[Insert Table 2 here]
Free text-responses in the first-round highlighted the roles of primary
care physicians in HDP management and the most prominent theme emerging
in the analysis was authority (with 219 quotes). Most participants
believed that primary care have responsibilities to conduct antenatal
care (ANC), identify women with increased risks of HDP and refer
patients who are at risk to obstetricians. They also had to not only
provide HDP clinical management in primary care but also care
coordination with hospitals.
The participants also conceded that routine ANC had already well applied
in Indonesian primary care practice and blood pressure monitoring and
dipstick urine tests been routinely conducted to screen for
preeclampsia. However, some participants claimed that primary care had
limited resources available in practice. For instance, only nifedipine
was available as a treatment for pregnancy hypertension and the doctors’
limited time for pregnancy consultation.
Interestingly, many of the clinician participants also indicated their
own doubt with the quality of HDP management they currently provide in
practice, particularly the referral timing and patient monitoring
procedures. They also expected guidance and skills upgrades on such HDP
management in primary care (Table 3).