Digital Transformation in Antenatal Care in Indonesia: The Effectiveness of The 'Bundaqusehat' Application
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Background: Antenatal care (ANC) is recognized as an essential component of maternal health aimed at reducing maternal and fetal morbidity and mortality. Antenatal care has undergone a digital transformation through mobile health (mHealth), but research specifically discussing mHealth solutions for antenatal care in Indonesia is still limited. Purpose: This study aims to evaluate the effectiveness of the web-based application Bundaqusehat in supporting antenatal services. Methods: The research design was a quasi-experimental pretest-posttest with a control group, and the research participants included 30 pregnant women from two Health Centers (intervention group) and one Health Center (control group). Data collection was conducted using a structured questionnaire administered before and after the intervention. Statistical analysis used the T-test, with a significance set at p < 0.05. Results: The analysis showed significant improvements in pregnant women's knowledge (p = 0.001), satisfaction (p = 0.002), attitude (p = 0.002), behavior (p = 0.001), adherence to iron tablet consumption (p = 0.030), and fetal movement monitoring (p = 0.041). The intervention group showed greater adherence to the recommended antenatal practices than the control group. Conclusion: The Bundaqusehat application demonstrates significant potential in enhancing the quality of antenatal care, highlighting the critical role of digital health solutions. Future research should focus on refining and optimizing these digital interventions to maximize their positive impact.
Afifah, T. et al. (2022) ‘MATERNAL AND CHILDHOOD MORTALITY, LIFE EXPECTANCY AT BIRTH: RESULT FROM IMPLEMENTATION OF THE CIVIL REGISTRATION AND VITAL STATISTICS SYSTEM IN DISTRICT OF NORTH BOLAANG MONGONDOW, INDONESIA, 2021’, The Southeast Asian Journal of Tropical Medicine and Public Health, 53(Suppl 2), pp. 556–576.
Amin, Y., Haswita, H. and Nuraeni, P. (2025) ‘Analisis Karakteristik Dominan Ibu Hamil dan Hubungannya dengan Kehamilan Resiko Tinggi: Penelitian Cross-sectional’, in Jurnal Formil (Forum Ilmiah) Kesmas Respati, pp. 86–96.
Brusniak, K. et al. (2020) ‘Challenges in acceptance and compliance in digital health assessments during pregnancy: prospective cohort study’, JMIR mHealth and uHealth, 8(10), p. e17377.
Choudhury, A. and Choudhury, M. (2022) ‘Mobile for mothers mHealth intervention to augment maternal health awareness and behavior of pregnant women in tribal societies: randomized quasi-controlled study’, JMIR mHealth and uHealth, 10(9), p. e38368.
Creswell, J. W. and Creswell, J. D. (2017) Research design: Qualitative, quantitative, and mixed methods approaches. Sage publications.
Deave, T. et al. (2019) ‘A study to evaluate the effectiveness of Best Beginnings’ Baby Buddy phone app in England: a protocol paper’, Primary health care research & development, 20, p. e19.
Delmaifanis, D., Siregar, K. N. and Nur, R. J. B. (2023) ‘Requirement Analysis of mHealth Design in Antenatal Services at Community Health Centers in Jakarta: A Qualitative Study’, Women, Midwives and Midwifery, 3(2), pp. 79–89.
Delmaifanis, D., Siregar, K. and Prabawa, A. (2021) ‘Mhealth conceptual model for providing quality antenatal care in health centers during the coronavirus disease 2019 pandemic’, Open access Macedonian journal of medical sciences, 9(E), pp. 828–834.
Du, Y.-C. et al. (2021) ‘A wearable device for evaluation of relative position, force, and duration of fetal movement for pregnant woman care’, IEEE Sensors Journal, 21(17), pp. 19341–19350.
Eşiyok, A., Uslu Divanoğlu, S. and Çelik, R. (2023) ‘Digitalization in healthcare-mobile health (M-Health) applications’.
Fatimah, S., Erwandi, D. and Prasetyo, S. (2022) ‘POSTPARTUM FAMILY PLANNING IN DKI JAKARTA: RUN CHART ANALYSIS.’, Jurnal Biometrika dan Kependudukan, 11(1).
Fertimah, A. R., Widyawati, W. and Mulyani, S. (2022) ‘Efektifitas Penggunaan Media Audiovisual dan Aplikasi Permitasi Terhadap Pengetahuan dan Kepatuhan Ibu Meminum Tablet Besi’, Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal), 5(3), pp. 134–145.
Herwansyah, H. et al. (2022) ‘Exploring the influence of sociodemographic characteristics on the utilization of maternal health services: a study on community health centers setting in province of Jambi, Indonesia’, International Journal of Environmental Research and Public Health, 19(14), p. 8459.
Jabeen, R. and Mohammad, A. (2023) ‘Leverage of mHealth integration in maternal and child health services and COVID-19 pandemic’, J Pak Med Assoc, 73(2), pp. 370–373.
Komariyah, S. (2009) ‘Hubungan pengetahuan, sikap dan perilaku ibu hamil tentang pemeriksaan kehamilan dengan kunjungan pemeriksaan kehamilan di wilayah kerja PUSKESMAS Sukorame Mojoroto Kediri’. UNS (Sebelas Maret University).
Lee, Y., Choi, S. and Jung, H. (2022) ‘Self-care Mobile application for south Korean pregnant women at work: development and usability study’, Risk Management and Healthcare Policy, pp. 997–1009.
Lestari, W. O. S. W. et al. (2021) ‘Nutrition education with android-based application media to increase knowledge, attitudes, and behaviors of pregnant women about chronic energy deficiency (KEK)’, International Journal of Health and Medical Sciences, 4(1), pp. 15–22.
