Posyandu Application for Monitoring Children Under-Five: A 3-Year Data Quality Map in Indonesia

Abstract

Posyandu is an Indonesian mother-child health, community-based healthcare. The provision of the Posyandu data quality map is crucial for analyzing results but is limited. This research aimed to (a) demonstrate data quality analysis on its completeness, accuracy, and consistency and (b) map the data quality in Indonesia for evaluation and improvement. An observational study was conducted using the Posyandu application. We observed data in Indonesia from 2019 to 2021. Data completeness was identified using children’s visits/year. Data accuracy was analyzed using WHO anthropometry z-score and implausible z-score values analyzing the outliers. Cronbach’s α of variables was used to know data consistency. STATA 15.1 SE and QGIS 3.10 was used to analyze and map the quality. Data completeness and accuracy in three years show a good start for the pilot project area, continued with declines in pandemic time, while some other areas demonstrated a small start, then slightly increased. The overall consistency decreased through the study period. A good report on data completeness can occur initially in a pilot project area, followed by others. Data accuracy and consistency can decrease during the pandemic. The app can be promising when synchronized with the government health information system.

Exploration of Telemidwifery: An Initiation of Application Menu in Indonesia

“…Research on iPosyandu states that respondents expect information on the application to be available at any time [ 7 , 9 ]; thus, our research will design an offline version that is planned to have the capacity to store data on Android devices and then synchronize with the server when connectivity is available [ 9 , 63 ]. Data connectivity is necessary for operating chatbot-based health applications .…”

“…The Posyandu is a form of community-based empowerment to improve community health [ 6 ]. One of the criteria of active posyandu consists of having a mother and child health (MCH) program, including nutrition, immunization, and family planning services, which accounts for 50% of minimum coverage [ 7 , 8 , 9 ]. In 2020, there were 108 of 514 districts/cities (21.0%) in 15 provinces in Indonesia with active Posyandu.…”

“…This district experienced an increased use in at least 80% of P osyandu from 2018 to 2020: 59.86%, 60.6%, and 99.2%, respectively [ 6 , 10 ]. Then, the use of the iPosyandu application (app), an initiative in the Purwakarta Regency in 2017, increased the number of active Posyandu in 2020 [ 7 , 9 ]. The initiative aims to optimize the role of Posyandu by using applications and websites through various developments to overcome limited access to health facilities [ 7 ].…”

Midwifery Continuity of Care in Indonesia: Initiation of Mobile Health Development Integrating Midwives’ Competency and Service Needs

“…Our research in this iPosyandu for midwives version is in the initial phase and needs more development on the interoperability in the future. It has potential because, previously, the iPosyandu was created to integrate with one of the governmental HIS for Posyandu activities, including nutrition status, called ePPGBM [ 16 , 38 , 43 ].…”

“…The village midwife examines pregnant women and provides immunization and contraception services while supervising CHWs in Posyandu . To facilitate data quality verification in Posyandu and MCH data monitoring, Rinawan et al built Posyandu mHealth, called iPosyandu, in 2017, starting for CHWs, currently extended to midwives/ bidan , named the iPosyandu Bidan app [ 16 , 38 , 43 ]. This app development is conducted as it is essential for fulfilling the need to increase midwives’ competencies integrated with their services based on mobile health that can facilitate midwives to develop themselves according to their profession [ 18 ].…”