The Effectiveness Of Smart Monitoring Of Maternal (S-Mom) Application In Enhancing Maternal Awareness Of Pregnancy Danger Signs: Efektifitas Aplikasi Smart Monitoring Of Maternal (S-Mom) untuk Meningkatkan Kewaspadaan Ibu Hamil Terhadap Tanda Bahaya Kehamilan

Abstrak

Inggris

Backgrounds. Eight hundred thirty mothers in the world die every day due to complications of pregnancy and childbirth. Direct caused are 75% because of bleeding, 24% by high blood pressure during pregnancy (preeclampsia), infection, or prolonged or obstructed labor. Other cause of maternal death is low awareness and the delay in recognizing danger signs during pregnancy, late decision-making caused the mother to be late in reaching a health facility, and the impact was being late for further health intervention. The Government relied on the MCH book, which was revised in 2024, but still provides one-way communication, which is easily damaged and impractical. The classical method must be accompanied by learning videos or MHealth technology, for example, in the form of health applications to increase mother awarness of pregnancy danger signs. Objectives. This research is a pilot test to measure usser acceptanse of S-MOM Application, determine the effectiveness of the S-MOM Application in improving awareness pegnancy danger signs and mother adherence to check danger signs of pregnancy using S-MOM aplication. Method.. This research used a quasi-experimental design, the sample for the quasi-test (35) and quasi-control (35) groups. The researcher used data from the questionnaire to compare the differences in using the MCH book and the S-MOM application. Results. On the Usser Acceptance Test, pregnant women and midwives rated the S-MOM application with the majority reporting "good" to "excellent" acceptance levels. The quasi-control group showed lower improvement in knowledge compared to the quasi-test group, with a p-value of 0.01, while the control group showed lower improvement in maternal attitude for screening emergency signs of pregnancy compared to the quasi-test group, with a p-value of 0.01. With p-value of 0.047 and OR 0.210, indicating a significant relationship between awareness of pregnancy danger signs and adherence to the S-MOM application. Conclusion. Midwives and pregnant mother The s-MOM application has effectiveness in increasing attitude scores, and is medium to improving knowledge. In contrast, the MCH book has proven less effective in increasing knowledge but medium in mothers' attitudes. Mothers with low adherence are five times less likely to be aware of pregnancy danger signs.

Bahasa Indonesia

Latar Belakang: Setiap hari, sekitar 830 perempuan di seluruh dunia kehilangan nyawanya akibat komplikasi selama kehamilan dan persalinan. Sekitar tiga dari empat kasus meninggal karena perdarahan, 24 % karena preeklampsi, infeksi, proses persalinan lama atau macet. Sebab lain adalah rendahnya kewaspadaan, keterlambatan dalam mengenali tanda bahaya, terlambat dirujuk ke fasilitas kesehatan sehingga berdampak kepada terlambatnya ibu mendapatkan layanan kesehatan yang tepat. Pemerintah Indonesia bergantung pada buku KIA, tetapi terbatas dengan komunikasi satu arah, mudah rusak dan tidak praktis. Metode klasik dapat efektif apabila dikombinasikan dengan video atau teknologi Mhealth, aplikasi kesehatan berbasis android. Tujuan: Mengukur user acceptance terhadap aplikasi S-MOM, mengetahui efektifitas aplikasi S-MOM dan kepatuhan ibu dalam menggunakan aplikasi S-MOM untuk mendeteksi tanda bahaya kehamilan. Metode: Penelitian ini menggunakan rancangan quasi-eksperimental dengan kelompok kontrol 35 orang dan ekperimen 35 orang. Data berasal dari kuesioner untuk membandingkan penggunaan buku KIA dan aplikasi S-MOM terhadap kewaspadaan ibu hamil terhadap tanda bahaya kehamilan. Hasil: Pada user acceptance test, ibu hamil dan Bidan mayoritas menilai aplikasi S-MOM “baik” dan “sangat baik”. Kelompok kontrol menunjukkan peningkatan pengetahuan yang lebih rendah (p-value=0,01) dan peningkatan sikap ibu yang juga lebih rendah dalam kewaspadaan terhadap tanda bahaya kehamilan (p-value=0,01). Terdapat hubungan signifikan antara kewaspadaan dan kepatuhan penggunaan aplikasi S-MOM (p-value=0,047 dan OR=0,210). Kesimpulan: Aplikasi S-MOM sangat efektif dalam meningkatkan skor sikap, dan medium meningkatkan pengetahuan. Efektivitas Buku KIA rendah dalam meningkatkan pengetahuan, tetapi medium dalam meningkatkan sikap ibu. Ibu dengan kepatuhan rendah memiliki kemungkinan lima kali lebih rendah untuk kewaspadaan tanda bahaya kehamilan.

Kata kunci

• Effectiveness
• Application
• Danger signs of pregnancy
• Mothers' Awarness