Midwifery Continuity of Care in Indonesia: Initiation of Mobile Health Development Integrating Midwives’ Competency and Service Needs

Susanti, Ari Indra; Ali, Mohammad; Hernawan, Asep Herry; Rinawan, Fedri Ruluwedrata; Purnama, Wanda Gusdya; Puspitasari, Indriana Widya; Stellata, Alyxia Gita

doi:10.3390/ijerph192113893

Cited by 8 publications

(8 citation statements)

References 81 publications

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“…“This app development is conducted as it is essential for fulfilling the need to increase midwives’ competencies integrated with their services based on mobile health that can facilitate midwives to develop themselves according to their profession. ‘’ subjects included midwife participants in West Java Province, Indonesia” [ 29 ].…”

Section: Explanation and Elaboration Of Icheck-dhmentioning

confidence: 99%

iCHECK-DH: Guidelines and Checklist for the Reporting on Digital Health Implementations

Perrin¹,

Babington-Ashaye²,

Dietrich³

et al. 2023

J Med Internet Res

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Background Implementation of digital health technologies has grown rapidly, but many remain limited to pilot studies due to challenges, such as a lack of evidence or barriers to implementation. Overcoming these challenges requires learning from previous implementations and systematically documenting implementation processes to better understand the real-world impact of a technology and identify effective strategies for future implementation. Objective A group of global experts, facilitated by the Geneva Digital Health Hub, developed the Guidelines and Checklist for the Reporting on Digital Health Implementations (iCHECK-DH, pronounced “I checked”) to improve the completeness of reporting on digital health implementations. Methods A guideline development group was convened to define key considerations and criteria for reporting on digital health implementations. To ensure the practicality and effectiveness of the checklist, it was pilot-tested by applying it to several real-world digital health implementations, and adjustments were made based on the feedback received. The guiding principle for the development of iCHECK-DH was to identify the minimum set of information needed to comprehensively define a digital health implementation, to support the identification of key factors for success and failure, and to enable others to replicate it in different settings. Results The result was a 20-item checklist with detailed explanations and examples in this paper. The authors anticipate that widespread adoption will standardize the quality of reporting and, indirectly, improve implementation standards and best practices. Conclusions Guidelines for reporting on digital health implementations are important to ensure the accuracy, completeness, and consistency of reported information. This allows for meaningful comparison and evaluation of results, transparency, and accountability and informs stakeholder decision-making. i-CHECK-DH facilitates standardization of the way information is collected and reported, improving systematic documentation and knowledge transfer that can lead to the development of more effective digital health interventions and better health outcomes.

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Section: Explanation and Elaboration Of Icheck-dhmentioning

confidence: 99%

iCHECK-DH: Guidelines and Checklist for the Reporting on Digital Health Implementations

Perrin¹,

Babington-Ashaye²,

Dietrich³

et al. 2023

J Med Internet Res

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“…The use of mHealth (risk factors and treatment) was effective integrated care, such as in developing competency indicators and purposes and benefits within the scope of continuity of care [ 80 ]. An integrated Community Oriented Primary Care approach increased pregnancy care at home; however, the challenges of mobilizing the ward-based outreach team were lack of patient residence or personal identification [ 75 ].…”

