Effectiveness of the GURAKA Application in Enhancing Maternal Preparedness for Childbirth
DOI:
https://doi.org/10.35316/oksitosin.v13i1.8080Keywords:
GURAKA application, preparedness, childbirthAbstract
Birth Preparedness and Complication Readiness (BPCCR) is a strategy aimed at promoting planning for childbirth and emergency preparedness among pregnant women, their families, and communities. The study aimed to determine the effectiveness of the GURAKA application on maternal preparedness for childbirth. The study population consisted of third-trimester pregnant women in the service area of Kota Community Health Center. Sixty participants were selected using consecutive sampling and were allocated into two groups: one group used the GURAKA application, while the control group used the MCH Book. Data were analyzed sequentially using test of normality and homogeneity, Wilcoxon Signed Rank Test, and Mann–Whitney U test. The Mann-Whitney analysis showed that, in the pretest, the intervention group demonstrated a higher mean rank (36.32) than the control group (24.68), with the difference being statistically significant (p = 0.009). In the posttest, the intervention group’s mean rank increased to 37.10, while the control group decreased to 23.90, with p = 0.003 (p<0.05). These findings indicate that the GURAKA Application is more effective than the MCH Book in enhancing maternal readiness for childbirth.
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Abbasi, P., Mohammad-Alizadeh Charandabi, S. and Mirghafourvand, M. (2018) “Comparing the effect of e-learning and educational booklet on the childbirth self-efficacy: a randomized controlled clinical trial,” Journal of Maternal-Fetal and Neonatal Medicine, 31(5), pp. 644–650. Available at: https://doi.org/10.1080/14767058.2017.1293031.
Alizadeh-Dibazari, Z. et al. (2024) “Childbirth preparation and its facilitating and inhibiting factors from the perspectives of pregnant and postpartum women in Tabriz-Iran: a qualitative study,” Reproductive Health , 21(1). Available at: https://doi.org/10.1186/s12978-024-01844-8.
Amriani, Fitriani and Maqfirah (2025) “Effectiveness of Using KIA Books on Pregnant Women’s Knowledge and Family Support in Facing Childbirth in Gowa,” Jurnal Midwifery, 7(1), pp. 87–94. Available at: https://doi.org/10.24252/jmw.v7i1.54293.
Ananche, T.A. and Wodajo, L.T. (2020) “Birth preparedness complication readiness and determinants among pregnant women: a community-based survey from Ethiopia,” BMC Pregnancy and Childbirth, 20(1). Available at: https://doi.org/10.1186/s12884-020-03297-w.
Aoki, A. et al. (2022) “The RE-AIM framework-based evaluation of the implementation of the Maternal and Child Health Handbook program in Angola: a mixed methods study,” BMC Health Services Research, 22(1). Available at: https://doi.org/10.1186/s12913-022-08454-9.
Azam, S. et al. (2023) “A global perspective of the role of the maternal and child health handbook in health promotion: Narrative synthesis Research Paper,” IHTP, 3(2), pp. 170–187.
Bachiri, M. et al. (2016) “Mobile personal health records for pregnancy monitoring functionalities: Analysis and potential,” Computer Methods and Programs in Biomedicine, 134, pp. 121–135. Available at: https://doi.org/10.1016/j.cmpb.2016.06.008.
Balogun, O.O. et al. (2023) “Effectiveness of the maternal and child health handbook for improving continuum of care and other maternal and child health indicators: A cluster randomized controlled trial in Angola,” Journal of Global Health, 13. Available at: https://doi.org/10.7189/jogh.13.04022.
Bhuiyan, S. et al. (2017) “Maternal and Child Health (MCH) Handbook and Its Effect on Maternal and Child Health Care: A Systematic Review and Meta-Analysis,” Journal of Community Medicine & Public Health, 1(2). Available at: https://doi.org/10.29011/2577-2228.100009.
Diana, S., Wahyuni, C.U. and Prasetyo, B. (2020) Maternal complications and risk factors for mortality, Journal of Public Health Research.
Ernsting, C. et al. (2017) “Using Smartphones and Health Apps to Change and Manage Health Behaviors: A Population-Based Survey,” Journal of Medical Internet Research, 19(4), p. e101. Available at: https://doi.org/10.2196/jmir.6838.
Frankham, L.J., Thorsteinsson, E.B. and Bartik, W. (2024) “Childbirth self-efficacy and birth related PTSD symptoms: an online childbirth education randomised controlled trial for mothers,” BMC Pregnancy and Childbirth, 24(1). Available at: https://doi.org/10.1186/s12884-024-06873-6.
Ijang, Y.P. et al. (2019) “Awareness and practice of birth preparedness and complication readiness among pregnant women in the Bamenda Health District, Cameroon,” BMC Pregnancy and Childbirth, 19(1). Available at: https://doi.org/10.1186/s12884-019-2511-4.
Kaur, J., Upendra, S. and Barde, S. (2023) “Effect of Digital applications on maternal as well as neonatal outcomes in Young pregnant girls: A Scope Review,” Investigacion y Educacion en Enfermeria, 41(3). Available at: https://doi.org/10.17533/udea.iee.v41n3e07.
Khademioore, S. et al. (2023) “The effect of an mHealth application based on continuous support and education on fear of childbirth, self-efficacy, and birth mode in primiparous women: A randomized controlled trial,” PLoS ONE, 18(11 NOVEMBER). Available at: https://doi.org/10.1371/journal.pone.0293815.
