Salah satu upaya untuk menurunkan Angka Kematian Ibu (AKI) adalah melalui pelayanan antenatal. Adanya transformasi digital menjadikan pelayanan antenatal juga perlu menerapkan kesehatan digital untuk meningkatkan kualitas layanan. Salah satu petugas yang berperan penting dalam pelayanan antenatal adalah bidan. Sebanyak 85% pemeriksaan kehamilan dilakukan oleh bidan, baik yang dilakukan di puskesmas maupun Praktik Mandiri Bidan. Untuk itu diperlukan model layanan antenatal oleh bidan yang efektif dan efisien. Tujuan penelitian ini adalah mengembangkan model layanan antenatal oleh bidan yang didukung Web-based Apps ‘Bundaqusehat’ untuk meningkatkan kualitas layanan antenatal dan promosi kesehatan ibu hamil. Metode penelitian adalah pengembangan sistem yang terdiri dari 5 tahap. Tahap 1 adalah systematic literature review, tahap 2 adalah analisis kebutuhan sistem, tahap 3 merupakan pengembangan model pelayanan antenatal dengan proses bisnis baru, tahap 4 pengembangan prototipe Web-based Apps ‘Bundaqusehat’, tahap 5 melakukan uji prototype Web-based Apps ‘Bundaqusehat’ yang terdiri dari; uji usability, uji penerimaan oleh bidan dan ibu hamil dan uji efikasi. Uji efikasi dilakukan dengan desain studi quasi experiment pretest and posttest with control group design. Fitur utama Web-based apps ‘Bundaqusehat’ adalah pengecekan penerapan 10T layanan antenatal, catatan kesehatan, deteksi risiko, reminder, promosi kesehatan, link rujukan, telekonsultasi, pemantauan gerakan janin, dan laporan real time. Penelitian dilakukan di wilayah Jakarta Barat. Sebagai kelompok intervensi adalah 30 bidan dan 30 ibu hamil di Puskesmas Cengkareng, dan 30 bidan dan 30 ibu hamil di Puskesmas Kalideres sebagai kontrol. Analisis statistik uji T menunjukkan adanya peningkatan pengetahuan ibu hamil (p value=0,009), kepuasan ibu hamil (p value=0,001), kepatuhan minum tablet Fe (p value=0,030) dan pemantauan gerakan janin (p value=0,039). Model layanan antenatal yang didukung oleh Web-based Apps ‘Bundaqusehat’ cukup efektifitas meningkatkan kualitas layanan antenatal. Agar transformasi kesehatan dapat terlaksana, diperlukan ekosistem dalam implementasi kesehatan digital.
One of the efforts to reduce the Maternal Mortality Rate (MMR) is through antenatal care. The existence of digital transformation makes antenatal services also need to implement digital health to improve service quality. One of the officers who play an important role in prenatal checks is the midwife; as much as 85% of prenatal checks are carried out by midwives at health centres and in independent midwifery practices. For this reason, an effective and efficient model of antenatal care by midwives is needed. This study aims to develop a model of antenatal care by midwives supported by the Web-based application 'Bundaqusehat' to improve the quality of antenatal care and the health of pregnant women. The research method is system development which consists of 5 stages. Stage 1 is a systematic literature review; stage 2 is an analysis of system requirements; stage 3 is the development of an antenatal care model with new business processes; stage 4 is the development of a Web-based 'Bundaqusehat' Application prototype; stage 5 has been testing the 'Bundaqusehat' Web-Based Application prototype consisting of; usability test, acceptance test by midwives and pregnant women and efficacy test. The efficacy test was carried out using a quasi-experimental research design with a pretest and a posttest with a control group design. The main features of the web-based 'Bundaqusehat' application are checking the implementation of 10T antenatal services, health records, risk detection, reminders, health promotion, referral links, teleconsultation, fetal movement monitoring, and real-time reports. The research was conducted in the West Jakarta area. As the intervention group, there were 30 midwives and 30 pregnant women at the Cengkareng Health Center and 30 midwives and 30 pregnant women at the Kalideres Health Center as controls. Statistical analysis of the t-test showed an increase in knowledge of pregnant women (p-value = 0.009), the satisfaction of pregnant women (p-value = 0.001), adherence to taking Fe tablets (p-value = 0.030) and fetal movement monitoring (p-value = 0.039). The antenatal care model supported by the web-based 'Bundaqusehat' application effectively improves the quality of antenatal care. For health transformation to occur, an ecosystem is needed to implement digital health.
Delmaifanis-Disertasi-FKM-Full Text-2023.pdf ::