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Exploring Pregnant Women's Experiences with RNN-Based Chatbot for Reproductive Health Education at Primary Health Centers: A Qualitative Phenomenological Study Rahmat Rizki Siregar; Azhari Umar Siregar; Seri Astuti Hasibuan; Nurkholidah Nurkholidah; Desi Meliana Gultom; Evi Erianty Hasibuan
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.1194

Abstract

Background: Inadequate reproductive health knowledge among pregnant women contributes to high maternal morbidity in Indonesia. Digital health promotion, particularly through recurrent neural network (RNN)-based chatbots, offers accessible and personalized health education. However, qualitative evidence on how such chatbots shape knowledge and experience remains scarce. Objective: This study aimed to explore pregnant women's experiences in acquiring reproductive health knowledge through RNN-based chatbot health promotion media at primary health centers, focusing on the depth and meaning of perceived knowledge change. Methods: A qualitative study with an interpretive phenomenological approach was conducted involving 24 pregnant women from two Puskesmas in Padangsidimpuan, Indonesia. Participants used the "Bunda Cerdas" chatbot based on LSTM architecture for two weeks. Data were collected through semi-structured in-depth interviews and analyzed using Braun and Clarke's thematic analysis. Trustworthiness was ensured through triangulation and member checking. Results: Six main themes emerged: (1) integrated thematic understanding, (2) convenient access to trusted information, (3) engaging and human-like interaction, (4) empowerment in health decision-making, (5) transformative knowledge retention, and (6) technical-social barriers. Participants reported a shift from fragmented to comprehensive knowledge, particularly in recognizing danger signs, nutritional needs, and birth preparedness. The conversational memory and contextual replies of the RNN chatbot fostered a sense of reliable companionship. Conclusion: RNN-based chatbot media substantively enriched pregnant women's reproductive health knowledge through personalized, dialogic learning. Its integration into primary care services can complement standard antenatal education, addressing knowledge gaps while respecting local cultural context. Further mixed-methods research is recommended to quantify outcomes and ensure sustainable implementation.
Health Screening and Education for Non-Communicable Disease (NCD) Prevention and Early Detection of Cognitive Impairment among Elderly in Urban Communities Azhari Umar Siregar; Sri Raudoh Rezki MR; Desi Meliana Gultom; Feggy Yustika Sitinjak; Rahmat Rizki Siregar; Seri Astuti Hasibuan
International Journal of Community Service (IJCS) Vol. 5 No. 2 (2026): July-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijcs.v5i2.1166

Abstract

This community service program aimed to conduct health screenings and provide educational interventions for non-communicable disease (NCD) prevention and early detection of cognitive impairment among elderly populations in Tapanuli Selatan Regency. The program involved 60 elderly participants (mean age 68.4 ± 6.2 years) from several villages within the working area of Puskesmas Pintu Padang. Screening methods included physical and biochemical examinations (blood pressure, random blood glucose, total cholesterol, and uric acid levels) as well as cognitive function assessments using the Mini-Mental State Examination (MMSE) and Clock Drawing Test (CDT). Results revealed that hypertension (65.0%), hyperglycemia (43.3%), and hypercholesterolemia (35.0%) were the most prevalent NCD risk factors, with 73.3% of participants having at least two risk factors. Cognitive impairment was identified in 25.0% of participants (16.7% mild, 8.3% moderate). Educational sessions successfully improved participants' knowledge regarding NCD prevention and cognitive health maintenance. The integrated screening and educational approach proved effective for early detection and health promotion in rural communities. Regular implementation of such programs, strengthened referral pathways to primary health centers, and continuous health education are essential strategies for improving elderly health outcomes in Tapanuli Selatan.