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.
Mental health in adolescents represent a considerable public health issue in developing countries. These problems are considered a source of problem for adolescents’ quality of life. The study objective was to determine the association between mental health problems and sociodemographic variables among adolescents. A cross-sectional study was conducted from October to December 2016 using a school-based survey in 4 districts and 3 cities in West Java Province, Indonesia. Stratified multistage random sampling was used to select junior and senior high school students and self-administered questionnaires were used to collect study data which included: personal data, socioeconomic status scale, and self-reported version of Strengths and Difficulties Questionnaire (SDQ) which divided into 5 subscales. About 3452 adolescents of 32 schools were included in this study, 59% female, 56% junior high school, 56% district residence, most parents’ education were senior high school. The prevalence of mental health problems based on SDQ subscale as total difficulties, conduct problem, emotional symptoms, peer problems, hyperactivity-inattention, were abnormal 31.6, 38.9, 30, 29.3, 15.6, respectively. Mental health problems were more prevalent amongst adolescents in junior high school and residence in district area, with RR and 95% CI were 1.14 (1.04-1.26), and 1.18 (1.08-1.30). As conclusions mental health problems in adolescents were associated with education level and residence area
Growth monitoring of toddler in Indonesia is an essential thing that should be done by a mother using the Child Health Card (Kartu Menuju Sehat/KMS). This card purpose is also to detect the growth interference of a toddler. However, the KMS cannot be directly filled by working mother because sometimes it is not her who takes the toddler to integrated service posts (pos pelayanan terpadu/posyandu). The iPosyandu application is an application that makes it easy for mothers at any time and anywhere to monitor their children growth. The iPosyandu application can be downloaded at Play Store for free. This research aims to see the knowledge and perception of the mothers in growth monitoring of the toddlers using iPosyandu. The descriptive study with cross-sectional approach conducted in October 2017 in Pasawahan Kidul village, Purwakarta regency. The subjects were 81 mothers with toddler recruited using purposive sampling technique. Results showed that 56% of mothers in 20–35 years old group and 42% of mothers with 2–3 children had only moderate knowledge. Thirty-eight percent of mothers 20–35 years old, 25% with 2–3 children and mostly had junior high school education level agreed that iPosyandu is beneficial. In conclusion, mothers who have sufficient knowledge would agree to use iPosyandu to monitor the growth of toddlers. PENGETAHUAN DAN PERSEPSI IBU DALAM MEMANTAU PERTUMBUHAN BALITA MENGGUNAKAN APLIKASI IPOSYANDUPemantauan pertumbuhan balita di Indonesia merupakan hal yang penting dilakukan oleh ibu dengan menggunakan Kartu Menuju Sehat (KMS) yang bertujuan mengetahui gangguan pertumbuhan balita secara dini. Akan tetapi, KMS tersebut tidak dapat secara langsung dilihat oleh ibu yang sedang bekerja karena terkadang bukan ibu yang mengantar balita ke posyandu. Oleh karena itu, aplikasi iPosyandu merupakan suatu aplikasi yang memudahkan ibu setiap saat dan di mana pun berada untuk memantau pertumbuhan berat badan balita berdasar atas usia. Aplikasi iPosyandu dapat diunduh pada Play Store secara gratis. Penelitian ini bertujuan mengetahui pengetahuan dan persepsi ibu dalam memantau pertumbuhan balita menggunakan aplikasi iPosyandu. Penelitian ini menggunakan metode deskriptif dengan pendekatan cross-sectional. Penelitian ini dilaksanakan pada bulan Oktober 2017 pada ibu yang memiliki balita di Desa Pasawahan Kidul, Kabupaten Purwakarta. Subjek penelitian adalah 81 ibu dengan balita yang diambil menggunakan teknik purposive sampling. Hasil penelitian menunjukkan bahwa 56% ibu dalam kelompok 20–35 tahun dan 42% ibu dengan 2–3 anak hanya memiliki pengetahuan sedang. Tiga puluh delapan persen ibu berusia 20–35 tahun, 25% dengan 2–3 anak, dan sebagian besar berpendidikan sekolah menengah pertama setuju bahwa iPosyandu bermanfaat. Simpulan, ibu yang memiliki pengetahuan cukup setuju menggunakan iPosyandu untuk memantau pertumbuhan balita.
In the development of the dynamics of international politics, China is one of the countries that began to emerge and acted as an emerging power country and had economic power that had much influence on the world economic system. Geopolitics is a form of political implementation of the state with the influence of its geographical conditions. Geographical conditions can affect a country's policy on efforts to achieve its interests. To realize its interests, China does it by means of geostrategy. The development of China's political geostrategy itself can be seen from the history of China, where policy considerations have been adjusted to adjust geographical conditions. In this case, it can be seen from how China was able to map its trade routes which were introduced as silk roads. In the era of modern or contemporary China, China has increasingly developed into a country that has strong bargaining power. Because of this China mapped out its strategy not only from a geographical aspect but also from international political conditions. AbstrakDalam perkembangan dinamika politik internasional, Tiongkok merupakan salah satu negara yang mulai muncul dan berperan sebagai emerging power serta memiliki kekuatan ekonomi yang banyak memberikan pengaruh bagi sistem ekonomi dunia. Geopolitik merupakan bentuk dari implementasi politik suatu negara dengan pengaruh keadaan geografisnya. Keadaan geografis dapat mempengaruhi kebijakan suatu negara atas upaya mencapai kepentingannya. Untuk mewujudkan kepentingannya maka Tiongkok menggunakan geostrategi. Perkembangan geostrategi politik Tiongkok sendiri dapat dilihat dari masa sejarah Tiongkok dimana sudah mulai adanya pertimbangan kebijakan yang menyesuaikan kondisi geografis. Dalam hal ini dapat dilihat dari bagaimana Tiongkok mampu memetakan jalur perdagangannya yang diperkenalkan dengan sebutan jalur sutra atau silk road. Di era Tiongkok modern atau kotemporer, Tiongkok semakin berkembang menjadi negara yang memiliki kemampuan bargainning power yang cukup kuat. Karena hal tersebut Tiongkok memetakan strateginya bukan hanya melihat dari aspek geografis namun juga melihat dari kondisi politik internasional.
Background: Government needs community empowerment especially in Posyandu activity to improve health degree in Indonesia. Posyandu is the spearhead in maternal and child health services. Therefore, the cadre is a driver in Posyandu activities so that innovation is needed for an application to assist the task of cadres in reporting and recording of maternal and child health data.Objective: This study aims to determine the linkage of government policy in the use of mobile application apps by cadres on Anjungan Mandiri Posyandu (AMP).Method: The research method used is qualitative with case study approach. This research was conducted on active cadre in Posyandu of Pasawahan Village Kidul Subdistrict of Pasawahan Purwakarta Regency on May to July 2017. The data was collected by Focus Group Discussion (FGD) on 15 cadres. Sampling technique using purposive sampling. Results: The results of this study found that the recording and reporting of data in the form of Posyandu Information System (SIP) by cadres using AMP.Conclusion: It can be concluded in this research that with the application of mobile apps health on AMP can assist duty cadre in recording and reporting data to health center. Therefore, government policies are needed in the use of AMP for Posyandu in Indonesia.Keywords: Anjungan Mandiri Posyandu, Policy, Mobile Apps
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