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

Ari Indra Susanti (), Mohammad Ali, Asep Herry Hernawan, Fedri Ruluwedrata Rinawan, Wanda Gusdya Purnama, Indriana Widya Puspitasari and Alyxia Gita Stellata
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Ari Indra Susanti: Faculty of Education Science, Indonesia University of Education, Jl. Dr. Setiabudi No. 229, Isola, Bandung 40154, Indonesia
Mohammad Ali: Faculty of Education Science, Indonesia University of Education, Jl. Dr. Setiabudi No. 229, Isola, Bandung 40154, Indonesia
Asep Herry Hernawan: Faculty of Education Science, Indonesia University of Education, Jl. Dr. Setiabudi No. 229, Isola, Bandung 40154, Indonesia
Fedri Ruluwedrata Rinawan: Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, Jalan Ir. Soekarno KM. 21, Jatinangor, Sumedang 45363, Indonesia
Wanda Gusdya Purnama: Center for Health System Study and Health Workforce Education Innovation, Faculty of Medicine, Universitas Padjadjaran, Jl. Eyckman No. 38, Bandung 40161, Indonesia
Indriana Widya Puspitasari: Center for Health System Study and Health Workforce Education Innovation, Faculty of Medicine, Universitas Padjadjaran, Jl. Eyckman No. 38, Bandung 40161, Indonesia
Alyxia Gita Stellata: Center for Health System Study and Health Workforce Education Innovation, Faculty of Medicine, Universitas Padjadjaran, Jl. Eyckman No. 38, Bandung 40161, Indonesia

IJERPH, 2022, vol. 19, issue 21, 1-17

Abstract: 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 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.

Keywords: competency needs; midwifery continuity of care training; mobile health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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