Masoi, T. J. and Kibusi, S. M. (2019) ‘Improving pregnant women’s knowledge on danger signs and birth preparedness practices using an interactive mobile messaging alert system in Dodoma region, Tanzania: a controlled quasi experimental study’, Reproductive health, 16(1), p. 177.
Morón-Duarte, L. S. et al. (2019) ‘Quality assessment indicators in antenatal care worldwide: a systematic review’, International Journal for Quality in Health Care, 31(7), pp. 497–505.
Murthy, N. et al. (2020) ‘Effects of an mHealth voice message service (mMitra) on maternal health knowledge and practices of low-income women in India: findings from a pseudo-randomized controlled trial’, BMC public health, 20(1), p. 820.
Musgrave, L. M. et al. (2019) ‘Addressing preconception behaviour change through mobile phone apps: a protocol for a systematic review and meta-analysis’, Systematic Reviews, 8(1), p. 86.
Novitasari, R. (2022) ‘Hubungan pengetahuan Ibu nifas dengan perawatan luka perineum di PMBAanDyah Tahun 2020/2021’, Jurnal Kesehatan Samodera Ilmu.
Nuhu, A. G. K. et al. (2023) ‘Impact of mobile health on maternal and child health service utilization and continuum of care in Northern Ghana’, Scientific Reports, 13(1), p. 3004.
Organization, W. H. (2023) Trends in maternal mortality 2000 to 2020: estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA/Population Division. World Health Organization.
Osanyin, G. E. et al. (2022) ‘Effects of a mHealth voice messaging intervention on antenatal care utilisation at primary care level in Lagos, Nigeria: a cluster randomised trial’, Journal of Public Health in Africa, 13(3), p. 2222.
Paduano, S. et al. (2022) ‘Use of a mHealth system to improve antenatal care in low and lower-middle income countries: report on patients and healthcare workers’ acceptability in Tanzania’, International Journal of Environmental Research and Public Health, 19(22), p. 15342.
Podungge, Y. et al. (2023) ‘Literature Review: Factors Causing Placenta Previa in Pregnant Women’, Jambura Journal of Health Sciences and Research, 5(1), pp. 309–315.
Prihanti, G. S. et al. (2022) ‘The effect of SMS reminders and counseling on pregnant women’s adherence to consuming iron tablets’, Jurnal Berkala Epidemiologi., 10(3), pp. 246–255.
Rani, H. (2022) ‘Edukasi Pentingnya Peran Suami Dalam Kepatuhan Pemeriksaan ANC Ibu Hamil Di Pulau Pa’jenekang Kabupaten Pangkep’, JCS, 4(3).
Rooshenas, L. et al. (2022) ‘147: oral Prioritisation in the United Kingdon national health service during a national emergency: a qualitative case study of surgical teams’ experiences of colorectal cancer surgery in the acute early stages of the COVID-19 pandemic’, in Abstracts. BMJ Publishing Group Ltd.
Sari, W. A. and Nurwati, I. (2023) ‘IS ANTENATAL CARE (ANC) EXAMINATION IMPORTANT FOR THE HEALTH OF THE MOTHER AND BABIES?’, Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan, 7(3), pp. 113–123.
Setyowati, S. et al. (2022) ‘Improving knowledge and attitudes in pregnant, postpartum, and lactating women toward preventing COVID-19 transmission and self-care with health education packages using android applications’, Open Access Macedonian Journal of Medical Sciences, 10(G), pp. 625–632.
Sharma, S. et al. (2022) ‘SwasthGarbh: a smartphone app for improving the quality of antenatal care and ameliorating maternal-fetal health’, IEEE Journal of Biomedical and Health Informatics, 27(6), pp. 2729–2738.
Skalecki, S. et al. (2023) ‘My Baby’s Movements: An assessment of the effectiveness of the My Baby’s Movements phone program in reducing late‐gestation stillbirth rates’, Australian and New Zealand Journal of Obstetrics and Gynaecology, 63(3), pp. 378–383.
Sontakke, P. et al. (2022) ‘Effect of mobile phone call reminders with standard therapy versus standard therapy alone on compliance with iron supplementation in antenatal women with iron deficiency anemia: a randomized controlled trial’, Cureus, 14(9).
Susanti, A. I. et al. (2022) ‘Midwifery continuity of care in Indonesia: Initiation of mobile health development integrating midwives’ competency and service needs’, International journal of environmental research and public health, 19(21), p. 13893.
Sutrisno, S. and REI, M. D. P. O. G. (2022) ‘Maternal Mortality in Indonesia, Ask for Help’, Asian Journal of Health Research, 1(3), pp. 1–3.
Tendean, A. F. (2023) ‘Intervensi digital antenatal care terhadap kesehatan mental ibu hamil’, Klabat Journal of Nursing, 5(1), pp. 10–30.
Tendean, A. F., Dewi, A. and Wirasto, A. (2021) ‘The Implementation of antenatal care with telehealth towards pregnant women’s mental health’, JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit), 10(2), pp. 103–118.
Vidal-Alaball, J. et al. (2023) ‘Approach to digital transformation in healthcare to reduce the digital divide’, Atencion Primaria, 55(9), p. 102626.
Yudianti, I. et al. (2022) ‘Pregnant Women Empowerment in Monitoring Fetal Wellbeing Through Fetal Movement Count Mobile Application’, SEAJOM: The Southeast Asia Journal of Midwifery, 8(2), pp. 45–54.
Zikri, K., Purbohadi, D. and Kurnianti, A. (2021) ‘A Monitoring Application for Screening or Early Detection of High-Risk Pregnant Women Using Spring Boot and Flutter Frameworks’, Emerging Information Science and Technology, 2(2), pp. 69–77.

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