End-User Need Assessment for Developing Electronic Integrated Antenatal Care (e-iANC)

Abstract

Electronic Integrated Antenatal Care is a web-based application for antenatal care (ANC) data and information management for independent practice midwives. This study aimed to assess the end-user needs for e-iANC development. Their needs for data and information were represented by a use case diagram. Five key stakeholders were identified related to the development of an e-iANC. Interviewing representatives of each informant provided the functions, and information content and flows for each function. The Extended e-iANC needs and promoted insight among all of the actors’ perspectives. The use-case scenario for extended e-iANC includes all of the elements of midwifery care include antenatal care, childbirth, puerperium, immunization, and family planning. The deployment of integrated information of extended e-iANC with the primary healthcare applications and the district health department is necessary for comprehensive information on maternal and child care innovation.

Strengthening midwifery in the South-East Asian region: A scoping review of midwifery-related research

“…included evaluation of midwife-led services or introduction of midwives to maternity services [24][25][26][27][28][29][30][31][32], service delivery in hard to reach or remote settings [23,[33][34][35][36][37][38] and the integration of mHealth (i.e. digital health applications) to optimise service delivery [16,[39][40][41][42][43][44][45][46][47][48].…”

“…Finally, 11 sources reported on the integration of mHealth phone applications or internetbased systems to optimise practice or service delivery. These were conducted in Indonesia [39][40][41][42][43]48], India [16,44], Timor-Leste [45], Myanmar [46] and Sri Lanka [47]. mHealth interventions were used to facilitate communication between midwives and women, including the provision of health information and appointment reminders [40,42,45].…”

“…mHealth interventions were used to facilitate communication between midwives and women, including the provision of health information and appointment reminders [40,42,45]. They were also designed to improve documentation [43,47], support auxiliary midwives' clinical decisionmaking [46], facilitate the targeted provision of services [39], to facilitate referrals between primary health centres and hospitals [41] and to facilitate monitoring of anaemia [16]. The acceptance of mHealth applications by auxiliary nurse midwives [44] and midwives' mHealth competency [48] were also explored more broadly.…”

“…Targeted in-service education referred to essential maternal and newborn health-related skills. Other focus areas included partograph use [88], neonatal care [84], use of alternate birth positions [29] and antenatal care [43], HIV [89], family planning [90], mental health [91], ultrasound [92], patient safety [93], family violence [94], digestion health, nutrition and parenting [95], breast cancer [96], mammography [97], disaster preparedness and management [98], electronic health record system [47] and pharmacovigilance [99]. Targeted in-service education was offered for career pathway development, specifically professional education, academic progress, self-development or professional recognition, or with external incentives such as career paths, policies, workplace or professional organisation.…”