Lismidiati Wiwin, Widyawati Widyawati, Hapsari Elsi D, Akhmadi Akhmadi, Sumunar Dimas S E W
Department of Pediatric and Maternity Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Department of Psychiatric and Community Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Int J Telemed Appl. 2025 Jul 14;2025:2336484. doi: 10.1155/ijta/2336484. eCollection 2025.
Low birth weight remains a health concern in the Special Region of Yogyakarta, Indonesia. Effective management of low birth weight cases is crucial, yet community-based health programs face challenges in addressing this issue. This study is aimed at exploring the needs, experience, and perspectives of healthcare providers regarding low birth weight prevention programs. This was a qualitative descriptive study. Data were collected from June to December 2023 in Kulon Progo District, Yogyakarta, Indonesia. Data were collected through a focus group discussion with nine midwives. Triangulation was conducted with 12 breastfeeding mothers, one nutritionist, and one head of the primary health center through in-depth interviews. Each discussion and interview were recorded, transcribed, and subjected to thematic analysis to identify key themes. Three themes were discovered in this study: programmatic initiatives of healthcare providers; poor knowledge, attitude, and practice with limited resources and access; enhancing the use of teleconsultations. Programmatic initiatives from primary healthcare centers have focused on preventing low birth weight through targeted outreach, education, and prenatal care for at-risk mothers. However, the persistent challenge of insufficient human resources for health has hindered the effectiveness and reach of these efforts. To enhance LBW prevention strategies, the needs of digital technology by integrating digital tools and electronic health records are imperative. Effectively managing low birth weight requires utilization of technology to strengthen healthcare interventions. Digital solutions enhance communication, broaden service reach, and enable timely support, especially in underserved areas. Incorporating these tools into health programs improves the delivery and accessibility of care, presenting a valuable approach to advancing maternal and child health outcomes.
低体重出生在印度尼西亚日惹特区仍然是一个健康问题。有效管理低体重出生病例至关重要，但基于社区的健康项目在解决这一问题上面临挑战。本研究旨在探讨医疗保健提供者在低体重出生预防项目方面的需求、经验和观点。这是一项定性描述性研究。2023年6月至12月在印度尼西亚日惹市库隆普罗戈区收集数据。通过与九名助产士进行焦点小组讨论收集数据。通过深入访谈，与12名母乳喂养母亲、一名营养师和一名初级卫生中心负责人进行了三角验证。每次讨论和访谈都进行了记录、转录，并进行了主题分析以确定关键主题。本研究发现了三个主题：医疗保健提供者的项目举措；在资源和获取有限的情况下知识、态度和实践较差；加强远程会诊的使用。初级卫生保健中心的项目举措侧重于通过有针对性的外展、教育和为高危母亲提供产前护理来预防低体重出生。然而，卫生人力资源持续不足的挑战阻碍了这些努力的有效性和覆盖面。为了加强低体重出生预防策略，整合数字工具和电子健康记录对数字技术的需求势在必行。有效管理低体重出生需要利用技术来加强医疗保健干预措施。数字解决方案改善了沟通、扩大了服务范围，并提供了及时的支持，特别是在服务不足的地区。将这些工具纳入健康项目可改善护理的提供和可及性，是推进母婴健康成果的一种宝贵方法。
