Herni Kurnia
Poltekkes Kemenkes Tasikmalaya, Cirebon

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Beyond The Screen: Academic Benefits, Student Satisfaction, And The Quality Of Midwife-Patient Interaction After Digital Continuity Of Care (CoC) Learning Yeni Fitrianingsih; Ida Sugiarti; Herni Kurnia
Jurnal Medisci Vol 4 No 1 (2026): Vol 4 No 1 August 2026
Publisher : Ann Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62885/medisci.v4i1.1279

Abstract

Background: Continuity of Care (CoC) is a cornerstone of quality midwifery services and a key strategy for reducing maternal and infant mortality. Integrating mobile Health (mHealth) technology into CoC-based midwifery curricula is intended to strengthen holistic patient monitoring while preserving humanistic, patient-centered communication. Aim: This study evaluated midwifery students' perceived academic benefit and satisfaction after digital CoC learning, and examined the associated quality of midwife-patient interaction and patient satisfaction. Methods: An observational analytic study with a quasi-experimental post-test design was conducted among 51 midwifery students of Poltekkes Kemenkes Tasikmalaya (Cirebon campus) and 51 patients receiving continuity care through the D Kia application across four partner hospitals in Cirebon and Indramayu. Data were collected using structured Likert-scale questionnaires and analyzed descriptively. Results: Students reported very high perceived academic benefit (mean 4.46±0.62) and interaction satisfaction (mean 4.42), while patients rated communication quality (mean 4.52) and satisfaction with CoC (mean 4.50±0.63) as very high. Conclusions: Digital CoC learning was perceived very positively by both students and patients without compromising humanistic communication. Implication: Findings support wider integration of mHealth into midwifery curricula to prepare digitally competent, patient-centered future midwives.
Technological Transformation of Health Innovation “SiKemBang” as a Decision-Support Tool for Post-Partum Family Planning Herni Kurnia; Nunung Mulyani; Endang Astiriyani
Jurnal Medisci Vol 4 No 1 (2026): Vol 4 No 1 August 2026
Publisher : Ann Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62885/medisci.v4i1.1280

Abstract

Background: Maternal Mortality Rate (MMR) remains a major health problem in Indonesia (189 per 100,000 live births, 2020 Population Census), and family planning (FP) is one of the four pillars of the safe-motherhood approach used to reduce it, particularly by preventing pregnancies that are too young, too frequent, too closely spaced, or too late. The Balanced Counseling Strategy (BCS) for post-partum FP improves the accuracy of provider-client interaction but conventionally requires carrying three separate job aids. Aim: To design and test the effectiveness of “SiKemBang”, an Android-based application that integrates the BCS job aids as a decision-support tool for post-partum FP. Methods: A Research and Development (R&D) design following Sugiyono’s model was used, involving midwives and post-partum mothers at PONED facilities in Tasikmalaya City, with material- and media-expert validation followed by small- and large-scale field trials. Results: The application was developed and revised until it was rated highly feasible by both material and media experts without further revision; the small-scale trial (n = 10) produced a mean score of 46.9 (93.8%) and the large-scale trial (n = 100) produced a mean score of 482 (96.4%), both in the “highly feasible” category. Conclusions: SiKemBang is a feasible and effective decision-support tool for post-partum FP counseling. Implication: The application can strengthen health-technology-based counseling services and support national efforts to reduce maternal and infant mortality.