Health care provider's perceptions of factors that influence infant mortality in Papua Indonesia: A qualitative study

Hotnida Erlin Situmorang, Linda Sweet, Kristen Graham, Julian Grant

Research output: Contribution to journalArticlepeer-review

Abstract

Background: High infant mortality remains a global health problem, particularly in less developed countries. Indonesia has one of the highest infant mortality rates in Southeast Asia. Known factors relate to documented medical conditions and do not necessarily explain their origin. Aim: To identify and explore factors that contribute to infant mortality in Papua, Indonesia, through the lens of health workers’ perceptions. Methods: A qualitative descriptive approach using semi-structured interviews was used. Twelve Indonesian health workers participated. Interviews were audio-recorded and transcribed, and then analysed thematically. Findings: Five main themes were generated: beliefs and practices related to pregnancy, birth, and infants; infant health factors; maternal health factors; barriers to seeking, receiving and providing infant health care; and enablers and strategies for improving infant health. Discussion: Cultural factors were perceived as contributing to poor health outcomes by shaping decisions, help seeking behaviour and health care access. Poverty, health literacy, road access and transport, shortage of health staffing, and health equipment and medicines exacerbate poor health outcomes. Conclusion: Cultural knowledge and sensitivity are central to the provision and acceptance of health care by local families in Papua, Indonesia. Recommendations include: improving cultural sensitivity and cultural safety of service; implementing community health promotion to enhance maternal and infant health; improving community participation in health care planning and delivery; and enhancing collaboration between national, provincial, regency and local governments.

Original languageEnglish
Number of pages9
JournalWomen and Birth
DOIs
Publication statusAccepted/In press - Apr 2021

Keywords

  • Cultural sensitivity
  • Health worker
  • Infant mortality
  • Remote health care

Fingerprint

Dive into the research topics of 'Health care provider's perceptions of factors that influence infant mortality in Papua Indonesia: A qualitative study'. Together they form a unique fingerprint.

Cite this