g/files/tmzbdl1461/files/reports/SITRep Round 1- Laporan Situasi - Siklus 1_0.pdf
  4. Callaghan, W. M., Rasmussen, S. A., Jamieson, D. J., Ventura, S. J., Farr, S. L., Sutton, P. D., … Posner, S. F. (2007). Health concerns of women and infants in times of natural disasters : Lessons learned from hurricane Katrina. Maternal and Child Health Journal, 11(4), 307–311. doi:10.1007/s10995-007-0177-4
  5. Chineka, J., Musyoki, A., Kori, E., & Chikoore, H. (2019). Gender mainstreaming: A lasting solution to disaster risk reduction. Jamba (Potchefstroom, South Africa), 11(3), 723. doi:10.4102/jamba.v11i3.723
  6. El-Shal, A., Mohieldin, M., & Moustafa, E. (2022). Indirect impact of health disasters on maternal and child mortality. Economic Analysis and Policy, 74, 477–493. doi:https://doi.org/10.1016/j.eap.2022.03.003
  7. Enkin, M. W. (1973). Family centered maternity care. Canadian Family Physician Medecin de Famille Canadien, 19(4), 45–48. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2370880/pdf/canfamphys00349-0047.pdf
  8. Essén, B., Puthoopparambil, S. J., Mosselmans, L., & Salzmann, T. (2018). Improving the health care of pregnant refugee and migrant women and newborn children: Technical guidance. WHO Regional Office for Europe. Retrieved from https://apps.who.int/iris/handle/10665/342289
  9. Furuta, M., & Salway, S. (2006). Women’s position within the household as a determinant of maternal health care use in Nepal. International Family Planning Perspectives, 32(1), 17–27. doi:https://doi.org/10.1363/3201706
  10. Gee, S., Vargas, J., & Foster, A. M. (2018). “ We need good nutrition but we have no money to buy food ” : sociocultural context , care experiences , and newborn health in two UNHCR-supported camps in South Sudan. BMC International Health and HUman Rights, 18(40), 1–10. doi:https://doi.org/10.1186/s12914-018-0181-3
  11. Gokhale, V. (2008). Role of women in disaster management : An analytical study with reference to Indian society . The 14th World Conference on Earthquake Engineering October, 12–17.
  12. Greening, N. (2019). Phenomenological research methodology. Scientific Research Journal, VII(V), 88–92. doi:10.31364/scirj/v7.i5.2019.p0519656
  13. Harville, E., Xiong, X., & Buekens, P. (2010). Disasters and perinatal health: A Systematic Review. Obstet Gynecol Surv, 65(11), 713–728. doi:10.1097/OGX.0b013e31820eddbe.
  14. Hawkins, G., Gullam, J., & Belluscio, L. (2019). The effect of a major earthquake experienced during the first trimester of pregnancy on the risk of preterm birth. Aust N Z J Obstet Gynaecol, 59, 82–88. doi:10.1111/ajo.12797
  15. Hidayati, I. (2014). Perempuan dan bencana. IPSK-LIPI. Retrieved from http://ipsk.lipi.go.id/index.php/kolom-peneliti/kolom-kependudukan/368-perempuan-dan-bencana
  16. Indonesian Health Ministry. (2017). Pedoman pelaksanaan paket pelayanan awal minimum (PPAM) kesehatan reproduksi pada krisis kesehatan. Jakarta: Kementerian Kesehatan RI.
  17. Jahangiri, K., Izadkhah, Y. O., & Sadighi, J. (2014). Women ’ s Health in natural disasters : A vulnerability analysis. GRF Davos Planet@Risk, 2(2), 98–100. Retrieved from https://www.researchgate.net/publication/303671485_Women’s_Health_in_Natural_Disasters_A_Vulnerability_Analysis
  18. Jesica, F., & Friadi, A. (2019). Hubungan kadar kortisol dan prostaglandin maternal dengan persalinan preterm dan aterm. Jurnal Ilmu Keperawatan Dan Kebidanan, 10(1), 21–29. doi:http://dx.doi.org/10.26751/jikk.v10i1.540
  19. Katz, B. (2015). ICEA position paper family-centered maternity care position. Retrieved from https://icea.org/wp-content/uploads/2018/02/ICEA-Position-Paper-Family-Centered-Maternity-Care.pdf
  20. Klein, T., & Olbrecht, M. (2011). Triangulation of qualitative and quantitative methods in panel peer review research. International Journal for Cross-Disciplinary Subjects in Education, 2(2), 342–348. doi:10.20533/ijcdse.2042.6364.2011.0048
  21. Lewis, S., Lee, A., & Simkhada, P. (2015). The role of husbands in maternal health and safe childbirth in rural Nepal : a qualitative study. BMC Pregnancy & Childbirth, 15(162), 1–10. doi:10.1186/s12884-015-0599-8
  22. Liu, E. M., Liu, J.-T., & Tseng, T.-Y. H. (2015). The impact of a natural disaster on the incidence of fetal losses and pregnancy outcomes. Working Paper
  23. Lowdermilk, D. L., Perry, S. E., Cashion, K., & Alden, K. R. (2016). Maternity & women's health care, 11th Ed. (E. F. Olshansky, Ed.), Elsevier (11th ed., Vol. 14). St. Louis, Missouri: Elsevier.
