Pendampingan Penyusunan Model Partograf Digital Adaptif Budaya pada Layanan Kesehatan Maternal ASEAN

Widya Maya Ningrum; Ririn Lestari; Sri Heryani; Aat Ayanti; Adinda Laksmidara

doi:10.58266/jpmb.v5i1.1742

Authors

Widya Maya Ningrum Universitas Galuh, Indonesia
Ririn Lestari Universitas Galuh, Indonesia
Sri Heryani Universitas Galuh, Indonesia
Aat Ayanti Universitas Galuh, Indonesia
Adinda Laksmidara Universitas Galuh, Indonesia

DOI:

https://doi.org/10.58266/jpmb.v5i1.1742

Keywords:

budaya, CADMM, kesehatan maternal, partograf digital, pengabdian

Abstract

Transformasi digital dalam pelayanan kesehatan maternal membutuhkan sistem pemantauan persalinan yang tidak hanya efektif secara klinis, tetapi juga sesuai dengan konteks sosial budaya pengguna. Kegiatan pengabdian kepada masyarakat ini bertujuan memetakan persepsi, kesiapan, kebutuhan pengguna, faktor budaya, dan keterlibatan keluarga dalam pengembangan partograf digital serta mendampingi penyusunan model konseptual Culturally Adaptive Digital Maternal Monitoring (CADMM). Kegiatan dilakukan melalui preliminary assessment, edukasi, Focus Group Discussion (FGD), wawancara mendalam, dan sintesis partisipatif. Sebanyak 40 responden mengikuti preliminary assessment, terdiri atas 36 responden dari Indonesia dan 4 dari Malaysia; delapan peserta mengikuti FGD; dan satu informan kunci dari MAHSA University diwawancarai. Hasil menunjukkan bahwa 95,0% responden menilai partograf digital penting, 97,5% mendukung pengembangan partograf digital berbasis budaya, dan 92,5% menyatakan keluarga berperan dalam pengambilan keputusan persalinan. Kebutuhan utama meliputi real-time monitoring, early warning system, clinical decision support, mode offline, integrasi rekam medis elektronik, dukungan bahasa, keterlibatan keluarga, dan antarmuka sederhana. Sintesis kegiatan menghasilkan model CADMM yang mengintegrasikan aspek klinis-digital, adaptasi sosiokultural, dan kesiapan implementasi sebagai dasar pengembangan prototipe partograf digital.

References

Alemneh, E., Kebebaw, T., Nigatu, D., Azage, M., Misgan, E., & Abate, E. (2024). Electronic maternal and child health application usability, feasibility and acceptability among healthcare providers in Amhara region, Ethiopia. PLOS Digital Health, 3(5), e0000494. https://doi.org/10.1371/journal.pdig.0000494

Ameyaw, E. K., Amoah, P. A., & Ezezika, O. (2024). Effectiveness of mHealth apps for maternal health care delivery: Systematic review of systematic reviews. Journal of Medical Internet Research, 26, e49510. https://doi.org/10.2196/49510

Balci, S., Spanhel, K., Sander, L. B., & Baumeister, H. (2022). Culturally adapting internet- and mobile-based health promotion interventions might not be worth the effort: A systematic review and meta-analysis. npj Digital Medicine, 5, 34. https://doi.org/10.1038/s41746-022-00569-x

Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 13(3), 319–340. https://doi.org/10.2307/249008

Demissie, D. B., Kaura, D. K., & Schreve, K. (2025). Mapping innovations in partograph technologies: A scoping review from 2000 to 2025. Frontiers in Global Women’s Health, 6, 1618317. https://doi.org/10.3389/fgwh.2025.1618317

Figueroa, C. A., Sundqvist, J., Mathieu, S., Farrokhnia, N., Nevin, D., & Andersson, S. W. (2023). The opportunities and challenges of women’s digital health: A research agenda. Health Policy and Technology, 12(4), 100814. https://doi.org/10.1016/j.hlpt.2023.100814

