mHealth Conceptual Model for Providing Quality Antenatal Care in Health Centers during the Coronavirus Disease 2019 Pandemic

Authors

  • Delmaifanis Delmaifanis Department of Reproductive Health, Faculty of Public Health, University of Indonesia, Depok, West Java, Indonesia https://orcid.org/0000-0002-7424-0619
  • Kemal Siregar Department of Biostatistics and Population, Faculty of Public Health, University of Indonesia, Depok, West Java, Indonesia https://orcid.org/0000-0003-1229-0060
  • Artha Prabawa Department of Biostatistics and Population, Faculty of Public Health, University of Indonesia, Depok, West Java, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.7061

Keywords:

mHealth, Quality of antenatal care, Pregnant women, Coronavirus disease 2019 pandemic, Teleconsultation

Abstract

BACKGROUND: In Indonesia, the maternal mortality rate is still high and far from the Sustainable Development Goals target of 305 compared to 70 per 100,000 live births.

AIM: This study aims to design the mHealth concept to improve the quality of antenatal care (ANC) with features that support service workers during the coronavirus disease 2019 (COVID-19) pandemic.

METHODS: The method used was literature study and conceptual design of the mHealth model with Rapid Application Development approach.

RESULTS: The result showed that several factors influence the quality of ANC and the potential for improvement with mHealth. There are nine features of pregnancy services designed to improve the quality of ANC, such as standard operating procedure compliance, maternal health records, clinical decision aids, referral links, teleconsultation, health promotion improvement, alerts, and reminders, real-time reports, and distribution maps for pregnant women. The depicted context diagram consists of four external entities such as pregnant women, midwives, maternal and child health coordinators at Health centers and Health offices in Indonesia as well as the flow of data or information to and from mHealth, and the interface design understands users’ role and is executed accordingly.

CONCLUSION: The problems of pregnant women during the COVID-19 pandemic or the new normal were partially resolved with mHealth innovations, teleconsultation features, and improving health promotion. Therefore, all the mHealth features this helps in improving the quality of ANC.

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References

World Health Organization, UNICEF, UNFPA, World Bank Group, Division UNP. Trends in Maternal Mortality 2000 to 2017 Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Sexual and Reproductive Health. World Health Organization; 2019. p. 122. Available from: https://www.who.int/reproductivehealth/publications/maternalmortality-2000-2017/en. [Last accessed on 2021 Mar 12].

Kementerian Kesehatan, BKKBN, BPS, USAID. Indonesia Demographic and Health Survey 2017. Jakarta: BKKBN; 2018.

Respati SH, Sulistyowati S, Nababan R. Analysis of determinants of maternal mortality in Sukoharjo Regency, Central Java, Indonesia. J Kesehat Reproduksi. 2019;6(2):52. DOI: https://doi.org/10.22146/jkr.43463

Salem A, Lacour O, Scaringella S, Herinianasolo J, Benski AC, Stancanelli G, et al. Cross-sectional survey of knowledge of obstetric danger signs among women in rural Madagascar. BMC Pregnancy Childbirth. 2018;18(1):46. https://doi.org/10.1186/s12884-018-1664-x PMid:29402226 DOI: https://doi.org/10.1186/s12884-018-1664-x

Hendarwan H, Laestari KF, Hananto M. Quality of antenatal examination services by midwives at health centers. Bul Penelit Kesehat. 2018;46(2):97-108. DOI: https://doi.org/10.22435/bpk.v46i2.307

Oladapo OT, Osiberu MO. Do sociodemographic characteristics of pregnant women determine their perception of antenatal care quality? Matern Child Health J. 2009;13(4):505-11. https://doi.org/10.1007/s10995-008-0389-2 PMid:18629621 DOI: https://doi.org/10.1007/s10995-008-0389-2

Hodgins S, D’Agostino A. The quality-coverage gap in antenatal care: Toward better measurement of effective coverage. Glob Heal Sci Pract. 2014;2(2):173-81. https://doi.org/10.9745/ghsp-d-13-00176 PMid:25276575 DOI: https://doi.org/10.9745/GHSP-D-13-00176

Pricilla R, David K, Siva R, Vimala T, Rahman S, Angeline N. Quality of antenatal care provided by nurse midwives in an Urban health centre with regard to low-risk antenatal mothers. Indian J Community Med. 2017;42(1):37-42. https://doi.org/10.4103/0970-0218.199796 PMid:28331252 DOI: https://doi.org/10.4103/0970-0218.199796

Ubra M. Analisis Faktor Yang Berhubungan Dengan Kinerja Bidan Puskesmas Kabupaten Fakfak Dalam Memberikan Pelayanan Antenatal; 2006. p. 169. https://doi.org/10.33087/jiubj.v19i1.545 DOI: https://doi.org/10.33087/jiubj.v19i1.545

