Online Applications to Achieve Minimum Service Standards for Pregnant Women (IDBNG0004)

Commitment ID

IDBNG0004

Commitment Title

Online Applications to Achieve Minimum Service Standards for Pregnant Women

Problem

• After being successfully declined in 2019 (from 364 to 71 per 100000 live birth), the maternal mortality rate in Banggai Regency shows an escalation in 2020 from 71 to 263 per 100000 live birth.
• The escalation of MMR in 2020 might have been caused by the restriction in community activity due to covid 19 pandemic, so the routine health service for pregnant women that usually taken place at POSYANDU and home visits cannot be done.
• Difficultness in digitalized data management. Data of pregnant women in Banggai Regency are still not being digitalized recorded, so it is difficult for health service officers or midwives to monitor and assess the degree of risk in real-time.
• Provide online services to maximized the communication between pregnant women and midwives in the term of health consultation (self-assessment data, sign and symptoms) therefore pregnant women can be monitored real-time by midwives.
• Provide online-based health service to increase the scope of minimum health service standard for pregnant women.
• Mobile apps (online-based health services) is needed to monitoring pregnant women who are at high risk and also as a prevention management system of maternal death

Status quo

• In 2020, the percentage of pregnant women who received the minimum health services standard fall from 94,2% (2019) to 86,9%. Due to covid-19 pandemic, a mass gathering is restricted and so the Posyandu and other community-based health services. Furthermore, being infected by health officer during home visiting became a concern for pregnant women and their family.
• Development of mobile apps (online-based) for pregnant women is expected to overcome those difficulties.
• There is a local start-up in Banggai Regency called DRAIV, that enable to provide online-based monitoring health services for pregnant women.
• DRAIV, a start-up that already has 20 thousand costumers, has agreed to add the minimum health service standard for pregnant women as its new feature

Action

Create an application that allows health workers (village midwives, community health centre midwives and district coordinators) to monitor the condition of pregnant women in real-time.

How will the commitment contribute to solving the public problem described above?

• This mobile app is is designed to be able to comprehensively record pregnant women, monitor the progress of their pregnancies so that early treatment efforts can be made if problems occur that threaten the safety of pregnant women in the Banggai Regency.
• Monitor whether the 10 Minimum Service Standards for pregnant women are Weight and Height, Blood Pressure, Assess nutritional status, Peak height of the uterus/uterine fundus, Determine fetal presentation, Screening for immunization status, Tetanus and give TT immunization, Giving Blood Add Tablets at least 90 tablets during pregnancy. Lab tests, pregnancy tests, and case management have been achieved by the mother.
• This mobile app will give notification to users if there is a pregnant woman that has anemia, malnutrition, or preeclampsia, so early treatment/action could be performed.
• Emergency monitoring system as one of its feature will enable pregnant women to get emergency services quickly and accurately according to particular procedure (ring ambulance).

What long-term goal as identified in your Open Government Strategy does this commitment relate to?

This commitment is in line with the OGP principles, where 1) Services can cover all pregnant women (inclusive) 2) Health workers can access data in villages, puskesmas, and districts (open) 3) Pregnant women can report if there are problems in their pregnancy (participatory) and 4) Service results can be well documented and reported (accountably) with the use of adequate information technology and systems.

Primary Policy Area

Digital Governance, Inclusion

Primary Sector

Health & Nutrition, Media and Telecommunications, Public Services (general)

What OGP value is this commitment relevant to?