Gayesa, R. T., Ngai, F. W., & Xie, Y. J. (2023). The effects of mHealth interventions on improving institutional delivery and uptake of postnatal care services in low- and lower-middle-income countries: A systematic review and meta-analysis. BMC Health Services Research, 23, 611. https://doi.org/10.1186/s12913-023-09581-7

Greenhalgh, T., Wherton, J., Papoutsi, C., Lynch, J., Hughes, G., A’Court, C., Hinder, S., Fahy, N., Procter, R., & Shaw, S. (2017). Beyond adoption: A new framework for theorizing and evaluating nonadoption, abandonment, and challenges to the scale-up, spread, and sustainability of health and care technologies. Journal of Medical Internet Research, 19(11), e367. https://doi.org/10.2196/jmir.8775

Kilfoy, A., Hsu, T.-C. C., Stockton-Powdrell, C., Whelan, P., Chu, C. H., & Jibb, L. (2024). An umbrella review on how digital health intervention co-design is conducted and described. npj Digital Medicine, 7, 374. https://doi.org/10.1038/s41746-024-01385-1

Knop, M. R., Nagashima-Hayashi, M., Lin, R., Saing, C. H., Ung, M., Oy, S., Yam, E. L. Y., Zahari, M., & Yi, S. (2024). Impact of mHealth interventions on maternal, newborn, and child health from conception to 24 months postpartum in low- and middle-income countries: A systematic review. BMC Medicine, 22, 196. https://doi.org/10.1186/s12916-024-03417-9

Lavender, T., Cuthbert, A., & Smyth, R. M. D. (2018). Effect of partograph use on outcomes for women in spontaneous labour at term and their babies. Cochrane Database of Systematic Reviews, 2018(8), CD005461. https://doi.org/10.1002/14651858.CD005461.pub5

Marwaha, J. S., & Kvedar, J. C. (2021). Cultural adaptation: A framework for addressing an often-overlooked dimension of digital health accessibility. npj Digital Medicine, 4, 143. https://doi.org/10.1038/s41746-021-00516-2

Mehl, G., Tunçalp, Ö., Ratanaprayul, N., Tamrat, T., Barreix, M., Lowrance, D., Bartolomeos, K., Say, L., Kostanjsek, N., Jakob, R., Grove, J., Mariano, B., Jr., & Swaminathan, S. (2021). WHO SMART guidelines: Optimising country-level use of guideline recommendations in the digital age. The Lancet Digital Health, 3(4), e213–e216. https://doi.org/10.1016/S2589-7500(21)00038-8

Moise, I. K., Ivanova, N., Wilson, C., Wilson, S., Halwindi, H., & Spika, V. M. (2023). Lessons from digital technology-enabled health interventions implemented during the coronavirus pandemic to improve maternal and birth outcomes: A global scoping review. BMC Pregnancy and Childbirth, 23, 195. https://doi.org/10.1186/s12884-023-05454-3

Mugyenyi, G. R., Byamugisha, J. K., Tumuhimbise, W., Atukunda, E. C., & Fajardo, Y. T. (2024). Customization and acceptability of the WHO labor care guide to improve labor monitoring among health workers in Uganda: An iterative development, mixed method study. PLOS Global Public Health, 4(5), e0002780. https://doi.org/10.1371/journal.pgph.0002780

Muliokela, R., Uwayezu, G., Tran Ngoc, C., Barreix, M., Tamrat, T., Kashoka, A., Chizuni, C., Nyirenda, M., Ratanaprayul, N., Malumo, S., Mutabazi, V., Mehl, G., Munyana, E., Sayinzoga, F., & Tunçalp, Ö. (2022) Integration of new digital antenatal care tools using the WHO SMART guideline approach: Experiences from Rwanda and Zambia. Digital Health, 8, https://doi.org/10.1177/20552076221076256

