Midwife service coverage, quality of work, and client health improved after deployment of an OpenSRP-driven client management application in Indonesia

DOI

10.2991/ichs-18.2019.21How to use a DOI?

Keywords

Maternal and Child Health, Health Information System, Open SRP, Indonesia, Summit Institute of Development

Abstract

The quality of maternal and child health services remains suboptimal in most low and middleincome countries (LMIC). Data are routinely collected with paper-based systems but are incomplete, underutilized, and reported as poorly-usable aggregated indicators. Therefore, we developed the Open Smart Register Platform (OpenSRP) application for midwives in Indonesia wherein routine paper registers were transformed into a smart real-time data-driven client management system. The app running on Android tablets was deployed as a matched-pair study in Central Lombok District in 2015-2018 to 30 frontline workers (midwives, nutritionists, and vaccinators) in 10 villages, and compared to workers in 10 matched villages using the routine paper-based system. Preliminary results indicate complete antenatal care (ANC) for pregnant women increased from 55% in the control area to 73% in the OpenSRP area (p<0.05). Moreover, postnatal care (PNC) visits for mothers and neonates increased from 1% in the control area to over 45% (p<0.05) in the OpenSRP area. Maternal and neonatal morbidity and mortality tended to be lower at 27% compared to 8% in the control area. Using the OpenSRP system, health workers can take rapid action to provide better quality service based on data, which resulted in a higher impact on maternal and neonatal health.

Copyright

© 2019, the Authors. Published by Atlantis Press.

Open Access

This is an open access article distributed under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).

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TY  - CONF
AU  - Kevin Kurniawan
AU  - Inraini FitriaSyah
AU  - Ahmad Rafi Jayakusuma
AU  - Resty Asmauryanah Armis
AU  - Yusran Lubis
AU  - Muhammad Abdi Haryono
AU  - Benyamin Harefa
AU  - Anuraj Shankar
PY  - 2019/11
DA  - 2019/11
TI  - Midwife service coverage, quality of work, and client health improved after deployment of an OpenSRP-driven client management application in Indonesia
BT  - Proceedings of the 5th International Conference on Health Sciences (ICHS 2018)
PB  - Atlantis Press
SP  - 155
EP  - 162
SN  - 2468-5739
UR  - https://doi.org/10.2991/ichs-18.2019.21
DO  - 10.2991/ichs-18.2019.21
ID  - Kurniawan2019/11
ER  -