Rinawan F.R., Susanti A.I., Amelia I., Ardisasmita M.N., Widarti, Dewi R.K., Ferdian D., Purnama W.G., Purbasari A.
Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, Jl. Eyckman No. 38, Bandung, West Java 40161, Indonesia; Center for Health System Study and Health Workforce Education Innovation, Faculty of Medicine, Universitas Padjadjaran, Jl. Eyckman No. 38, Bandung, West Java 40161, Indonesia; Mother and Child Health Division, Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, Jl. Eyckman No. 38, Bandung, West Java 40161, Indonesia; Biostatistics and Epidemiology Division, Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, Jl. Eyckman No. 38, Bandung, West Java 40161, Indonesia; Midwifery Master Study Program, Faculty of Medicine, Universitas Padjadjaran, Jl. Eyckman No. 38, Bandung, West Java 40161, Indonesia; Puskesmas Sungai Durian, Jl. MT Haryono Gg. Wiyata 2, Kelurahan Kapuas Kanan Hulu, Kecamatan Sintang, Kab. Sintang, West Kalimantan 78614, Indonesia; Makassar Regional General Hospital, Jl. Perintis Kemerdekaan No.KM.14, Daya, Kec. Biringkanaya, Kota Makassar, South Sulawesi 90243, Indonesia; Informatics Engineering Study Program, Faculty of Engineering, Universitas Pasundan, Jl. Dr. Setiabudi No.193, Bandung, West Java 40153, Indonesia
Background: Limited information is available on how mobile health (mHealth) application (app) technology on mother and child health (MCH) is developed. This research aimed (a) to explore the process of developing mobile apps for MCH community-based services in the Indonesian setting of Pos Pelayanan Terpadu (Posyandu/Integrated Health Service Post), (b) to determine the feasibility of using the app by community health workers (CHWs), and (c) to evaluate the scalability of the mobile app at the national level in Indonesia. Methods: A hybrid method was used to synergistically combine the action research principles and mixed methods comprising qualitative and quantitative methods. This study was conducted in the Pasawahan District, Purwakarta, Indonesia, from 2017 to 2019. Content analysis, coding, and categorizing were performed using NVivo 12 Pro for transcribed data. The Wilcoxon test (2018 and 2019) was conducted using STATA 15 Special Edition. Results: (1) The use of a CHW notebook for data entry into the Posyandu Information System book delayed the data reporting process, resulting in the need to develop a mobile app. (2) There were significant differences in CHWs’ knowledge (p = 0.000) and skills (p = 0.0097) on training (2018) and Posyandu phases (2019). (3) A total of 964 Posyandu have been registered in the Posyandu mobile app from almost all provinces in Indonesia. Conclusions: The three-year hybrid approach includes the crucial phases that are necessary to develop a mobile app that is more user-friendly and can act as a substitute for CHWs’ book. Hence, its implementation is promising for use at the national level. © 2021, The Author(s).
Action research; Android; Community health workers; Mother; Posyandu
BMC Public Health
Publisher: BioMed Central Ltd
Volume 21, Issue 1, Art No 1024, Page – , Page Count
Journal Link: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85107156429&doi=10.1186%2fs12889-021-11035-w&partnerID=40&md5=47eae01784d4b210d47f806a7bfe892e
Type: All Open Access, Gold, Green
Fonda, S.J., Kedziora, R.J., Vigersky, R.A., Bursell, S.E., Combining iGoogle and personal health records to create a prototype personal health application for diabetes self-management (2010) Telemed J E Health, 16 (4), pp. 480-489; Källander, K., Tibenderana, K.J., Akpogheneta, J.O., Strachan, L.D., Hill, Z., ten Asbroek, A.A.H., Mobile health (mHealth) approaches and lessons for increased performance and retention of community health workers in low- and middle-income countries: a review (2013) J Med Internet Res, 15 (1); Nazri, C., Yamazaki, C., Kameo, S., Herawati, D.M.D., Sekarwana, N., Raksanagara, A., Factors influencing mother’s participation in Posyandu for improving nutritional status of children under-five in Aceh Utara district, Aceh province, Indonesia (2016) BMC Public Health, 16 (1), p. 69; Rifkin, S.B., Examining the links between community participation and health outcomes: A review of the literature (2014) Health Policy