The world of health has changed significantly since the advent of smartphones. Smartphones have been widely known to facilitate the search for health information in the mobile Health (mHealth) system, which is used to improve the quality of life for patients, such as communication between doctors and patients. This systematic literature review aims to identify the use of mHealth as a digital communication tool for pregnant women by comparing technology-based and standard-based pregnancy care. The method used is a systematic review of articles related to pregnancy care that utilize mHealth for pregnant women. The articles were obtained from the database based on the PICO framework; we searched articles using seven databases. The selection was adjusted to the inclusion criteria, data extraction, study quality evaluation, and results from synthesis. From the disbursement, 543 articles were obtained and 10 results were obtained after the screening. After a critical appraisal was carried out, four articles were obtained. Advantages can be in the form of increasing knowledge of pregnant women who use mHealth due to the availability of information needed by pregnant women in the mHealth application. mHealth also provides information about their babies, so the impact of mHealth is not only for mothers. mHealth is a promising solution in pregnancy care compared to the standard of maternal care.

Midwives’ competence in providing continuity of care using mobile health (mHealth) applications is limited in developing countries. This study identified and explored midwives’ competency and service needs to develop mHealth in Midwifery Continuity of Care (MCOC) education and training. It used an explanatory sequential mixed method, and was conducted from August to December 2021. A cross-sectional approach was used to find the characteristics and competency scope of 373 midwives in West Java, and continued with a qualitative design through a Focus Group Discussion (FGD) of 13 midwives. Descriptive data analysis (frequency, mean, deviation standard) and qualitative data analysis (coding, sub-themes, and theme) were conducted. In terms of the midwives who participated in this study, more than half were aged ≤ 35 years (58.98%), with a working period > 10 years (56.30%), had diploma degrees (71.12%), and used smartphones on average 1–12 h/day (78.28%). Most midwives needed to develop competency in the MCOC scope, including its early detection of the risk factor of complications and treatment management. They were concerned about the purposes, benefits, and design of mHealth. In summary, midwives’ competency indicators for early detection are more needed in MCOC using mHealth. Further research is required to evaluate midwives’ competence in MCOC using mHealth.

The midwifery continuity-of-care model improves the quality and safety of midwifery services and is highly dependent on the quality of communication and information. The service uses a semi-automated chatbot-based digital health media service defined with the new term “telemidwifery”. This study aimed to explore the telemidwifery menu content for village midwives and pregnant women in the Purwakarta Regency, West Java, Indonesia. The qualitative research method was used to explore with focus group discussion (FGD). The data collection technique was purposive sampling. The research subjects were 15 village midwives and 6 multiparous pregnant women. The results of this study involved 15 characteristics of menu content: (1) Naming, (2) Digital Communication, (3) Digital Health Services, (4) Telemidwifery Features, (5) Digital Check Features, (6) Media Services, (7) Attractiveness, (8) Display, (9) Ease of Use, (10) Clarity of Instructions, (11) Use of Language, (12) Substances, (13) Benefits, (14) Appropriateness of Values, and (15) Supporting Components. The content characteristics of this telemidwifery menu were assigned to the ISO 9126 Model standards for usability, functionality, and efficiency. The conclusion is that the 15 themes constitute the characteristic menu content required within the initiation of telemidwifery.

Background: Anemia has a significant impact on people's health, especially in adolescent girls. Anemia in adolescents can inhibit psychomotor development, interfere with cognitive abilities and learning. Therefore, the problem of bleeding deficiency must be prevented and treated since adolescence with consuming blood tablets regularly. But, based on the data, there are still 4,444 adolescent girls who do not obedience and realize the importance of taking blood-added tablets as an effort to prevent anemia. Thus, this study aimed to determine the correlation between the factors that relate to the obedience of consuming Fe tablet in adolescent girls. Method: This study used observational analytics with a cross-sectional approach starting from March to July 2023 in SMAN 1 Bojongsoang. This research was conducted on 85 respondents. The data research instrument in this study used MMAS-8 questionnaire and additional questionnaire to explore the cause of disobedient of consuming Fe tablet then were analyzed by using Spearman's rho test. Result: The results showed that there was 16.5% samples with low obedience, 43.5% moderate obedience, and 40% high obedience. There was a relationship between Fe tablet’s favor with obedience of consuming Fe tablet (r -0.255, p 0.019). There was no relationship of Fe tablet t’s preferences (p 0.927), parent’s alert (0.325), teacher’s alert (0.207), inconvenience of taking Fe tablet (p 0.623), completed Fe tablet (0.547), and forgetting to take Fe tablet with obedience of consuming Fe tablet (0.988). Conclusion: There was a relationship between Fe tablet’s favor with obedience of consuming Fe tablet in adolescent girls in SMAN 1 Bojongsoang. Suggestions for education institution is to optimize the socialization about the risk of anemia and the urgency of consuming Fe tablet. Thus, for student can increase the obedience of consuming Fe tablet regularly.

