在印度尼西亚西爪哇省5岁以下儿童中使用WhatsApp进行营养监测：横断面调查与可行性研究

Using WhatsApp for Nutrition Surveillance Among Children Under 5 Years in West Java, Indonesia: Cross-Sectional Survey and Feasibility Study.

作者信息

Aisyah Dewi Nur, Mayadewi Chyntia Aryanti, Utami Astri, Rahman Fauziah Mauly, Adriani Nathasya Humaira, Al Farozi Erlangga, Sayoko Meldi Hafizh, Chairunisa Aulia, Restiana Liza, Manikam Logan, Kozlakidis Zisis

机构信息

Department of Epidemiology and Public Health, Institute of Epidemiology and Health Care, University College London, 1-19 Torrington Place, London, WC1E 7HB, United Kingdom, 44 (0)207 679 2000.

Digital Transformation Office, Ministry of Health, Republic of Indonesia, Jakarta, Indonesia.

出版信息

JMIR Pediatr Parent. 2025 May 15;8:e58752. doi: 10.2196/58752.

DOI:10.2196/58752

PMID:40372943

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12097283/

Abstract

BACKGROUND

Large-scale programs involving nutrition-specific interventions have been carried out in Indonesia as a community-based approach at the primary care level across cities and districts, throughout the age-specific target population (ie, children under 5 years).

OBJECTIVE

The aim of this paper is to describe the potential use of WhatsApp as a tool for recording and monitoring the growth of children under 5 years by Posyandu (Pos Pelayanan Terpadu or community-based health service post), investigating its potential in enhancing health programs and services.

METHODS

Data were collected from Posyandu cadres in Bogor District, West Java, from March to June 2022. The anthropometric measurement data were reported in real time through a WhatsApp chatbot, automatically analyzed by the system, and presented in a structured dashboard. A qualitative assessment was carried out using a cross-sectional survey conducted from March to July 2022.

RESULTS

The study involved 42 Posyandu in 3 villages, engaging 282 staff, and the WhatsApp chatbot recorded anthropometric data for 4571 children under 5 years. The qualitative assessment indicated widespread system utilization, with 50% (45/90) affirming comprehensive data input. Additionally, 66.4% (83/129) found the system easy to use, and 66.7% (82/123) expressed clarity in comprehending variables. Moreover, 75.6% (93/123) found the data input flow easily understood, and 74% (91/123) suggested that the system contributed to enhancing Posyandu activities and the quality of data reporting. Regarding staff proficiency, 63.5% (80/126) affirmed their adeptness in using the system, and 71% (88/124) asserted their high capability in providing training to colleagues.

CONCLUSIONS

The potential use of WhatsApp as a surveillance tool for recording children's nutritional status is promising, suggesting broader applications within health programs. Nonetheless, this expansion requires additional improvements, including human resource preparation, Posyandu infrastructure development, and strong regulatory support.

摘要

背景

印度尼西亚开展了大规模的特定营养干预项目，作为一种基于社区的方法，在各城市和地区的初级保健层面，针对特定年龄段目标人群（即5岁以下儿童）实施。

目的

本文旨在描述WhatsApp作为一种工具，用于由综合保健服务站（Pos Pelayanan Terpadu或基于社区的卫生服务站）记录和监测5岁以下儿童生长情况的潜在用途，调查其在加强卫生项目和服务方面的潜力。

方法

2022年3月至6月，从西爪哇省茂物县的综合保健服务站干部处收集数据。人体测量数据通过WhatsApp聊天机器人实时报告，由系统自动分析，并呈现在结构化仪表板上。2022年3月至7月进行了横断面调查，以进行定性评估。

结果

该研究涉及3个村庄的42个综合保健服务站，有282名工作人员参与，WhatsApp聊天机器人记录了4571名5岁以下儿童的人体测量数据。定性评估表明系统得到广泛使用；50%（45/90）的人确认数据输入全面。此外66.4%（83/129）的人认为该系统易于使用，66.7%（82/123）的人表示理解变量清晰。此外，75.6%（93/123）的人认为数据输入流程易于理解，74%（91/123）的人认为该系统有助于加强综合保健服务站的活动和数据报告质量。关于工作人员的熟练程度，63.5%（80/126）的人确认他们能够熟练使用该系统，71%（88/124）的人声称他们有很高能力为同事提供培训。