Plan, 29, pp. ii98-ii106; Walji, N., Leadership: an action research approach (2009) AI & Soc, 23 (1), pp. 69-84; Braun, R., Catalani, C., Wimbush, J., Israelski, D., Community health workers and mobile technology: a systematic review of the literature (2013) PLoS One, 8 (6); Silva, B.M.C., Rodrigues, J.J.P.C., de la Torre, D.I., López-Coronado, M., Saleem, K., Mobile-health: a review of current state in 2015 (2015) J Biomed Inform, 56, pp. 265-272; Payne, H.E., Lister, C., West, J.H., Bernhardt, J.M., Behavioral functionality of mobile apps in health interventions: a systematic review of the literature (2015) JMIR mHealth and uHealth, 3 (1); Agarwal, S., Perry, H.B., Long, L.A., Labrique, A.B., Evidence on feasibility and effective use of mHealth strategies by frontline health workers in developing countries: systematic review (2015) Tropical Med Int Health, 20 (8), pp. 1003-1014; Feroz, A., Jabeen, R., Saleem, S., Using mobile phones to improve community health workers performance in low-and-middle-income countries (2020) BMC Public Health, 20 (1), p. 49; Early, J., Gonzalez, C., Gordon-Dseagu, V., Robles-Calderon, L., Use of mobile health (mHealth) technologies and interventions among community health workers globally: a scoping review (2019) Health Promot Pract, 20 (6), pp. 805-817; Amoakoh-Coleman, M., Borgstein, A.B.-J., Sondaal, S.F.V., Grobbee, D.E., Miltenburg, A.S., Verwijs, M., Ansah, E.K., Klipstein-Grobusch, K., Effectiveness of mHealth interventions targeting health care workers to improve pregnancy outcomes in low- and middle-income countries: a systematic review (2016) J Med Internet Res, 18 (8); Pallas, S.W., Minhas, D., Pérez-Escamilla, R., Taylor, L., Curry, L., Bradley, E.H., Community health workers in low- and middle-income countries: what do we know about scaling up and sustainability? (2013) Am J Public Health, 103 (7), pp. e74-e82; Sonderman, K.A., Nkurunziza, T., Kateera, F., Gruendl, M., Koch, R., Gaju, E., Habiyakare, C., Hedt-Gauthier, B.L., Using mobile health technology and community health workers to identify and refer caesarean-related surgical site infections in rural Rwanda: a randomised controlled trial protocol (2018) BMJ Open, 8 (5); O’Connor, Y., Hardy, V., Heavin, C., Gallagher, J., O’Donoghue, J., Supporting LIFE: Mobile health application for classifying, treating, and monitoring disease outbreaks of sick children in developing countries (2015) International Conference on Design Science Research in Information Systems: Springer; Little, A., Medhanyie, A., Yebyo, H., Spigt, M., Dinant, G.-J., Blanco, R., Meeting community health worker needs for maternal health care service delivery using appropriate mobile technologies in Ethiopia (2013) PLoS One, 8 (10); Allsop, M.J., Powell, R.A., Namisango, E., The state of mHealth development and use by palliative care services in sub-Saharan Africa: a systematic review of the literature (2018) BMJ Support Palliat Care, 8 (2), pp. 155-163; Namisango, E., Ntege, C., Luyirika, E.B.K., Kiyange, F., Allsop, M.J., Strengthening pharmaceutical systems for palliative care services in resource-limited settings: piloting a mHealth application across a rural and urban setting in Uganda (2016) BMC Palliat Care, 15 (1), p. 20; Arisanti, N., Sasongko, E.P.S., Pandia, V., Hilmanto, D., Implementation of palliative care for patients with terminal diseases from the viewpoint of healthcare personnel (2019) BMC Res Notes, 12 (1), p. 217; Gilmore, B., McAuliffe, E., Effectiveness of community health workers delivering preventive interventions for maternal and child health in low- and middle-income countries: a systematic review (2013) BMC Public Health, 13 (1), p. 847; (2012) WHO/UNICEF joint statement: integrated community case management (iCCM); Labrique, A.B., Vasudevan, L., Kochi, E., Fabricant, R., Mehl, G., mHealth innovations as health system strengthening tools: 12 common applications and a visual framework (2013) Glob Health Sci Pract, 1 (2), pp. 160-171; Anwar, F., Khomsan, A., Sukandar, D., Riyadi, H., Mudjajanto, E.S., High participation in the Posyandu nutrition program improved children nutritional status (2010) Nutr Res Pract, 4 (3), pp. 208-214; Creswelldesign, J.J.D.R., Qualitative, quantitative, and mixed methods approaches (2018) 5Th Ed: Sage Publications; Banerjee, I., Nguyen, B., Garousi, V., Memon, A., Graphical user interface (GUI) testing: systematic mapping and repository (2013) Inf Softw Technol, 55 (10), pp. 1679-1694. , (,):., https://doi.org/10.1016/j.infsof.2013.03.004; Puspitasari, L., Ishii, K., Digital divides and mobile internet in Indonesia: impact of smartphones (2016) Telematics Inform, 33 (2), pp. 472-483; Park, K.