A qualitative study on barriers in the prevention of anaemia during pregnancy in public health centres: perceptions of Indonesian nurse-midwives

摘要: Anemia in pregnancy remains a major problem Indonesia over the past decade. Early detection of anaemia is one components which unsuccessfully implemented by nurse-midwives. This study aims to explore nurse-midwives’ experiences managing pregnant women with Public Health Centres. We conducted qualitative semi-structured face interviews from November 2011 February 2012 23 nurse-midwives five districts Yogyakarta Special Province. Data analysis was thematic, using constant comparison method, making between participants and supported ATLAS.ti software. Twelve included had less than or equal 10 years’ working experience (junior nurse-midwives) 11 more (senior The senior mostly worked as coordinators Three main themes emerged: 1) lack competence clinical skill; 2) cultural beliefs low participation family antenatal care programme; 3) insufficient facilities skilled support staff realized that they need improve their communication skills manage anaemia. husband involvement constrained strength health information. Moreover, unfavourable work environment Centres made it difficult apply womens’ need. availability staffs Centre well women’s husbands members contribute success pregnancy. Nurse-midwives be empowered achieve optimum result management. recommend comprehensive approach anaemia, synergizes available resources empowers women.