Healthc Inform Res.  2019 Jul;25(3):153-160. 10.4258/hir.2019.25.3.153.

Integrated Information System for Early Detection of Maternal Risk Factors Based on Continuum of Care Approach of Mother and Toddler Cohorts

Affiliations
  • 1Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia. nyoman.anita3@gmail.com
  • 2Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
  • 3Health Department, State Polytechnic of Jember, Jember, Indonesia.
  • 4Centre for Business in Society, Coventry University, Coventry, UK.

Abstract


OBJECTIVES
The aim of this study is to demonstrate how an integrated information system of mother and toddler cohorts can be developed as a basis of the continuum of care approach that subsequently can be used as the basis of early detection of risk factors of maternal mortality.
METHODS
This research was carried out qualitatively. The data was collected through three techniques: in-depth interviews, focus group discussion, and document studies at six public health centers located in four sub-districts of Surabaya, Indonesia. This research was conducted from 2016 to 2018.
RESULTS
The data collected from this research has become a basis input data requirement analysis for an integrated mother and toddler cohort information system. The system accommodates all the variables in each period of pre-marriage, pregnancy, labor, infancy and toddlerhood. The system facilitates healthcare workers to retrieve data and information related to mother and toddler health status.
CONCLUSIONS
The availability of various pieces of information enables the health status of mothers and toddlers to be monitored thoroughly throughout their long-life cycle. This continuum of care approach is beneficial in the early detection and management of risk factors of maternal mortality, such as pregnancy complications as well as childbirth and postpartum complications.

Keyword

Information Systems; Maternal-Child Health Services; Continuum of Care; Delivery of Health Care

MeSH Terms

Cohort Studies*
Continuity of Patient Care*
Delivery of Health Care
Focus Groups
Humans
Indonesia
Information Systems*
Maternal Mortality
Maternal-Child Health Services
Mothers*
Parturition
Postpartum Period
Pregnancy
Pregnancy Complications
Public Health
Risk Factors*

Figure

  • Figure 1 Data flow diagram of the information system of integrated mother and toddler cohorts based on continuum of care.

  • Figure 2 Work flow of the integrated mother and toddler cohorts information system.

  • Figure 3 Entity relationship diagram of information system development of mother and toddler integrated cohorts.


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