Section: Resultsmentioning

confidence: 99%

Continuity and care coordination of primary health care: a scoping review

Khatri

Endalamaw

Erku

et al. 2023

BMC Health Serv Res

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Background Healthcare coordination and continuity of care conceptualize all care providers and organizations involved in health care to ensure the right care at the right time. However, systematic evidence synthesis is lacking in the care coordination of health services. This scoping review synthesizes evidence on different levels of care coordination of primary health care (PHC) and primary care. Methods We conducted a scoping review of published evidence on healthcare coordination. PubMed, Scopus, Embase, CINAHL, Cochrane, PsycINFO, Web of Science and Google Scholar were searched until 30 November 2022 for studies that describe care coordination/continuity of care in PHC and primary care. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines to select studies. We analysed data using a thematic analysis approach and explained themes adopting a multilevel (individual, organizational, and system) analytical framework. Results A total of 56 studies were included in the review. Most studies were from upper-middle-income or high-income countries, primarily focusing on continuity/care coordination in primary care. Ten themes were identified in care coordination in PHC/primary care. Four themes under care coordination at the individual level were the continuity of services, linkage at different stages of health conditions (from health promotion to rehabilitation), health care from a life-course (conception to elderly), and care coordination of health services at places (family to hospitals). Five themes under organizational level care coordination included interprofessional, multidisciplinary services, community collaboration, integrated care, and information in care coordination. Finally, a theme under system-level care coordination was related to service management involving multisectoral coordination within and beyond health systems. Conclusions Continuity and coordination of care involve healthcare provisions from family to health facility throughout the life-course to provide a range of services. Several issues could influence multilevel care coordination, including at the individual (services or users), organizational (providers), and system (departments and sectors) levels. Health systems should focus on care coordination, ensuring types of care per the healthcare needs at different stages of health conditions by a multidisciplinary team. Coordinating multiple technical and supporting stakeholders and sectors within and beyond health sector is also vital for the continuity of care especially in resource-limited health systems and settings.

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“…In a policy context, this research suggests the need for specific and targeted models of continuous midwifery care for adolescent pregnancies, developing maternal care strategies focused on the specific needs of adolescent pregnancies rather than generalized maternal care (Erika, 2019). The integration of adolescent-friendly healthcare services, the provision of more specific information tailored to their needs, and increased training for healthcare providers could enhance the quality of care and engagement of adolescent pregnancies (Susanti et al, 2022).…”

Section: Relational Continuitymentioning

confidence: 99%

Exploring Adolescent Pregnancy Expectations in Continuity of Midwifery Care: A Qualitative Study in Indonesia

Susanti,

Hardisman,

Yusrawati

et al. 2023

JBC

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Introduction: Adolescent pregnancy presents a significant challenge to global reproductive health, including in Indonesia. The unique obstacles that young pregnant women encounter when seeking appropriate and supportive healthcare services call for a deeper understanding to improve maternal care. Purpose: This study aims to explore the expectations of young pregnant women regarding continuous midwifery care in Indonesia. Method: This research employed an exploratory qualitative approach, conducting 13 face-to-face interviews between January and June 2022. Participants included midwives, young mothers, a coordinating midwife, and Mother and Child Health (MCH) program holders. Interviews, lasting 1-1.5 hours, were conducted, and the interview data were rigorously analyzed thematically by the research team, strengthening data reliability through triangulation. Results: Continuity management emphasizes friendly service, privacy, clear communication, and comprehensive health assessments. Informational continuity involves comprehensive information, direct communication, attractive aids, and health education evaluation. Relational continuity highlights comprehensive maternal care, family tradition approval, reminders, and efficient care. The study underscores the importance of tailored, holistic, and culturally sensitive midwifery care for young pregnant women's overall well-being. Conclusion: This study highlights adolescent pregnant women's unique needs, focusing on continuity management, informational continuity, and relational continuity. Proposed strategies include tailored health services, comprehensive maternal education, cultural sensitivity training for healthcare providers, policy integration, and diverse research. Successfully implementing these measures can significantly enhance maternal care outcomes for Indonesian adolescents.

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Midwifery Continuity of Care in Indonesia: Initiation of Mobile Health Development Integrating Midwives’ Competency and Service Needs

Cited by 8 publications

References 81 publications

iCHECK-DH: Guidelines and Checklist for the Reporting on Digital Health Implementations

iCHECK-DH: Guidelines and Checklist for the Reporting on Digital Health Implementations

Continuity and care coordination of primary health care: a scoping review

Exploring Adolescent Pregnancy Expectations in Continuity of Midwifery Care: A Qualitative Study in Indonesia

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