Decreasing coverage of co-production based on maternal and child health services (Posyandu) during the COVID-19 pandemic in Indonesia

Abstract

AbstractThis study analyzes the declining coverage of the co-production system in Posyandu health services during the COVID-19 pandemic. This research utilized qualitative analysis approach. Based on data obtained from the Indonesian Ministry of Health’s official website (2019–2020), journal related to maternal and child health services during the COVID-19 pandemic (2019–2022). Data focused on themes related to co-production in healthcare during the COVID-19 pandemic. There were several sub-themes identified, including ANC, immunization, and monitoring toddler growth through weighing. Problems with implementing ANC at Posyandu during the pandemic occurred in several cities in Indonesia. While the coverage of some immunizations had decreased over the national scale. Furthermore, growth monitoring had decreased by up to 10% on a national scale. To prevent the recurrence of this condition, health service innovation is required. Posyandu has good principles to improve the health status of mothers and children, but the Government needs to support the quantity and quality of cadres so that this principle can be realized. Support from several community leaders also needs to be encouraged to facilitate Posyandu implementation.

Keywords

• Covid-19
• co-production
• Posyandu
• quality services
• public healthcare