<![CDATA[Stroke survivors require continuous monitoring, rehabilitation, medication adherence, and caregiver support after returning home, yet continuity between households, community health cadres, and primary healthcare services remains challenging. This community engagement activity aimed to implement Antasan e-Stroke Care as a community-based telenursing innovation for strengthening post-stroke monitoring and care in Antasan Senor Ilir Village, South Kalimantan, Indonesia. A community-based implementation approach with a descriptive evaluative design was conducted through needs assessment, application preparation, user orientation, role-based implementation, assisted utilization, and monitoring and evaluation. The platform supported patient registration and risk classification, blood pressure and FAST monitoring, medication adherence, rehabilitation and activities of daily living documentation, digital education, reminders, data recapitulation, and telenursing communication. Twenty users comprising village health cadres, family caregivers, and Puskesmas health workers participated in the implementation. Application accessibility, feature utilization, digital care competency, and user satisfaction were assessed using system activity logs, direct observation, pre–post competency assessment, and a five-point Likert-scale satisfaction questionnaire. All users completed orientation and accessed their role-specific dashboards. Core feature utilization ranged from 70.0% to 100.0%, with digital stroke education demonstrating the highest utilization (95.0%). Mean competency scores increased from 58.8 ± 4.0 to 78.5 ± 8.0, with a significant pre–post difference (Wilcoxon signed-rank test, p < 0.001; r = 0.62). Overall satisfaction reached 22.75 ± 1.48, with 90.0% of users classified as very satisfied. These findings describe promising initial implementation outcomes. A larger evaluation with longer follow-up is needed to assess sustained use, care coordination, and patient-level outcomes.]]>
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