-G., Han, S., Kaid, L.L., Does social networking service usage mediate the association between smartphone usage and social capital? (2013) New Media Soc, 15 (7), pp. 1077-1093; Bisallah, C.I., Rampal, L., Lye, M.-S., Sidik, S.M., Ibrahim, N., Iliyasu, Z., Effectiveness of health education intervention in improving knowledge, attitude, and practices regarding Tuberculosis among HIV patients in General Hospital Minna, Nigeria–A randomized control trial (2018) Plos One, 13 (2). , https://doi.org/10.1371/journal.pone.0192276; Hulley, S.B., (2007) Designing Clinical Research, , 3rd ed: Lippincott Williams & Wilkins; Field, A., (2017) Discovering statistics using IBM SPSS statistics: North American edition: SAGE; Pallant, J., (2016) SPSS survival guide manual 6th ed. two Penn plaza, , McGraw Hill Education, New York; Brydon-Miller, M., Greenwood, D., Maguire, P., Why action research? (2003) Action Res, 1 (1), pp. 9-28. , (,):., https://doi.org/10.1177/14767503030011002; Musselwhite, C., Freeman, S., Marston, H.R., Transcendent Technology and Mobile eHealth (2017) Mobile E-Health Springer, pp. 299-306. , https://doi.org/10.1007/978-3-319-60672-9_14; de Beurs, D., van Bruinessen, I., Noordman, J., Friele, R., van Dulmen, S., Active involvement of end-users when developing web-based mental health interventions (2017) Front Psychiatry, 8, p. 72; Walsh, D.M., Moran, K., Cornelissen, V., Buys, R., Claes, J., Zampognaro, P., The development and codesign of the PATHway intervention: A theory-driven eHealth platform for the self-management of cardiovascular disease (2018) Transl Behav Med; Still, B., Crane, K., (2017) Fundamentals of user-centered design: a practical approach: CRC press; Palinkas, L.A., Mendon, S.J., Hamilton, A.B., Innovations in mixed methods evaluations (2019) Annu Rev Public Health, 40 (1), pp. 423-442; Pressman, R.S., (2015) Software engineering: a practitioner’s approach: McGraw-Hill education; Mirri, S., Roccetti, M., Salomoni, P., Collaborative design of software applications: the role of users (2018) Human-centric Comput Inf Sci, 8 (1), p. 6; Lyon, A.R., Koerner, K., User-centered design for psychosocial intervention development and implementation (2016) Clin Psychol Sci Pract, 23 (2), pp. 180-200; Lubis, A.R., Lubis, M., Azhar, C.D., The effect of social media to the sustainability of short message service (SMS) and phone call (2019) Procedia Comput Sci, 161, pp. 687-695; Genc-Nayebi, N., Abran, A., A systematic literature review: opinion mining studies from mobile app store user reviews (2017) J Syst Softw, 125, pp. 207-219; Brhel, M., Meth, H., Maedche, A., Werder, K., Exploring principles of user-centered agile software development: a literature review (2015) Inf Softw Technol, 61, pp. 163-181; Stanton, M., Molineux, A., Mackenzie, C., Kelly-Hope, L., Mobile technology for empowering health workers in underserved communities: new approaches to facilitate the elimination of neglected tropical diseases (2016) JMIR Public Health Surveill, 2 (1); Gibson, D.G., Pereira, A., Farrenkopf, B.A., Labrique, A.B., Pariyo, G.W., Hyder, A.A., Mobile phone surveys for collecting population-level estimates in low- and middle-income countries: a literature review (2017) J Med Internet Res, 19 (5); Chib, A., van Velthoven, M.H., Car, J., M health adoption in low-resource environments: a review of the use of mobile healthcare in developing countries (2015) J Health Commun, 20 (1), pp. 4-34; Mangwi Ayiasi, R., Atuyambe, L.M., Kiguli, J., Orach, C.G., Kolsteren, P., Criel, B., Use of mobile phone consultations during home visits by community health workers for maternal and newborn care: community experiences from Masindi and Kiryandongo districts, Uganda (2015) BMC Public Health, 15 (1), p. 560; Aranda-Jan, C.B., Mohutsiwa-Dibe, N., Loukanova, S., Systematic review on what