Latar Belakang: Partus lama memberikan kontribusi pada angka kematian ibu dan angka kematian bayi baru lahir. Salah satu solusi untuk mengatasi partus lama adalah dengan melaksanakan senam hamil. Namun terdapat kendala dalam kontinuititas pelaksanaan yang disebakan oleh rendahnya motivasi sehingga dibutuhkan suatu media pembelajaran untuk meningkatkan motivasi ibu hamil yaitu Ibiskus animasi.Tujuan: Tujuan dari penelitian ini adalah untuk mengetahui pengaruh media Ibiskus animasi terhadap motivasi ibu hamil dalam pelaksanaan senam hamil.Metode: Jenis penelitian ini menggunakan metode kuantitatif dengan rancangan quasi eksperimen two groups pre and post test dengan sample yang berjumlah 30 orang yang diambil dengan cara accidental sampling. Teknik pengumpulan data menggunakan data primer berupa kuesioner. Analisis data menggunakan Wilcoxon dan Mannwhitney p < 0,05.Hasil: Hasil uji wilcoxon pada kelompok Ibiskus adalah p=0.001 dan kelompok leaflet adalah p=0.026. Hasil uji Mannwhitney antar kedua kelompok adalah p=0.004.Kesimpulan: terdapat perbedaan efektivitas penggunaan Ibiskus dan leaflet dalam meningkatkan motivasi ibu hamil dengan media Ibiskus animasi lebih efektif daripada leaflet (difference mean 2.33).Saran: Diharapkan bagi bidan mampu menggunakan media Ibiskus animasi untuk meningkatkan motivasi ibu hamil dalam pelaksanaan senam hamil yang komprehensif. Kata kunci: Ibiskus Animasi; Leaflet; Motivasi, Senam hamil; ABSTRACT Background: Prolonged labor contributes to maternal mortality and newborn mortality. One solution to overcome prolonged labor is to carry out pregnancy exercises. However, there are obstacles to the continuity of implementation caused by low motivation. Thus, learning media is needed to increase the motivation of pregnant women named Ibiskus animation.Purpose: The purpose of this study was to determine the effect of animated Ibiskus media on pregnant women's motivation to implement pregnancy exercise.Methods: This type of research uses quantitative methods with a quasi-experimental design of two groups pre and post-test with a sample of 30 people taken by accidental sampling. The data collection technique used primary data in the form of a questionnaire. Data analysis using Wilcoxon and Mann-Whitney p < 0.05.Results: The Wilcoxon test result in the Ibiskus group was p=0.001 and the leaflet group was p=0.026. The Mann-Whitney test result between the two groups was p=0.004.Conclusion: In conclusion, there are differences in the effectiveness of using Ibiskus and leaflets in increasing the motivation of pregnant women with animated Ibiskus media more effectively than leaflets (difference mean 2.33).Suggestion: It is expected that midwives will be able to use animated Ibiskus media to increase pregnant women's motivation to implement comprehensive pregnancy exercises. Keywords : Prolonged Labour; Pregnancy exercise; Animated Ibiskus; Leaflet; Motivation

Latar Belakang: Diare adalah penyebab kematian kedua (14%) terbanyak di Indonesia untuk anak di bawah 5 tahun. Pengobatan non-medis yang sering digunakan pada penderita diare adalah pemanfaatan zat “Tanin” pada getah jarak pagar.Tujuan: penelitian ini adalah untuk menilai efektivitas larutan getah jarak pagar terhadap frekuensi diare balita tanpa dehidrasi dibandingkan dengan zink.Metode: Metode penelitian quasi eksperimental, populasi balita usia 2-4 tahun dengan diare akut tanpa dehidrasi di wilayah kerja puskesmas sukamerindu. Sampel intervensi sebanyak 15 orang dan kontrol 15 orang yang diambil secara accidental sampling. Penelitian berlangsung ditanggal 2-28 Januari 2019 di Kota Bengkulu. Analisis penelitian menggunakan uji Wilcoxon dan Mann-Whitney.Hasil: Perbedaan rata-rata frekuensi BAB yang mengkonsumsi larutan getah jarak pagar adalah 4 sedangkan pada kelompok zink perbedaan rata-rata frekuensi diare adalah 0.27. Sehingga perbedaan rata-rata frekuensi diare antarkedua kelompok adalah 4 dengan nilai p=0.002.Kesimpulan: Larutan getah jarak pagar lebih efektif untuk mengurangi frekuensi buang air besar (BAB) balita dengan diare akut tanpa dehidrasi dibandingkan dengan zink.Saran: Diharapkan getah dari tanaman Jathropha L. Curcas dapat dimanfaatkan untuk mengatasi diare pada balita karena sudah terbukti efektif untuk mengurangi frekuensi diare akut tanpa dehidrasi. Kata kunci: Diare; getah jarak pagar; zink; frekuensi BAB; balita ABSTRACT Background: Diarrhea is the second leading cause of death (14%) in Indonesia for children under five years. Non-medical treatment often used in patients with diarrhea is using "tannin" substances in the sap of Jatropha curcas.Purpose: This study aimed to assess the effectiveness of Jatropha curcas sap solution on the frequency of defecation diarrhea in toddler without dehydration compared with zinc.Method: Quasi-experimental research method, the population of children aged 2-4 years with acute diarrhea without dehydration in the working area of Sukamerindu Public Health Center. The intervention sample was 15 people, and the control group of 15 people was taken by accidental sampling. The research conducted on January 2-28, 2019, in Bengkulu City—research analysis using Wilcoxon and Mann-Whitney test.Results: The average frequency difference of defecation in the Jatropha Curcas L. sap solution group was 4, while the zinc group was 0.27. So the difference in the average frequency of diarrhea between the two groups was 4 with a p-value = 0.002.Conclusion: Jatropha Curcas L. sap solution is more effective in reducing the frequency of defecation in toddlers with acute diarrhea without dehydration than zinc.Suggestion: It is expected that the sap from the Jathropha L. Curcas plant can be used to treat diarrhea in toddlers because it has been proven effective in reducing the frequency of acute diarrhea without dehydration. Keywords: Diarrhea; Jatropha Curcas L. sap; zinc; defecation frequency; toddler