Maternal Mortality Rates (MMR) in Indonesia are still relatively high and not yet to reach the Sustainable Development Goals (SDGs) target of MMR in 2014 of 133/100,000 live births. One of MMR's causes is due to 3 delays, namely the delay in the introduction of danger signs and decisions, new arrivals at health facilities, and delays in service at health facilities. For prevention purpose, a Birth Preparedness and Complication Readiness (BPCR) screening application are needed. This application aims to do labor planning and determine the risk of pregnancy so that the mother is ready to face the risk of complications at delivery. This research method uses a prototype method of designing and building applications. For testing this application, researchers conducted a BPCR screening test on 30 pregnant women. Then the data is tested for validity and reliability using sensitivity and specificity tests. This study's results can display the main page application, Birth Preparedness of the Application, Complication Readiness of the Application. The Result of BPCR of the Application. This application has been tested for validity and reliability by using a sensitivity test of 83% to determine the high/moderate risk of pregnancy that experiences complications during labor. At the same time, the specificity test was 77.78% to determine the low risk of pregnancy that did not experience difficulties during labor.
Baby Blues Syndrome is depression that occurs in mothers within a few hours after giving birth, until a few days after delivery, and then it will disappear by itself if given good psychological care. One method to detect postpartum Baby Blues Syndrome is to use the EPDS (Edinburgh postnatal depression scale). However, currently, EPDS can only be done by health workers. Mothers cannot carry out their screening using this method. The purpose of this research is to produce an Android-based EPDS application that will be able to detect the symptoms of baby blues syndrome early after childbirth. Where the detection of the symptoms of baby blues syndrome can be carried out by postpartum mothers themselves quickly and easily, which in turn will reduce the negative impact of this syndrome. This study uses the System Development Life Cycle (SDLC) research method, where the stages of the activity plan are System / Information Engineering and Modeling, Software Requirements Analysis, Systems Analysis and Design, Code Generation, Testing, Implementation, and Maintenance. This EPDS application was built using Android Studio programming which can detect a postpartum mother experiencing the baby blues. This android-based EPDS design has a home screen form design, a questionnaire form design, and a result form design. This application displays results based on a score above 10, so the mother experiences depression or baby blues, while the score between 5 and 9 requires supervision of the mother and re-evaluation using the EPDS application.
Background and purpose: The Indonesian government requires all health care facilities including public health centres (PHCs) to implement a patient safety program as part of the accreditation standard process. The implementation of patient safety in PHCs have faced various problems, including human resources and infrastructure issues. This study aims to explore the implementation of patient safety target procedures in an accredited inpatient PHC in Tabanan District, Bali, Indonesia.Methods: We conducted a qualitative case study that adopts four main domains in patient safety, consisting of executive officers, community or patient who received services, systems in service delivery and methods, and elements in each domain. The research location was at Penebel I PHC, an inpatient PHC with the accreditation status of “utama”. Data collection was carried out from March to April 2020. It includes observation of the patient safety implementation, review on tracking patient safety documents and in-depth interviews with 11 informants who are PHC staff, patients’ safety task force and the family of patients. The data were analysed using thematic analysis by creating a grid of themes, sub-themes and data reduction to narrative presentation.Results: The patient safety procedure in Penebel I PHC has been carried out through the standard and procedure according to the Ministry of Health (MoH) regulation which consist of patient identification; communication between staff and patients; maintain the safety of High Alert and Look Alike Sound Alike (LASA) medications. However, there is a need to improve the capacity of implementing officers to increase their communication competencies as well as to enhance cooperation between officers in health services to avoid patient safety incidents.Conclusion: The implementation of six patient safety goals in-corporate through four main domains of health care services has been running according to the MoH’s standard. There is a need to improve the competence of officers, cooperation between officers in carrying out patient safety management and improve communication between officers and patients so that the information conveyed by officers is truly understood by patients.
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