PROVISION OF FAMILY PLANNING SERVICES IN A PRIMARY HEALTHCARE CENTER DURING THE COVID-19 PANDEMIC

Received 2023-03-13; Accepted 2023-09-12; Published 2024-02-09

Abstract

During the Covid-19 pandemic, the National Population and Family Board in Indonesia recorded 400,000 unwanted pregnancies due to many contraceptive acceptors dropping out of family planning programs. This study aims to analyze communication, disposition, resources, and bureaucratic structure in the implementation of the family planning program policy during the Covid-19 pandemic in a primary healthcare center. This qualitative design study selected 18 informants selected through purposive sampling. Data were collected through in-depth interviews, observation, and document review. The data validity of the triangulation was described. The theory used was George C Edward III's Theory with components of communication, resources, disposition, and bureaucratic structure. The data collected were processed through content analysis. The results of this study indicated that the family planning program during the Covid-19 pandemic did not run optimally because there were still some obstacles in the variables. From the communication side, the clarity and consistency indicators were running well, but the transmission indicators were not optimal. Dealing with resource variables, human resources, information, and facilities were not optimally provided. From the disposition component, the attitude of implementers who perceive the program unfavorably failed to increase participant visits, hindering policy implementation. The bureaucratic structure, standard operating procedures, and coordination were run optimally. The policy implementation of family planning programs during the Covid-19 pandemic in primary healthcare center did not go well because several indicators, namely communication, resources, and disposition did not meet the target. We suggest the government massively disseminate information on social media during the Covid-19 pandemic.