Evaluation of Digital Partograph Application Case Study on Normal Labor by Community Midwife

Abstract

Midwives have an important role in health services. One effort that can be made to contribute to the quality of health care is with the use of partograph at the time of delivery. The use of partograph in labor is still low, that is 25% Hospital, Community Health Centers 45%, and Maternity Clinic54%. The low use of partograph because it is considered difficult and takes a long time, for it needs the effort of using partograph become easier, faster, without losing the essence of partograph function. Digital partographs become one of the solutions for the use of partograph at the time of birth to be increased. The purpose of the study was to evaluate digital partograph applications, assess the usefulness of digital partographs, analyze the behavioral changes of partograph usage, and identify stakeholder support in the use of digital partographs. Qualitative research method with case study approach. Primary research subject is community midwife, subject of secondary research is head of health center, midwife of health center manager, Head of Health Office of Tasikmalaya Regency, and Chairman of IBI Branch of Tasikmalaya Regency. Sampling technique using Snowball sampling. Data collection with in-depth interviews, FGDs and document review. Analyze data with techniques, create keywords, categorize and create themes. Research shows that the information system contained in the digital partograph has met the aspect of system quality, information quality and user satisfaction. The application of digital partograph has fulfilled the use in clinical decision making, monitoring the progress of labor, documentation, monitoring of mother and fetal condition, digital partographs, and support from stakeholders for digital partograph applications. Based on the results of the study concluded digital partograph applications can already be used as a tool to monitor the progress of birth and already accessible on Google Playstore. With the digital partograph, there is a change in midwife behavior in its use