Krebs, P. and Duncan, D.T. (2015) “Health App Use Among US Mobile Phone Owners: A National Survey,” JMIR mHealth and uHealth, 3(4), p. e101. Available at: https://doi.org/10.2196/mhealth.4924.
Lassi, Z.S. et al. (2019) “Effectiveness of birthing kits for clean childbirth: A systematic review,” International Health. Oxford University Press, pp. 3–10. Available at: https://doi.org/10.1093/inthealth/ihz022.
Ledford, C.J.W. et al. (2015) Mobile application as a prenatal education and engagement tool: A randomized controlled pilot. Available at: https://www.elsevier.com/open-access/userlicense/1.0/.
Lee, Y. and Moon, M. (2016) “Utilization and Content Evaluation of Mobile Applications for Pregnancy, Birth, and Child Care,” Healthcare Informatics Research, 22(2), p. 73. Available at: https://doi.org/10.4258/hir.2016.22.2.73.
Mayasari, S.I. and Jayanti, N.D. (2020) “Family-centered maternity care mobile application to increase the readiness of pregnant women in facing a high-risk childbirth,” MEDISAINS, 18(3), p. 103. Available at: https://doi.org/10.30595/medisains.v18i3.8419.
Ministry of Health of the Republic of Indonesia (2023) Indonesia Health Profile 2022. Jakarta.
Mohaghegh, Z. et al. (2023) “Effect of birth plans integrated into childbirth preparation classes on maternal and neonatal outcomes of Iranian women: A randomized controlled trial,” Frontiers in Global Women’s Health, 4. Available at: https://doi.org/10.3389/fgwh.2023.1120335.
Mohamed, H. et al. (2023) “A Scoping Review of Digital Technologies in Antenatal Care: Recent Progress and Applications of Digital Technologies.” Available at: https://doi.org/10.21203/rs.3.rs-3492596/v1.
Mori, R. et al. (2015) “The Maternal and Child Health (MCH) handbook in Mongolia:A cluster-randomized, controlled trial,” PLoS ONE, 10(4). Available at: https://doi.org/10.1371/journal.pone.0119772.
Nishimura, E. et al. (2023) “Role of Maternal and Child Health Handbook on Improving Maternal, Newborn, and Child Health Outcomes: A Systematic Review and Meta-Analysis,” Children. Multidisciplinary Digital Publishing Institute (MDPI). Available at: https://doi.org/10.3390/children10030435.
Osaki, K. et al. (2019) “Maternal and Child Health Handbook use for maternal and child care: A cluster randomized controlled study in rural Java, Indonesia,” Journal of Public Health (United Kingdom), 41(1), pp. 170–182. Available at: https://doi.org/10.1093/pubmed/fdx175.
Savitri, W., Baskah, D.Y. and Nugraheni, D.E. (2024) “The Effect of the BIDAN-KU Application on Childbirth Preparation in Third Trimester Pregnant Women Regarding Anxiety in Facing Childbirth at Midwife Practices in Bengkulu City in 2023,” Journal of Noursing and Public Health (JNPH), 12(2), pp. 359–365. Available at: https://jurnal.unived.ac.id/index.php/jnph/article/view/7358 (Accessed: February 9, 2025).
Smeele, P. et al. (2018) “Birth preparedness and complication readiness among pregnant women admitted in a rural hospital in Rwanda,” BMC Pregnancy and Childbirth, 18(1). Available at: https://doi.org/10.1186/s12884-018-1818-x.
Souza, F.M. de L.C. et al. (2021) “Effectiveness of mobile applications in pregnant women’s adherence to prenatal consultations: randomized clinical trial,” Revista Brasileira de Enfermagem, 74. Available at: https://doi.org/10.1590/0034-7167-2019-0599.
Sugiarti, S., Rustina, Y. and Efendi, D. (2020) “Increasing the Knowledge and Confidence of Mothers in Caring for Low Birth Weight Babies Through Education from the Maternal and Child Health Handbook,” Jurnal Keperawatan Soedirman, 15(2). Available at: https://doi.org/10.20884/1.jks.2020.15.2.1160.
Tobe, R.G. et al. (2022) “Maternal and child health handbook to improve continuum of maternal and child care in rural Bangladesh: Findings of a cluster randomized controlled trial,” PLoS ONE, 17(4 April). Available at: https://doi.org/10.1371/journal.pone.0266074.
Triastin, S.A. (2022) Pengaruh Media Edukasi Persiapan Persalinan Mattampu’’ Terhadap Pengetahuan Ibu Hamil. Hasanuddin University.
Uray Naviandi et al. (2023) Mortality in Indonesia: Results of the 2020 Long Form Population Census. Jakarta.
Withers, M., Kharazmi, N. and Lim, E. (2018) “Traditional beliefs and practices in pregnancy, childbirth and postpartum: A review of the evidence from Asian countries,” Midwifery, 56, pp. 158–170. Available at: https://doi.org/10.1016/j.midw.2017.10.019.
Zhou, N. et al. (2025) “The mediating role of self-efficacy in the relationship between eHealth literacy and childbirth readiness among pregnant women: a cross-sectional study,” Frontiers in Public Health, 13. Available at: https://doi.org/10.3389/fpubh.2025.1561855.
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