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Understanding mobile application development and implementation for monitoring Posyandu data in Indonesia: a 3-year hybrid action study to build “a bridge” from the community to the national scale
Ist Teil von
BMC public health, 2021-05, Vol.21 (1), p.1-1024, Article 1024
Ort / Verlag
London: BioMed Central Ltd
Erscheinungsjahr
2021
Link zum Volltext
Quelle
EZB Electronic Journals Library
Beschreibungen/Notizen
Abstract
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.