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.

Low hemoglobin (Hb) or anemia is common among pregnant women in developing countries which may cause adverse pregnancy outcomes and maternal deaths. Our study aimed to assess Hb level measured by midwives in primary health care facility at rural area of Jatinangor, Indonesia, and to explore whether the anemia was due to iron deficiency (IDA) or β-thalassemia trait (β-TT). Pregnant women (n = 105) had finger prick test for Hb level during a regular antenatal care examination from October to November 2016. Hb level by finger prick test was compared with venous blood, measured by complete blood count (CBC). Indices including MCV and MCH and indices of Shine & Lal, Mentzer, Srivastava, Engels & Frase, Ehsani, and Sirdah were analyzed to differentiate anemia due to IDA and anemia due to suspect β-TT. HbA2 was measured to confirm β-TT. Anemic pregnant women were found in 86.7% by finger prick test compared to 21.9% (n = 23) by CBC. The prevalence of β-TT in our study was 5.7%. Hb measurement among pregnant women in low resource area is highly important; however, finger prick test in this study showed a high frequency of anemia which may lead to iron oversupplementation. A standard CBC is encouraged; MCV and MCH would help midwives to identify β-TT.

Pemberian ASI banyak manfaatnya, baik untuk ibu maupun untuk bayinya, namun kecenderungan untuk ibu menyusui bayinya secara ekslusif masih rendah. Riset WHO pada tahun 2011 di seluruh dunia menyatakan kurang dari 40% bayi menyusu eksklusif. Rendahnya pemberian ASI ekslusif dapat disebabkan oleh faktor karakteristik, internal, dan eksternal. Penelitian ini bertujuan untuk mengetahui gambaran karakteristik yang dapat menyebabkan ibu tidak memberikan ASI ekslusif di Desa Cikeruh pada bulan Agustus 2015. Metode yang digunakan dalam penelitian ini adalah deskriptif dengan pendekatan potong lintang. Data yang diperoleh adalah data primer yang diperoleh dari kuesioner. Dengan sampel sebanyak 36 orang responden. Analisis statistik yang digunakan adalah univariat. Hasil penelitian ini adalah rendahnya pemberian ASI ekslusif oleh ibu menyusui berdasarkan karakteristik yaitu ibu berusia 20-35 tahun (80,6%), tidak bekerja (66,7%), multipara  (66,7%), motivasi ibu dalam menyusui (50%), ibu dengan pengetahuan kurang (41,7%), dukungan keluarga mengenai ASI eksklusif yang rendah (55,6%), dan waktu awal pemberian susu formula diberikan kepada bayi saat usia 0-1 bulan (91,7%). Simpulan penelitian ini adalah gambaran karakteristik ibu menyusui yang tidak memberikan ASI eksklusif yaitu usia ibu 20-35 tahun, dan waktu ibu memberikan susu formula saat bayi berusia 0-1 bulan.Kata Kunci : ASI eksklusif, ibu menyusui, karakteristik

Posyandu  cadres  are  community  elements  that  have  an  important  role  in  carrying  out Posyandu activities. Cadre's tasks include registration, recording, weighing, counseling, and discussing the results of Posyandu activities. One important task of cadres is recording and reporting. So far, the recording and reporting of posyandu is still done manually, therefore cadres need to be supported by information technology to facilitate the task. The iPosyandu application is one of the smartphone application innovations that is used to facilitate cadre assignments in Posyandu activities. This study aims to determine the differences in knowledge of cadres before and after training about the use of iPosyandu applications. The research method used is analytical with cross sectional approach. The subjects of this study were 86. Posyandu cadres in Pasawahan District. Retrieval of data in this study using research instruments in the form of questionnaires given before and after training. The results of this study  indicate  that  there  are  differences  in  Posyandu  cadre  knowledge  before  and  after training, namely p = 0,000 (p <0.05). Cadres who have good knowledge increase up to 100%. Before  the  training,  cadres  who  had  good  knowledge  were  54.65%.  Increased  cadre knowledge score of 45.35%. The conclusion of this study is that there is a difference in cadre knowledge after training on the use of the iPosyandu application.

Kurang Energi Kronik (KEK)  adalah kurangnya asupan energi berlangsung lama. Pada ibu hamil KEK merupakan keadaan ibu hamil menderita kekurangan energi yang berlangsung menahun sehingga menimbulkan gangguan kesehatan. Untuk mencegah gangguan kesehatan, faktor risiko serta komplikasi, maka dilakukan intervensi. Tujuan penelitian ini adalah melakukan survei intervensi pada ibu hamil KEK di Kecamatan Jatinangor tahun 2015. Metode penelitian menggunakan metode deskriptif dengan pendekatan cross-sectional. Diambil dari data sekunder kohort, penapisan gizi, dan buku KIA pada tahun 2015 di Kecamatan Jatinangor. Sampel yang digunakan, 112 ibu hamil KEK. Setelah diberikan kriteria inklusi dan eksklusi, sampel jumlah ibu hamil KEK menjadi 33 orang. Analisis data menggunakan univariat, dilakukan dengan perhitungan statistik kemudian ditampilkan dalam tabel distribusi frekuensi. Hasil penelitian didapatkan ibu hamil KEK yang mendapatkan intervensi sebanyak 29.5%. Sedangkan intervensi berdasarkan penambahan berat badan (BB) dan penambahan lingkar lengan atas (LiLA) yaitu 100%, intervensi berdasarkan konseling kesadaran gizi (kadarzi) yaitu 100% dan intervensi berdasarkan pemberian makanan tambahan (PMT) yaitu 36,3%. Simpulan penelitian ini adalah seluruh ibu hamil KEK diberikan intervensi penambahan BB, LiLA, dan konseling Kadarzi, dan hanya sebagian ibu hamil KEK mendapatkan PMT di Kecamatan Jatinangor Tahun 2015.Kata Kunci: Ibu Hamil dengan KEK, Intervensi, Survei