Perceived Barriers and Facilitators of a New Model in Managing Pregnant Women With Iron Deficiency Anemia: A Qualitative Study

Abstract

A new model of antenatal care to manage pregnant women with iron deficiency anemia at public health centers in Indonesia has been studied. This study aimed to explore the facilitators and the barriers of this new model introduction by using focus group discussions to nurse-midwives and nurse-midwife coordinators. Training and information booklets, the improved confidence in providing comprehensive care, and adequate support from supervisors were perceived as facilitators of the new model. Financial support and public transportation necessary to reach the optimum treatment according to the new model, limited health insurance coverage, and shortage of staff and iron tablets were the barriers. Similar barriers should be anticipated for further implementation. A lasting support of policy and decision makers therefore is essential.