Mugo NS, Dibley MJ, Damundu EY, Alam A. Barriers faced by the health workers to deliver maternal care services and their perceptions of the factors preventing their clients from receiving the services: A qualitative study in South Sudan. Matern Child Health J. 2018;22(11):1598-606. https://doi.org/10.1007/s10995-018-2555-5 PMid:29956127 DOI: https://doi.org/10.1007/s10995-018-2555-5

Kementerian Kesehatan RI. Regulation of the Minister of Health of the Republic of Indonesia No. 43 of 2019 concerning Health Centers. BPK RI, 49 Indonesia: BN.2019/NO.1335, PERATURAN.GO.ID: 40 HLM; 2019. p. 1–159. Available from: https://peraturan.bpk.go.id/Home/Details/138635/permenkesno-43-tahun-2019 [Last accessed on 2021 Mar 12].

Kemenkes, UNICEF. Health Rapid Assessment Report: Background of Essential Health Services during the COVID-19 Pandemic in Indonesia; 2020.

Choi JW, Lee JH, Vittinghoff E, Fukuoka Y. mHealth physical activity intervention: A randomized pilot study in physically inactive pregnant women. Matern Child Health J. 2016;20(5):1091-101. https://doi.org/10.1007/s10995-015-1895-7 PMid:26649879 DOI: https://doi.org/10.1007/s10995-015-1895-7

Modi D, Dholakia N, Gopalan R, Venkatraman S, Dave K, Shah S, et al. MHealth intervention “ImTeCHO” to improve delivery of maternal, neonatal, and child care services-A cluster-randomized trial in tribal areas of Gujarat, India. PLoS Med. 2019;16(10):e1002939. https://doi.org/10.1371/journal.pmed.1002939 PMid:31647821 DOI: https://doi.org/10.1371/journal.pmed.1002939

Wagnew F, Dessie G, Alebel A, Mulugeta H, Belay YA, Abajobir AA, et al. Does short message service improve focused antenatal care visit and skilled birth attendance? A systematic review and meta-analysis of randomized clinical trials. Reprod Health. 2016;15(7):191. https://doi.org/10.1186/s12978-018-0635-z PMid:30466453 DOI: https://doi.org/10.1186/s12978-018-0635-z

Dennis A, Haley BW, Roth RM. System analysis and Design. 5th ed. United States: Wiley; 2012.

Freeman H, Newland LA, Coyl DD. New directions in father attachment. Early Child Development and Care. 2010;180:1-8. https://doi.org/10.1080/03004430903414646 DOI: https://doi.org/10.1080/03004430903414646

Ruwayda. Implementation of antenatal service standards by midwives at the Jambi city health center. Indonesian Public Health Media. 2016;12(2):91-7.

Sondaal SF, Browne JL, Amoakoh-Coleman M, Borgstein A, Miltenburg AS, Verwijs M, et al. Assessing the effect of mhealth interventions in improving maternal and neonatal care in low and middle-income countries: A systematic review. PLoS One. 2016;11(5):e0154664. https://doi.org/10.1371/journal.pone.0154664 PMid:27144393 DOI: https://doi.org/10.1371/journal.pone.0154664

Borsari L, Stancanelli G, Guarenti L, Grandi T, Leotta S, Barcellini L, et al. An innovative mobile health system to improve and standardize antenatal care among underserved communities: A feasibility study in an Italian hosting center for asylum seekers. J Immigr Minor Health. 2018;20(5):1128-36. https://doi.org/10.1007/s10903-017-0669-2 PMid:29143900 DOI: https://doi.org/10.1007/s10903-017-0669-2

Abejirinde IO, Douwes R, Bardají A, Abugnaba-Abanga R, Zweekhorst M, van Roosmalen J, et al. Pregnant women’s experiences with an integrated diagnostic and decision support device for antenatal care in Ghana. BMC Pregnancy Childbirth. 2018;18:209. https://doi.org/10.1186/s12884-018-1853-7 DOI: https://doi.org/10.1186/s12884-018-1853-7

Rahmani Z, Brekke M. Antenatal and obstetric care in Afghanistan a qualitative study among health care receivers and health care providers. BMC Health Serv Res. 2013;13:166. https://doi.org/10.1186/1472-6963-13-166 DOI: https://doi.org/10.1186/1472-6963-13-166

Gamelia E, Sistiarani C, Masfiah S. Determinants of pregnancy care behavior. Kesmas Natl Public Health J. 2013;12:3465. https://doi.org/10.21109/kesmas.v8i3.358 DOI: https://doi.org/10.21109/kesmas.v8i3.358

Rurangirwa AA, Mogren I, Ntaganira J, Govender K, Krantz G. Quality of antenatal care services in Rwanda: Assessing practices of health care providers. BMC Health Serv Res. 2018;18:865. https://doi.org/10.1186/s12913-018-3694-5 DOI: https://doi.org/10.1186/s12913-018-3694-5