Naderbagi, A., Loblay, V., Zahed, I. U. M., Ekamb areshwar, M., Poulsen, A., Song, Y. J. C., Ospina-Pinillos, L., Krausz, M., Kamel, M. M., Hickie, I. B., & LaMonica, H. M. (2024). Cultural and contextual adaptation of digital health interventions: Narrative review. Journal of Medical Internet Research, 26, e55130. https://doi.org/10.2196/55130

Negash, B. T., & Alelgn, Y. (2022). Proper partograph utilization among skilled birth attendants in Hawassa city public health facilities, Sidama region, Ethiopia, in 2021. BMC Women’s Health, 22, 539. https://doi.org/10.1186/s12905-022-02117-x

Ningrum, W. M. (2023). Effectiveness of digital partographs on clinical decision-making in the delivery process by midwives. EMBRIO: Jurnal Kebidanan, 15(2), 242–247. https://doi.org/10.36456/embrio.v15i2.6971.

Ningrum, W. M., Utami, R. B., Belawati, Y. R., Rohita, T., & Purnamasari, K. D. (2022). The effectiveness and usability of electronic partograph for obstetric care: A systematic review. Gaceta Médica de Caracas, 130(Supl. 5). https://doi.org/10.47307/GMC.2022.130.s5.47

Nittas, V., Daniore, P., Chavez, S. J., & Wray, T. B. (2024). Challenges in implementing cultural adaptations of digital health interventions. Communications Medicine, 4, 7. https://doi.org/10.1038/s43856-023-00426-2

Noorbergen, T. J., Adam, M. T. P., Teubner, T., & Collins, C. E. (2021). Using co-design in mobile health system development: A qualitative study with experts in co-design and mobile health system development. JMIR mHealth and uHealth, 9(11), e27896. https://doi.org/10.2196/27896

Rishard, M., Rajaratne, K., Jayasingha, K., Senanayake, H., & Wijesinghe, M. S. D. (2026). Cocreation and codesign in maternal health: Processes, outcomes and implementation challenges. BMJ Quality & Safety. Advance online publication. https://doi.org/10.1136/bmjqs-2025-019030

Singh, P., & Bhalerao, A. (2024). The impact of the use of e-partogram on maternal and perinatal outcomes: A scoping review. Cureus, 16(6), e62295. https://doi.org/10.7759/cureus.62295

Tilahun, K. N., Adem, J. B., Atinafu, W. T., Walle, A. D., Mengestie, N. D., & Birhanu, A. Y. (2024). Intention to use mobile-based partograph and its predictors among obstetric health care providers working at public referral hospitals in the Oromia Region of Ethiopia in 2022: Cross-sectional questionnaire study. Online Journal of Public Health Informatics, 16, e51601. https://doi.org/10.2196/51601

Till, S., Mkhize, M., Farao, J., Shandu, L. D., Muthelo, L., Coleman, T. L., Mbombi, M., Bopape, M., Klingberg, S., van Heerden, A., Mothiba, T., Densmore, M., Verdezoto Dias, N. X., & CoMaCH Network. (2023). Digital health technologies for maternal and child health in Africa and other low- and middle-income countries: Cross-disciplinary scoping review with stakeholder consultation. Journal of Medical Internet Research, 25, e42161. https://doi.org/10.2196/42161

Venkatesh, V., Thong, J. Y. L., & Xu, X. (2012). Consumer acceptance and use of information technology: Extending the unified theory of acceptance and use of technology. MIS Quarterly, 36(1), 157–178. https://doi.org/10.2307/41410412

Whitehead, L., Talevski, J., Fatehi, F., & Beauchamp, A. (2023). Barriers to and facilitators of digital health among culturally and linguistically diverse populations: Qualitative systematic review. Journal of Medical Internet Research, 25, e42719. https://doi.org/10.2196/42719

World Health Organization. (2021). Digital adaptation kit for antenatal care: Operational requirements for implementing WHO recommendations in digital systems. WHO

World Health Organization. (2022). Key points for considering adoption of the WHO labour care guide: Policy brief. WHO