The world of health has changed significantly since the advent of smartphones. Smartphones have been widely known to facilitate the search for health information in the mobile Health (mHealth) system, which is used to improve the quality of life for patients, such as communication between doctors and patients. This systematic literature review aims to identify the use of mHealth as a digital communication tool for pregnant women by comparing technology-based and standard-based pregnancy care. The method used is a systematic review of articles related to pregnancy care that utilize mHealth for pregnant women. The articles were obtained from the database based on the PICO framework; we searched articles using seven databases. The selection was adjusted to the inclusion criteria, data extraction, study quality evaluation, and results from synthesis. From the disbursement, 543 articles were obtained and 10 results were obtained after the screening. After a critical appraisal was carried out, four articles were obtained. Advantages can be in the form of increasing knowledge of pregnant women who use mHealth due to the availability of information needed by pregnant women in the mHealth application. mHealth also provides information about their babies, so the impact of mHealth is not only for mothers. mHealth is a promising solution in pregnancy care compared to the standard of maternal care.
Midwives’ competence in providing continuity of care using mobile health (mHealth) applications is limited in developing countries. This study identified and explored midwives’ competency and service needs to develop mHealth in Midwifery Continuity of Care (MCOC) education and training. It used an explanatory sequential mixed method, and was conducted from August to December 2021. A cross-sectional approach was used to find the characteristics and competency scope of 373 midwives in West Java, and continued with a qualitative design through a Focus Group Discussion (FGD) of 13 midwives. Descriptive data analysis (frequency, mean, deviation standard) and qualitative data analysis (coding, sub-themes, and theme) were conducted. In terms of the x midwives who participated in this study, more than half were aged £ 35 years (58.98%), with a working period > 10 years (56.30%), had diploma degrees (71.12%), and used smartphones on average 1–12 h/day (78.28%). Most midwives needed to develop competency in the MCOC scope, including its early detection of the risk factor of complications and treatment management. They were concerned about the purposes, benefits, and design of mHealth. In summary, midwives’ competency indicators for early detection are more needed in MCOC using mHealth. Further research is required to evaluate midwives’ competence in MCOC using mHealth.
With the widespread application of digital healthcare, mobile health (mHealth) services are also developing in maternal and child health, primarily through community-based services, such as Posyandu in Indonesia. Patients need media for consultation and decision-making, while health workers are constrained in responding quickly. This study aimed to obtain information from pregnant women and midwives in developing a decision tree model as material for building a semi-automated chatbot. Using an exploratory qualitative approach, semi-structured interviews were conducted through focus group discussions (FGD) with pregnant women (n = 10) and midwives (n = 12) in March 2022. The results showed 38 codes, 15 categories, and 7 subthemes that generated 3 major themes: maternal health education, information on maternal health services, and health monitoring. The decision tree method was applied from these themes based on the needs of users, evidence, and expert sources to ensure quality. In summary, the need to use a semi-automated chatbot can be applied to education about maternal health and monitoring, where severe cases should be provided with non-automated communication with midwives. Applying the decision tree method ensured quality content, supported a clinical decision, and assisted in early detection. Furthermore, future research needs to measure user evaluation.
Latar Belakang: Anak dan remaja merupakan masa pencarian jati diri. Internet berperan besar bagi kehidupan mereka sehingga paparan pornografi mudah diterima. Oleh sebab itu, internet menjadi salah satu penyebab KSA (Kekerasan Seksual Anak).Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan pemanfaatan media internet dengan sikap siswa terhadap kemampuan dalam antisipasi tindak KSA.Metode: Penelitian ini merupakan studi analitik cross sectional. Populasi target yaitu siswa usia 10-14 tahun, sedangkan populasi terjangkau yaitu seluruh siswa kelas TA PAA Al-Falaah Blunyahgede Yogyakarta. Pengambilan sampel menggunakan Total Sampling sebanyak 34 anak. Penelitian dilakukan pada 8–13 September menggunakan instrumen yang telah diuji validitas dan reliabilitasnya. Analisis data menggunkan uji Spearman ra nk (α = 5%).Hasil: Hasil penelitian menunjukkan bahwa dari 34 siswa PAA AL-Falaah 19 anak 55,88% memanfaatkan media internet tinggi dan 20 anak 58,82% memiliki sikap positif terhadap kemampuan dalam antisipasi tindak KSA. Uji korelasi Spearman Rank menujukkan p value 0,047 < 0,05 dan nilai ρ sebesar 0,344. Artinya ada hubungan pemanfaatan media internet dengan sikap siswa terhadap kemampuan dalam antisipasi tindak KSA dengan kekuatan lemahKesimpulan: Pemanfaatan media internet berhubungan dengan sikap anak terhadap kemampuan dalam antisispasi tindak KSA namun internet juga memiliki dampak positif bagi penggunanya.
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