Gudu W, Addo B. Factors associated with utilization of skilled service delivery among women in rural Northern Ghana: A cross sectional study. BMC Pregnancy Childbirth. 2017;17:159. https://doi.org/10.1186/s12884-017-1344-2 DOI: https://doi.org/10.1186/s12884-017-1344-2

Rassi C, Gore-Langton GR, Walimbwa BG, Strachan CE, King R, Basharat S, et al. Improving health worker performance through text messaging: A mixed-methods evaluation of a pilot intervention designed to increase coverage of intermittent preventive treatment of malaria in pregnancy in West Nile, Uganda. PLoS One. 2018;13(9):e0203554. https://doi.org/10.1371/journal.pone.0203554 DOI: https://doi.org/10.1371/journal.pone.0203554

Phommachanh S, Essink DR, Jansen M, Broerse JE, Wright P, Mayxay M. Improvement of quality of antenatal care (ANC) service provision at the public health facilities in lao PDR: Perspective and experiences of supply and demand sides. BMC Pregnancy Childbirth. 2019;19(1):1-14. https://doi.org/10.1186/s12884-019-2345-0 DOI: https://doi.org/10.1186/s12884-019-2345-0

Patria A, Amatiria G. The relationship between the quality of antenatal services and the completeness of pregnant women in performing antenatal care. J Ilm Keperawatan Sai Betik. 2018;14(1):108. https://doi.org/10.26630/jkep.v14i1.1017 DOI: https://doi.org/10.26630/jkep.v14i1.1017

Mikrajab MA, Rachmawati T. Policy analysis of integrated antenatal care implementation at public health centers in Blitar city. Bul Penelit Sist Kesehat. 2016;19(1):41-53. https://doi.org/10.22435/hsr.v19i1.4988.41-53 DOI: https://doi.org/10.22435/hsr.v19i1.4988.41-53

Mattern E, Lohmann S, Ayerle GM. Experiences and wishes of women regarding systemic aspects of midwifery care in Germany: A qualitative study with focus groups. BMC Pregnancy Childbirth. 2017;17:389. https://doi.org/10.1186/s12884-017-1552-9 DOI: https://doi.org/10.1186/s12884-017-1552-9

Nyati-Jokomo Z, Dabengwa IM, Makacha L, Nyapwere N, Dube YP, Chikoko L, et al. RoadMApp: A feasibility study for a smart travel application to improve maternal health delivery in a low resource setting in Zimbabwe. BMC Pregnancy Childbirth. 2020;20:1-12. https://doi.org/10.1186/s12884-020-03200-7 DOI: https://doi.org/10.1186/s12884-020-03200-7

Dharmayanti I, Azhar K, Hapsari D, H PS. Quality Pregnancy Checkup Services that are Used by Pregnant Women to Prepare for Childbirth in Indonesia; 2019. p. 60-9.

Saptarini II, Suparmi S. Utilization and completeness of antenatal care services in Kebon Kalapa Village, Bogor City in 2014. Bul Penelit Kesehat. 2016;44(3):6-9. https://doi.org/10.22435/bpk.v44i3.4960.173-180 DOI: https://doi.org/10.22435/bpk.v44i3.4960.173-180

Kemenkes RI. National Report on Basic Health Research 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan; 2019.

Hoffman JM, Dunnenberger HM, Hicks JK, Caudle KE, Carrillo MW, Freimuth RR, et al. Developing knowledge resources to support precision medicine: Principles from the clinical pharmacogenetics implementation consortium (CPIC). J Am Med Informatics Assoc. 2016;23(4):796-801. https://doi.org/10.1093/jamia/ocw027 PMid:27026620 DOI: https://doi.org/10.1093/jamia/ocw027

Silviana S, Darmawan ES. Analysis of competency standards for health workers at Bhakti Yudha Hospital Depok in 2017. J ARSI. 2017;4(1):35-47. [Last accessed on 2021 Mar 12]. Available from: http://journal.fkm.ui.ac.id/arsi

Yulianti A. Maternal services during the Covid-19 Pandemic. Quality of health services. Yogyakarta; 2020. Available from: http://www.mutupelayanankesehatan.net/3460-layananmaternal-di-masa-pandemi-covid-19-pengalaman-rsup-sardjitodiypandemic covid. https://doi.org/10.2139/ssrn.3828387 DOI: https://doi.org/10.2139/ssrn.3828387

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Published

2021-09-18

How to Cite

1.
Delmaifanis D, Siregar K, Prabawa A. mHealth Conceptual Model for Providing Quality Antenatal Care in Health Centers during the Coronavirus Disease 2019 Pandemic. Open Access Maced J Med Sci [Internet]. 2021 Sep. 18 [cited 2023 Feb. 4];9(E):828-34. Available from: https://oamjms.eu/index.php/mjms/article/view/7061

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Public Health Education and Training

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