Midwives, Nurses Crucial for Disaster-Resilient Maternal Care and Preparedness Strategies

Lenny Stia Pusporini ^1*, Putri Wulandini S ², Wulan Novika Ambarsari ³, Nurul Qamarya ⁴ Loso Judijanto ⁵, Eny Retna Ambarwati ⁶, Ade Herman Surya Direja ⁷, Karwati ³, Tria Nopi Herdiani ⁷

Disaster resilience strategies by midwives and nurses significantly enhance maternal care outcomes during emergencies in Indonesia.

Abstract

Background: Disasters demand significant risks to maternal health, with pregnant women being particularly vulnerable. Midwives and nurses are crucial in ensuring the safety and well-being of pregnant women during emergencies. This study explores the impact of disaster resilience strategies implemented by midwives and nurses on mitigating adverse effects on maternal care. Methods: This cross-sectional study involved 66 pregnant women from several Community Health Centers in Bengkulu, West Java, South Sumatera, Banten, and West Nusa Tenggara, Indonesia. Proportional random sampling was used. Data were collected through primary and secondary sources and analyzed using univariate and bivariate methods, including the chi-square test (X2) and contingency coefficient (C). Results: Among the respondents, 53% reported favorable roles of midwives, while 47% reported unfavorable roles. Disaster management was deemed adequate by 69.7% and inadequate by 30.3% of the respondents. A significant relationship was found between the role of midwives and disaster management in pregnant women (p-value = 0.001). Discussion: The findings demonstrated the critical role of midwives and nurses in disaster resilience for maternal care. Effective disaster preparedness and resilience strategies by midwives and nurses significantly reduce the adverse effects of emergencies on pregnant women. Conclusion: The study recommended integrating specialized disaster training for midwives and nurses, enhancing communication infrastructures, and ensuring adequate emergency supplies in healthcare facilities to improve maternal outcomes during disasters. These findings can inform policy and practice, contributing to improved disaster resilience in maternal care.

Keywords: Disaster Resilience, Maternal Care, Midwives, Nurses, Emergency Preparedness, Pregnant Women, Disaster Management.

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