works, what does not work and why of implementation of mobile health (mHealth) projects in Africa (2014) BMC Public Health, 14 (1), p. 188; Kouadio, I.K., Ghazi, H.F., Maimaiti, N., Rahimi, A., Aljunid, S.M., Potential of mobile technology in meeting the public health needs in developing countries (2012) BMC Public Health, 12 (2), p. A13; Puri, S., Fernandez, S., Puranik, A., Anand, D., Gaidhane, A., Quazi Syed, Z., Patel, A., Thow, A.M., Policy content and stakeholder network analysis for infant and young child feeding in India (2017) BMC Public Health, 17 (2), p. 461; Basu, P., Mahajan, M., Patira, N., Prasad, S., Mogri, S., Muwonge, R., Lucas, E., Jain, K., A pilot study to evaluate home-based screening for the common non-communicable diseases by a dedicated cadre of community health workers in a rural setting in India (2019) BMC Public Health, 19 (1), p. 14; Plowright, A., Taylor, C., Davies, D., Sartori, J., Hundt, G.L., Lilford, R.J., Formative evaluation of a training intervention for community health workers in South Africa: A before and after study (2018) PLoS One, 13 (9). , 10.1371/journal.pone.0202817; Armaou, M., Araviaki, E., Musikanski, L., EHealth and mHealth interventions for ethnic minority and historically underserved populations in developed countries: An umbrella review (2020) Int J Community Well Being, 3, pp. 193-221. , https://doi.org/10.1007/s42413-019-00055-5; Sabo, S., Flores, M., Wennerstrom, A., Bell, M.L., Verdugo, L., Carvajal, S., Ingram, M., Community health workers promote civic engagement and organizational capacity to impact policy (2017) J Community Health, 42 (6), pp. 1197-1203; Olushola, T., Abiola, J., The efficacy of technology acceptance model: a review of applicable theoretical models in information technology researches (2017) J Res Business Manage, 4 (11), pp. 70-83; Magsamen-Conrad, K., Upadhyaya, S., Joa, C.Y., Dowd, J., Bridging the divide: using UTAUT to predict multigenerational tablet adoption practices (2015) Comput Hum Behav, 50, pp. 186-196; Dwivedi, Y.K., Rana, N.P., Jeyaraj, A., Clement, M., Williams, M.D., Re-examining the unified theory of acceptance and use of technology (UTAUT): towards a revised theoretical model (2019) Inf Syst Front, 21 (3), pp. 719-734; Marangunić, N., Granić, A., Technology acceptance model: a literature review from 1986 to 2013 (2015) Univ Access Inf Soc, 14 (1), pp. 81-95; Lai, P., The literature review of technology adoption models and theories for the novelty technology (2017) JISTEM, 14 (1), pp. 21-38; Lee, S.H., Nurmatov, U.B., Nwaru, B.I., Mukherjee, M., Grant, L., Pagliari, C., Effectiveness of mHealth interventions for maternal, newborn and child health in low–and middle–income countries: systematic review and meta–analysis (2016) J Glob Health, 6 (1), p. 010401; Holipah, M.A., Kuroda, Y., Determinants of immunization status among 12- to 23-month-old children in Indonesia (2008–2013): a multilevel analysis (2018) BMC Public Health, 18 (1), p. 288. , COI: 1:STN:280:DC%2BC1MrlsFaitA%3D%3D; (2018) Guideline on stunting integrated intervention in districts/cities, , http://tnp2k.go.id/filemanager/files/Rakornis%202018/Pedoman%20Pelaksanaan%20Intervensi%20Penurunan%20Stunting%20Terintegrasi%20Di%20Kabupaten%20Kota.pdf, http://tnp2k.go.id/filemanager/files/Rakornis%202018/Pedoman%20Pelaksanaan%20Intervensi%20Penurunan%20Stunting%20Terintegrasi%20Di%20Kabupaten%20Kota.pdf. Accessed on 24 May 2020; (2019) Guideline on integrated nutrition information system, , http://sigiziterpadu.gizi.kemkes.go.id/, http://sigiziterpadu.gizi.kemkes.go.id/. Accessed 11 May 2020; Iyengar, S., (2020) Chapter 12 – Mobile Health (Mhealth): Fundamentals of Telemedicine and Telehealth, pp. 277-294. , Gogia S, Academic Press; Costello, A., Peterson, S., Rasanathan, K., Daelmans, B., Bahl, R., Where’s the leadership? Future commitments of Unicef and WHO for global child health (2018) BMJ, 362; Faridah, L., Rinawan, F.R., Fauziah, N., Mayasari, W., Dwiartama, A., Watanabe, K., Evaluation of health information system (HIS) in the surveillance of dengue in Indonesia: lessons from case in Bandung, West Java (2020) Int J Environ Res Public Health, 17 (5), p. 1795. , 10.3390/ijerph17051795
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