Android Application Model of “Suami Siaga Plus” as an Innovation in Birth Preparedness and Complication Readiness (BP/CR) Intervention
-
Hanna Yuanita Dana Santoso
,
Supriyana Supriyana
,
Bahiyatun Bahiyatun
,
Melyana Nurul Widyawati
,
Diyah Fatmasari
,
Sudiyono Sudiyono
,
Dyah Anantalia Widyastari
,
Doni Marisi Sinaga
Abstract
Objective: WHO recommends Mobile health, a practice of medicine and public health supported by mobile devices, to improve community health status and change people's behavior for the health purposes. The present study sought to examine the effectiveness of the android application program of Suami Siaga Plus in increasing husband’s scores in birth preparedness and complication readiness (BP/CR) intervention.
Materials and methods: It was a randomized controlled trial with pretest-posttest design. A total of 38 couples of husbands and pregnant women from three health centers at three sub districts in Semarang was selected by proportional systematic random sampling technique and equally distributed into control and intervention group. A questionnaire related to BP/CR published by JHPIEGO was employed in data collection. Statistical analysis was performed to obtain the frequency distribution and percentage of the variables, and also to assess the mean difference of BP/CR score of husbands.
Results: Husbands’ knowledge of key danger signs and five standard elements in BP/CR practices in both intervention and control group increased after counseling. Moreover, the proportion of husbands who understand the key danger signs during pregnancy was higher among those who were exposed by Suami Siaga Plus application delivered via mobile phone. Counseling only increased husbands’ score from 61.5 to 62.6 (2%), whilst the combination of counseling and the application boosted 20% of husbands’ score from 60.4 to 72.9 (p-value 0.000).
Conclusion: A combination of counseling and Suami Siaga Plus application significantly improves husbands and wives’ score on BP/CR compared to those who received counseling only. The data suggests the application would be able to suppress the three delays, which in turn can reduce the maternal mortality rate. The study results could be important information for the Department of Health and health professionals to use android application program, in particular to the husband whose wife is in pregnancy, childbirth and postpartum periods.
National Family Planning Coordinating Board. Indonesia Demographic and Health Survey 2002. Jakarta: Central Buerou of Statistics, 2004.
National Family Planning Coordinating Board. Indonesian Demographic and Health Survey 2007. Jakarta: 2007.
National Family Planning Coordinating Board. Indonesian Demographic and Health Survey 2012. Jakarta: 2013.
Shah N, Hossain N, Shoaib R, Hussain A, Gillani R, Khan NH. Socio-demographic characteristics and the three delays of maternal mortality. J Coll Physicians Surg Pak 2009;19:95-8.
Carter M. Husbands and maternal health matters in rural Guatemala: wives’ reports on their spouses’ involvement in pregnancy and birth. Soc Sci Med 2002; 55:437-50.
Mullany BC, Becker S, Hindin M. The impact of including husbands in antenatal health education services on maternal health practices in urban Nepal: results from a randomized controlled trial. Health Educ Res2007;22:166-76.
Emilia O, Koentjoro S. Determinan Perilaku Suami yang Mempengaruhi Pilihan Penolong Persalinan bagi Istri. Jurnal Berita Kedokteran Masyarakat (BKM). 2012;25:42.
Action plan to accelerate the reduction of maternal mortality in Indonesia (Kementerian Kesehatan RI. Rencana aksi percepatan penurunan angka kematian ibu di Indonesia). Jakarta: Direktorat Bina Kesehatan Ibu Ditjen Bina Gizi dan KIA Kementerian Kesehatan RI. 2013. [Malasian].
Strategic plans of Ministry of Health of 2015-2019 (Kementerian Kesehatan RI. Rencana Strategis Kementerian Kesehatan Tahun 2015-2019). Jakarta: Kemenkes RI. 2015. [Malasian].
Yargawa J, Leonardi-Bee J. Male involvement and maternal health outcomes: systematic review and meta-analysis. J Epidemiol Community Health 2015;69:604-12.
Widyastari DA, Isarabhakdi P. Suharto’s population policy in contemporary Indonesia: family planning program, marriage act or compulsory education has the greatest impact to fertility decline? Public Health of Indonesia 2016;2:40-6.
Socio-demographic conditions of reproductive aged couple and the role of alert husband to maternal health in the village of Sumokali, Kecamatan Candi, Sidoarjo (Rakhmawati M. Kondisi sosio demografi pasangan usia subur (pus) dan peran suami siaga terhadap kesehatan maternal di Desa Sumokali, Kecamatan Candi, Sidoarjo): UNIVERSITAS AIRLANGGA; 2013. [Malasian].
Del Barco R. Monitoring birth preparedness and complication readiness. Tools and indicators for maternal and newborn health. 2004.
Widyastari DA, Shaluhiyah Z, Widjanarko B. Adolescents in peril: Internet and other factors influencing adolescents's exual attitudes. Journal Kesehatan Reproduksi 2010;1:1-13.
Derbyshire E, Dancey D. Smartphone medical applications for women's health: what is the evidence-base and feedback? Int J Telemed Appl 2013;2013:782074.
Ngabo F, Nguimfack J, Nwaigwe F, Mugeni C, Muhoza D, Wilson DR, et al. Designing and Implementing an Innovative SMS-based alert system (RapidSMS-MCH) to monitor pregnancy and reduce maternal and child deaths in Rwanda. Pan Afr Med J 2012;13:31.
World Health Organization. New horizons for health through mobile technologies. 2011.
Kakaire O, Kaye DK, Osinde MO. Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda. Reprod Health2011;8:12.
Clifford J, McIntyre E. Who supports breastfeeding?Breastfeed Rev2008;16:9-19.
Mensah AO. Is there really support for breastfeeding mothers? A case study of Ghanaian breastfeeding working mothers. International Business Research 2011;4:93-103.
Widyawati MN, Hadisaputro S, Anies A, Soejoenoes A. Effect of Massage and Aromatherapy on Stress and Prolactin Level among Primiparous Puerperal Mothers In Semarang, Central Java, Indonesia. Belitung Nursing Journal 2016;2:45-57.
Groer MW, Davis MW, Hemphill J. Postpartum stress: Current concepts and the possible protective role of breastfeeding. J Obstet Gynecol Neonatal Nurs 2002;31:411-7.
August F. Effect of Home Based Life Saving Skills education on knowledge of obstetric danger signs, birth preparedness, utilization of skilled care and male involvement: A Community-based intervention study in rural Tanzania.BMC Pregnancy Childbirth 2016; 16:129.
Soubeiga D, Gauvin L, Hatem MA, Johri M. Birth Preparedness and Complication Readiness (BPCR) interventions to reduce maternal and neonatal mortality in developing countries: systematic review and meta-analysis. BMC pregnancy and childbirth. 2014;14:129.
Kratzke C, Cox C. Smartphone technology and apps: rapidly changing health promotion. Global Journal of Health Education and Promotion2012;15:72-82.
Luxton DD, McCann RA, Bush NE, Mishkind MC, Reger GM. mHealth for mental health: Integrating smartphone technology in behavioral healthcare. Professional Psychology: Research and Practice 2011;42:505-12.
Wayne N, Ritvo P. Smartphone-enabled health coach intervention for people with diabetes from a modest socioeconomic strata community: single-arm longitudinal feasibility study. J Med Internet Res2014;16:e149.
| Files | ||
| Issue | Vol 11, No 1 (March 2017) | |
| Section | Original Articles | |
| Keywords | ||
| Birth Preparedness and Complication Readiness (BP/CR) Score Alert Husband Technology in Birth Suami Siaga Plus Android Application Mobile Health (M-Health) | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
