{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:17:51Z","timestamp":1787617071177,"version":"build-2736575974"},"reference-count":31,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2019,2,27]],"date-time":"2019-02-27T00:00:00Z","timestamp":1551225600000},"content-version":"vor","delay-in-days":26,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000200","name":"United States Agency for International Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000200","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe doctors\u2019 and specialist physicians\u2019 availability to manage obstetric complications in hospitals in six provinces of Indonesia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from a nonrandomized, quasi\u2010experimental pre\u2010post evaluation study were used to describe the distribution of providers by each cadre of worker and assess the availability of doctors and obstetrician\/gynecologists (ob\/gyns) for consultations for women experiencing postpartum hemorrhage or pre\u2010eclampsia\/eclampsia, disaggregated by hospital type, province, referral status, and by time of day of provider consultation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among hospitals that should have comprehensive emergency obstetric and newborn care (<jats:styled-content style=\"fixed-case\">CE<\/jats:styled-content>m<jats:styled-content style=\"fixed-case\">ONC<\/jats:styled-content>) services available 24\u00a0hours a day, 7\u00a0days a week, many did not have a doctor available to manage obstetric complications as they presented, despite there being an average of seven ob\/gyns and four doctors registered for service across all facilities. Slightly over 50% of obstetric emergency cases admitted with postpartum hemorrhage and severe pre\u2010eclampsia\/eclampsia did not receive a consultation from an ob\/gyn. Among the patients who received consultations, about 70% received consultations by phone or <jats:styled-content style=\"fixed-case\">SMS<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Findings from this study indicate that persistent issues of maldistribution of maternal and newborn specialists and high absence rates of both doctors and ob\/gyns at <jats:styled-content style=\"fixed-case\">CE<\/jats:styled-content>m<jats:styled-content style=\"fixed-case\">ONC<\/jats:styled-content> hospitals during obstetric emergencies undermines Indonesia's efforts to reduce high maternal mortality rates.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12734","type":"journal-article","created":{"date-parts":[[2019,2,28]],"date-time":"2019-02-28T06:36:50Z","timestamp":1551335810000},"page":"42-50","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Presence of doctors and obstetrician\/gynecologists for patients with maternal complications in hospitals in six provinces of Indonesia"],"prefix":"10.1002","volume":"144","author":[{"given":"Alisa","family":"Pedrana","sequence":"first","affiliation":[{"name":"Disease Elimination Program Burnet Institute  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maya","family":"Tholandi","sequence":"additional","affiliation":[{"name":"Jhpiego Indonesia  Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siti Nurul","family":"Qomariyah","sequence":"additional","affiliation":[{"name":"Jhpiego Indonesia  Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reena","family":"Sethi","sequence":"additional","affiliation":[{"name":"Jhpiego  Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Hyre","sequence":"additional","affiliation":[{"name":"Jhpiego Indonesia  Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dwirani","family":"Amelia","sequence":"additional","affiliation":[{"name":"Research and Development Unit Budi Kemuliaan Health Institute  Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Suhowatsky","sequence":"additional","affiliation":[{"name":"Jhpiego Nepal  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saifuddin","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Bloomberg School of Public Health Johns Hopkins University  Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,2,27]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"KosenS TariganI UsmanY et\u00a0al.Universal Maternal Health Coverage? Assessing the Readiness of Public Health Facilities to Provide Maternal Health Care in Indonesia.Washington DC:World Bank Group;2014.http:\/\/documents.worldbank.org\/curated\/en\/875841468038945861\/Universal-maternal-health-coverage-assessing-the-readiness-of-public-health-facilities-to-provide-maternal-health-care-in-Indonesia. Accessed September 3 2018."},{"key":"e_1_2_9_3_1","unstructured":"Statistics Indonesia (Badan Pusat Statistik\u2014BPS) SIBP.Indonesia Intercensal Population Survey 2015[BPS website].2016.https:\/\/microdata.bps.go.id\/mikrodata\/index.php\/catalog\/715\/related_citations?sort_by=authors&sort_order=asc&. Accessed August 10 2018."},{"key":"e_1_2_9_4_1","unstructured":"United Nations.Sustainable Development Goals 17 Goals to transform our world. Goal 3: Ensure healthy lives and promote well\u2010being for all at all ages[UN website].http:\/\/www.un.org\/sustainabledevelopment\/health. 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