The Aceh Besar midwives with mobile phones project: Design and evaluation perspectives using the information and communication technologies for healthcare development model
Open accessAbstract
The introduction of information and communication technologies (ICT) such as mobile phones to basic health service providers in rural areas can help bridge lacunae in their work environment, resulting from under-capacitated resources, constrained access to information and delayed interventions.The midwife mobile phone project was implemented in 15 health centres in Aceh Besar, Indonesia involving 223 midwives.The study group (121 participants) used project cell phones to transmit health statistics to a central database, contact coordinators and peers for health advice and information, and communicate with doctors and patients.The ICT for healthcare development model (Author, Lwin, Ang, Lin, & Santoso, 2008) was used a heuristic to determine project effectiveness.Findings from the project indicate that the mobile phone has proven to be an effective and efficient device for facilitating smoother communication, and allowing speedier emergency response.The system also aids in gathering and disseminating health-related information to midwives, who in turn convey this knowledge to the patient community.The Technology-Community-Management model (Author & Zhao, 2009;Lee & Author, 2008) was used as a conceptual framework for probing the design of ICT for development projects.In particular, infrastructural, economic, technological, and socio-cultural barriers were examined to highlight the tension between a top-down hierarchical model of technology diffusion versus a more participatory bottom-up approach.
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In Indonesia, the midwife mobile phone project was appropriate for midwives, as it addressed issues of data entry, time-sensitivity, health knowledge and training, and midwife mobility to remote areas.
“The study reported that the technology proved to be appropriate for MWs, as it addressed issues of data entry, time-sensitivity, health knowledge and training and MW mobility to remote areas [16].”
From Using mobile phones to improve community health workers performance in low-and-middle-income countries (2020) · cites this paper as [16]
In Uganda, mHealth communication improved the skills of community health workers involved in the programme implementation and who were required to manage newborns' illnesses.
“In Uganda, mHealth communication improved the skills of community health workers involved in the programme implementation and who were required to manage newborns’ illnesses [54].”
From mHealth communication to strengthen postnatal care in rural areas: a systematic review (2019) · cites this paper as [54]
Other studies have reported improved self-efficacy, although this self-efficacy was for health workers who used mHealth communication.
“Other studies have reported improved self-efficacy, although this self-efficacy was for health workers who used mHealth communication [52–54].”
From mHealth communication to strengthen postnatal care in rural areas: a systematic review (2019) · cites this paper as [54]
mHealth communication reduces physical barriers to accessibility.
“These findings are in line with other studies that demonstrate that mHealth communication reduces physical barriers to accessibility [14, 49, 54] and avails health services at reduced costs [57].”
From mHealth communication to strengthen postnatal care in rural areas: a systematic review (2019) · cites this paper as [54]
Analysis showed 92% of midwives felt more confident at tackling complex obstetric emergencies (p<0.10).
“Furthermore analysis showed 92% of midwives felt more confident at tackling complex obstetric emergencies (p<0.10).”
From Assessing the impact of mHealth interventions in low- and middle-income countries – what has been shown to work? (2014) · cites this paper as [58]
Focus group discussions and in-depth interviews (n=86) showed benefits of giving mobile technology to midwives in rural Aceh Besar, Indonesia, including the facilitation of communication, greater time efficiency, and better access to medical information.
“Focus group discussions and in-depth interviews (n=86) showed benefits, including the facilitation of communication, greater time efficiency, and better access to medical information.”
From Assessing the impact of mHealth interventions in low- and middle-income countries – what has been shown to work? (2014) · cites this paper as [58]
A quantitative before and after survey showed that, at endline, midwives were more likely to consult specialists and access health information from the health centre using their mobile phones while providing emergency care, than at baseline.
“A quantitative before and after survey showed that, at endline, midwives were more likely to consult specialists and access health information from the health centre using their mobile phones while providing emergency care, than at baseline.”
From Assessing the impact of mHealth interventions in low- and middle-income countries – what has been shown to work? (2014) · cites this paper as [58]
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Self-citation
- Authors
- Chib, A.
- Affiliations
- Nanyang Technological University (SG)
- Corresponding author
- Chib, Arul
- ORCID
- Chib, Arul
- Venue
- Journal of Computer-Mediated Communication
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-04-14
- Volume
- 15
- Issue
- 3
- Pages
- 500-525
- ISSN
- 1083-6101 (ISSN-L)
- OpenAlex
- W2167297373
- Cited by
- 155
- References
- 48
- Citations by year
- 2025: 4 · 2024: 19 · 2023: 8 · 2022: 10 · 2021: 10 · 2020: 11 · 2019: 14 · 2018: 6 · 2017: 13 · 2016: 8 · 2015: 10 · 2014: 12 · 2013: 13 · 2012: 8
- FWCI
- 26.03
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Computer-Mediated Communication (publishedVersion)
- Topics
- Physical Sciences › Computer Science › Information Systems › ICT in Developing Communities
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- midwives, mobile devices, rural health care, health information dissemination, health communication, emergency response, technology adoption barriers, Aceh Besar
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