  24. Mayasari, S. I., Suhita, B. M., & Indasah. (2018). The Effectiveness of family centered maternity care (FCMC) education to increase the independence of pospartum mother. Health Notoins, 2(5), 607–611. doi:https://doi.org/10.33846/hn.v2i5.205
  25. Mullany, B. C., Becker, S., & Hindin, M. J. (2007). The impact of including husbands in antenatal health education services on maternal health practices in urban Nepal: results from a randomized controlled trial. Health Education Research, 22(2), 166–176. doi:10.1093/her/cyl060
  26. National Disaster Management Agency. (2018). Bencana alam di Indonesia tahun 2004 s/d 2018. Jakarta. Retrieved from http://bnpb.cloud/dibi/tabel1
  27. Nugroho, S. P. (2018). Update dampak gempa Banjarnegara. Retrieved from https://bnpb.go.id/berita/update-dampak-gempa-banjarnegara
  28. Prastowo, L. Y., & Wahyuningsih, A. S. (2020). Kajian mitigasi bencana tanah longsor berdasarkan Permendagri No 33 Tahun 2006. Jurnal Penelitian Dan Pengembangan Kesehatan Masyarakat Indonesia, 1(1), 60–71. doi:10.15294/jppkmi.v1i1.41420
  29. Priester, L. De. (2016). An approach to the profile of disaster risk of Indonesia. Emergency and Disaster Reports, 3(2), 66. Retrieved from http://hdl.handle.net/10651/36349
  30. Rodriguez, A., & Smith, J. (2018). Phenomenology as a healthcare research method. Evidence-Based Nursing, 21(4), 118. doi:10.1136/eb-2018-102990
  31. Sato, M., Nakamura, Y., Atogami, F., Horiguchi, R., Tamaki, R., & Yoshizawa, T. (2016). Immediate needs and concerns among pregnant women during and after Typhoon Haiyan ( Yolanda ). PLoS Curr, 25(8). doi:10.1371/currents.dis.29e4c0c810db47d7fd8d0d1fb782892c
  32. Schwandt, T. A., Lincoln, Y. S., & Guba, E. G. (2007). Judging interpretations: But is it rigorous? trustworthiness and authenticity in naturalistic evaluation. New Directions for Evaluation, 2007(114), 11–25. doi:https://doi.org/10.1002/ev.223
  33. Septanaya, I. D. M. F., & Fortuna, S. (2023). Gender mainstreaming efforts in disaster management plans: Case study West Nusa Tenggara province, Indonesia. International Journal of Disaster Risk Reduction, 87, 103576. doi:https://doi.org/10.1016/j.ijdrr.2023.103576
  34. Shiferaw, K., Mengistie, B., Gobena, T., Dheresa, M., & Seme, A. (2021). Extent of received antenatal care components in Ethiopia: A community-based panel study. International Journal of Women’s Health, 13, 803–813. doi:10.2147/IJWH.S327750
  35. Stapleton, L. R. T., Westling, E., Rini, C., Glynn, L. M., Hobel, C. J., & Sandman, C. A. (2012). Perceived partner support in pregnancy predicts lower maternal and infant distress. J Fam Psychol, 26(3), 453–463. doi:10.1037/a0028332.Perceived
  36. Sukorini, M. U. (2017). Hubungan gangguan kenyamanan fisik dan penyakit dengan kualitas tidur ibu hamil trimester III. The Indonesian Journal of Public Health, 12(1), 1–12. doi:10.20473/ijph.v12i1.2017.1-12
  37. Torche, F. (2011). The effect of maternal stress on birth outcomes: exploiting a natural experiment. Demography, 48(4), 1473–1491. doi:10.1007/s13524-011-0054-z
  38. UNHCR, UNICEF, WFP, & WHO. (2004). Food and nutrition needs in emergencies. Geneva: World Health Organization. Retrieved from https://www.who.int/publications/i/item/food-and-nutrition-needs-in-emergencies
  39. Walsh, F. (2007). Traumatic loss and major disasters: Strengthening family and community resilience. Family Process, 46(2), 207–227. doi:10.1111/j.1545-5300.2007.00205.x
  40. Widhi, A. S., Damayanthi, E., & Khomsan, A. (2021). Personal hygiene and environment sanitation of pregnant mothers and their relationship to birth outcomes. Jurnal Gizi Pangan, 16(Supp.1), 73–80. Retrieved from https://jurnal.ipb.ac.id/index.php/jgizipangan/issue/download/2809/Personal Hygiene and Environment Sanitation of Pregnant Mothers and Their Relationship to Birth Outcomes
  41. Widodo, A., Akbar, S., & Sujito. (2017). Analisis nilai-nilai falsafah jawa dalam buku pitutur luhur budaya jawa karya gunawan sumodiningrat sebagai sumber belajar pada pembelajaran IPS. Jurnal Penelitian Dan Pendidikan IPS (JPPI), 11(2), 152–179. Retrieved from https://ejournal.unikama.ac.id/index.php/JPPI/article/view/1887
  42. Winn, A., Hetherington, E., & Tough, S. (2018). Caring for pregnant refugee women in a turbulent policy landscape: perspectives of health care professionals in Calgary, Alberta. International Journal for Equity in Health, 17(1), 91. doi:10.1186/s12939-018-0801-5
  43. Women’s Refugee Commission. (2002). UNHCR policy on refugee women and guidelines on their protection : An assessment of ten years of implementation. New York: OCHA. Retrieved from https://www.refworld.org/pdfid/48aa83220.pdf
  44. Women’s Solidarity Association. Siaran pers solidaritas perempuan palu 30 hari pasca bencana di Sulteng (2018). Retrieved from http://www.solidaritasperempuan.org/siaran-pers-solidaritas-perempuan-palu-30-hari-pasca-bencana-di-sulteng/