IMPLEMENTASI BUNDA-DINI TERINTEGRASI FETAL DOPPLER UNTUK MEMPERKUAT KESIAPSIAGAAN KADER POSYANDU DALAM SKRINING RISIKO KEHAMILAN
Keywords:
BUNDA-DINI, Doppler, kehamilan, kader, skriningAbstract
Skrining risiko kehamilan oleh kader Posyandu di Desa Karangturi masih terkendala format yang belum seragam, pencatatan kertas yang tersebar, dokumentasi rujukan yang tidak lengkap, dan literasi digital yang bervariasi. Program pengabdian ini menerapkan BUNDA-DINI, aplikasi Android yang diintegrasikan dengan pemantauan Fetal Doppler, untuk memperkuat kesiapsiagaan kader tanpa memindahkan kewenangan diagnosis klinis. Pendekatan partisipatif-kolaboratif mencakup asesmen kebutuhan, penyusunan SOP bersama, kelas singkat, demonstrasi, simulasi kasus, praktik terbimbing, penerapan teknologi, pendampingan, dan perencanaan keberlanjutan. Implementasi awal bersama Kader Posyandu Sabar Subur menghasilkan SOP skrining dan rujukan, checklist Doppler, akun pengguna aktif, pencatatan digital terstruktur, materi edukasi, serta alur eskalasi kader-bidan. Kader mempraktikkan pencatatan faktor risiko, tanda bahaya, riwayat kunjungan, edukasi, dan tindak lanjut; Fetal Doppler ditempatkan hanya sebagai alat bantu pemantauan tersupervisi. Keluaran awal menunjukkan standardisasi proses dan ketertelusuran data yang lebih baik, tetapi efektivitas endline masih perlu diverifikasi pada siklus Posyandu berikutnya
References
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
Carrandi, A., Hu, Y., Karger, S., Eddy, K. E., Vogel, J. P., Harrison, C. L., & Callander, E. (2023). Systematic review on the cost and cost-effectiveness of mHealth interventions supporting women during pregnancy. Women and Birth, 36(1), 3-10. https://doi.org/10.1016/j.wombi.2022.03.007
De, P., & Pradhan, M. R. (2023). Effectiveness of mobile technology and utilization of maternal and neonatal healthcare in low and middle-income countries (LMICs): A systematic review. BMC Women's Health, 23, 664. https://doi.org/10.1186/s12905-023-02825-y
Er, Y. T., Chan, Y. M., Lim, S. Y., Shariff, Z. M., Daud, Z. A. M., & Hamid, H. A. (2026). Effectiveness of mobile health applications with behaviour change techniques in improving maternal health outcomes: A systematic review. BMC Public Health, 26, 1358. https://doi.org/10.1186/s12889-025-25973-2
Henrich, N., Brinson, A., Arnold, A., & Jahnke, H. R. (2024). Digital health needs and preferences during pregnancy and the postpartum period: Mixed methods study. JMIR Formative Research, 8, e48960. https://doi.org/10.2196/48960
Kachimanga, C., Mulwafu, M., Ndambo, M. K., Harare, J., Mukherjee, J., Kulinkina, A. V., Mbae, S., Ndarama, E., van den Akker, T., & Abejirinde, I.-O. O. (2024). Experiences of community health workers on adopting mHealth in rural Malawi: A qualitative study. Digital Health, 10, 20552076241253994. https://doi.org/10.1177/20552076241253994
Kachimanga, C., Zaniku, H. R., Divala, T. H., Ket, J. C. F., Mukherjee, J. S., Palazuelos, D., Kulinkina, A. V., Abejirinde, I.-O. O., & van den Akker, T. (2024). Evaluating the adoption of mHealth technologies by community health workers to improve the use of maternal health services in Sub-Saharan Africa: Systematic review. JMIR mHealth and uHealth, 12, e55819. https://doi.org/10.2196/55819
Kachimanga, C., Ng'ambi, W. F., Kazinga, D., Ndarama, E., Amulele, M. A., Munyaneza, F., Abejirinde, I.-O. O., & van den Akker, T. (2025). Impact of mobile health (mHealth) use by community health workers on the utilization of maternity care in rural Malawi: A time series analysis. International Journal of Women's Health, 17, 245-257. https://doi.org/10.2147/IJWH.S497100
Kementerian Kesehatan Republik Indonesia. (2024). Buku kesehatan ibu dan anak. https://kesprimkom.kemkes.go.id/assets/uploads/contents/others/Buku_KIA_2024.pdf
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
Mbunge, E., & Sibiya, M. N. (2024). Mobile health interventions for improving maternal and child health outcomes in South Africa: A systematic review. Global Health Journal, 8(3), 103-112. https://doi.org/10.1016/j.glohj.2024.08.002
Noronha, J. A., Lewis, M. S., Phagdol, T., Nayak, B. S., Anupama, D., Shetty, J., Ravishankar, N., & Nair, S. (2023). Efficacy of mHealth interventions for improving maternal and neonatal outcomes among pregnant women with hypertensive disorders: Protocol for a systematic review. JMIR Research Protocols, 12, e51792. https://doi.org/10.2196/51792
Nuhu, A. G. K., Dwomoh, D., Amuasi, S. A., Dotse-Gborgbortsi, W., Kubio, C., Apraku, E. A., Timbire, J. K., & Nonvignon, J. (2023). Impact of mobile health on maternal and child health service utilization and continuum of care in Northern Ghana. Scientific Reports, 13, 3004. https://doi.org/10.1038/s41598-023-29683-w
Ochoa, J. H., & Cafici, D. (2025). Fetal Doppler assessment in pregnancy. Best Practice & Research Clinical Obstetrics & Gynaecology, 100, 102594. https://doi.org/10.1016/j.bpobgyn.2025.102594
Packet, B., Page, A.-S., Bosteels, J., & Richter, J. (2025). Peripartum fetal Doppler sonography and perinatal outcome: A systematic review and meta-analysis. BMC Pregnancy and Childbirth, 25, 545. https://doi.org/10.1186/s12884-025-07586-0
Sowon, K., Maliwichi, P., Chigona, W., & Malata, A. (2024). The role of the community of purpose in maternal mHealth interventions in Sub-Saharan Africa context. Frontiers in Digital Health, 6, 1343965. https://doi.org/10.3389/fdgth.2024.1343965
World Health Organization. (2023). Classification of digital interventions, services and applications in health: A shared language to describe the uses of digital technology for health (2nd ed.). https://www.who.int/publications/i/item/9789240081949
World Health Organization. (2024). Transitioning to midwifery models of care: Global position paper. https://www.who.int/publications/i/item/9789240098268
World Health Organization, United Nations Children's Fund, & United Nations Population Fund. (2023). Improving maternal and newborn health and survival and reducing stillbirth: Progress report 2023. https://www.who.int/publications/i/item/9789240073678
World Health Organization, United Nations Children’s Fund, United Nations Population Fund, World Bank Group, & United Nations Department of Economic and Social Affairs, Population Division. (2025). Trends in maternal mortality 2000 to 2023: Estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA/Population Division. https://www.who.int/publications/i/item/9789240108462
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