The provision of maternal and child health is a group that needs to be prioritized, because both groups are vulnerable groups. So that an assessment of the health status and performance of maternal and child health efforts is very important to do. Maternal Mortality Rate (MMR) in Indonesia in 2015 decreased by 54 from 359 in every live birth. However, this figure is higher than in 2007 which was 228 per live birth. Meanwhile, the child mortality rate in Indonesia has decreased from year to year.
Based on the results of the Indonesian Demographic and Health Survey (IDHS) in 2017, the Toddler Mortality Rate (AKABA) was 32 for every 1,000 live births, but this figure was higher than the infant mortality rate and neonatal mortality rate (Kemenkes RI, 2017).
Based on the data above, to continue to suppress maternal and under-five mortality, a new innovation needs to be developed. The development of technology and the community’s economic capacity in using Android devices has led to the emergence of various applications that can make it easier for people to fulfill their daily needs/necessities. This is the background for the Department of Maternity and Child Nursing, Faculty of Nursing, University of Indonesia to conduct research activities in the form of a pilot project with Cartula with the title Research Application Testing of e-health for Maternal and Young Children in Indonesia, which seeks to digitize Maternal and Child Health Books with content according to the needs of the mother and child.
In addition, this innovation is very much in line with the efforts of the government of the Ministry of Health of the Republic of Indonesia, especially in the current pandemic issue. The targets of this pilot project are pregnant women and health workers in the area under the guidance of the Sukmajaya Public Health Center UPT, Depok City. With this activity, researchers can develop android-based applications in improving the quality of access to maternal and child health services according to the 4.0 era in Indonesia.
The series of pilot project activities began with an assessment of rural areas, namely collecting preliminary data through focus group discussion (FGD) activities on ten pregnant women and ten mothers under five at the Rancaekek Health Center in Bandung and interviews with health workers at 3 health centers in the Bogor Regency area in July. until early September 2019. Followed by the e-Health Application Trial for Maternal and Young Children at UPT Puskesmas Sukmajaya for one month. The test results are evaluated and used for application development in the second phase of the Application Trial in November 2019.
The results of this study received quite a good response from pregnant women and health workers at UPT Sukmajaya, so the Director of Family Health from the Ministry of Health of the Republic of Indonesia accompanied by the Depok City Health Office visited to observe firsthand how to use the digital MCH handbook or e-health application for Maternal and Young Children in the service of UPT Sukmajaya.