Selection of Priority Indicators of Maternal and Child Health Using Difficulty-Usefulness Pyramid (DUP) in Health Promotion

Abstract:
Maternal and child health program in Indonesia
consists of 5 indicators, namely family participation in family planning,
childbirth in health care facilities, complete basic immunization for infants,
exclusive breastfeeding for infants and monitoring of growth and development of
toddlers. This study aimed to select maternal and child health indicators based
on priority using the difficulty-usefulness pyramid, involving 329 families
selected using snowball sampling. The difficulty and usefulness of all indicators
were measured using an online questionnaire and then analyzed using the difficulty-usefulness
pyramid method. The results showed that the range based on the total
difficulty-usefulness for each indicator was family participation in family
planning = 16.96, childbirth in health care facilities = 18.29, complete basic
immunization for infants = 18.22, exclusive breastfeeding for infants = 17.50
and monitoring of growth and development of toddlers = 17.72. The largest range
was at the base of the pyramid. It could be concluded that the indicator of
maternal and child health that was prioritized in the Healthy Indonesia Program
with a Family Approach was childbirth in healthcare facilities.
References:
[1].
Mujiati, Sulistiowati, E., Nurhasanah, S., 2020, Role
of community figure in Healthy Indonesia Program with family approach (PIS-PK)
in Banjarnegara District, Central Java. Journal of Community Empowerment for
Health, 3(3), 178-185.
[2].
Hardjito, K., Rahmaningtyas, I., Nugroho, H. S. W.,
2023, Selection of prioritized healthy family indicators, using the
difficulty-usefulness pyramid (DUP). Rawal Medical Journal, 48(1),
168-172.
[3].
Kurniawan, R., Nur, R. J. B., Yulianti, S., Nuridzin,
D. Z., Kartinah, N. T., 2021, Healthy family index assessment through
community-based health information system approach. International Journal of
Public Health Science, 10(2), 394.
[4].
Kirby, J. B., Sharma, R., 2017, The availability of
community health center services and access to medical care. Healthc (Amst),
5(4), 174-182.
[5].
Weiss-Laxer, N. S., Crandall, A., Hughes, M. E.,
Riley, A. W., 2020, Families as a cornerstone in 21st century public health:
Recommendations for research, education, policy, and practice. Front Public
Health, 8, 503.
[6].
Morales-Garzón, S., Parker, L. A., Hernández-Aguado,
I., González-Moro Tolosana, M., Pastor-Valero, M., Chilet-Rosell, E., 2023,
Addressing health disparities through community participation: a scoping review
of co-creation in public health. Healthcare (Basel), 11(7), 1034.
[7].
Spezia, N., De Rosis, S., Nuti, S., 2024, Sense of
community in the context of disease prevention and health promotion: A scoping
review of the literature. BMC Public Health, 24(1), 3090.
[8].
Nugroho, H. S. W., Sillehu. S., Handoyo, Suparji,
Sunarto, Subagyo, Sunarko, B., Bahtiar, 2018, Difficultness-Usefulness Pyramid
(DUP) as new method to select elements prioritized in management of e-learning
in health. Indian Journal of Public Health Research and Development,
9(2), 206-211.
[9].
Ibrahim, I., Sudiana. I. K., Mukono, H. J., Suhartono,
Nugroho, H. S. W., 2020, Determination of priority elements of vigilance in the
use of pesticides based on difficulty and usefulness (A supporting study for
law and policy in health). Indian Journal of Forensic Medicine and
Toxicology, 14(2), 1615-1619.
[10]. Nugroho,
H. S. W., Handoyo, Prayitno, H., Budiono, A., 2019, Sort elements based on
priority, in order to improve the quality of e-learning in health using
Difficulty-Usefulness Pyramid with Weighting (DUP-We). International Journal
of Emerging Technologies in Learning (iJET), 14(18), 186-193.
[11]. Ibrahim,
I., Sudiana, I. K., Mukono, H. J., Suhartono, Nugroho, H. S. W., 2020,
Awareness program of pesticides used among farmers using Difficulty-Usefulness
Pyramid (A suggestion for health laws and policies regarding the use of
pesticides). Indian Journal of Forensic Medicine and Toxicology, 14(3),
1946-1951.
[12]. Sunarto, S., Nugroho, H. S. W., Suparji, S.,
Santosa, B. J., 2024, Quadrant of difficulty and usefulness for prioritizing
community-based disaster preparedness parameter elements. RMJ,
49(1):172-175.
[13]. Nugroho,
H. S. W., Suparji, S., Sunarto, S., Handoyo, H., Yessimbekov, Z., Burhanuddin,
N., Selasa, P., 2020, Quadrant of Difficulty-Usefulness (QoDU) as new method in
preparing for improvement of e-learning in health college. Risk Manag
Healthc Policy, 13, 1625-1632.
[14]. Mahendradhata,
Y., Andayani, N. L. P. E., Hasri, E. T., Arifi, M. D., Siahaan, R. G. M.,
Solikha, D. A., Ali, P. B., 2021, The capacity of the Indonesian healthcare system
to respond to COVID-19. Front Public Health, 9, 649819.
[15]. Wenang, S.,
Schaefers, J., Afdal, A., Gufron, A., Geyer, S., Dewanto, I., Haier, J., 2021,
Availability and accessibility of primary care for the remote, rural, and poor
population of Indonesia. Front Public Health, 9, 721886.
[16]. Sunjaya, D.
K., Herawati, D. M. D., Sihaloho, E. D., Hardiawan, D., Relaksana, R., Siregar,
A. Y. M., 2022, Factors affecting payment compliance of the Indonesia national
health insurance participants. Risk Manag Healthc Policy, 15, 277-288.
[17]. Rizkianti,
A., Saptarini, I., Rachmalina, R., 2021, Perceived barriers in accessing health
care and the risk of pregnancy complications in Indonesia. Int J Womens
Health, 13,761-772.
[18]. Rohmah, N.,
Laksono, A. D., 2023, Relationship between family support, personal
communication, shared decision making, and breastfeeding in low birth weight
babies. Health Care Women Int., 30, 1-13.
[19]. Mawarni, D.,
Sabran, S., 2022, How is the availability of public health workers in
Indonesia's primary health care? Secondary data analysis of health facility
research in 2019. J Public Health Afr., 13(Suppl 2), 2400.
[20]. Damayanti,
N. A., Wulandari, R. D., Ridlo, I. A., 2023, Maternal health care utilization
behavior, local wisdom, and associated factors among women in urban and rural
areas, Indonesia. Int J Womens Health, 15, 665-677.
[21]. Shakibazadeh,
E., Namadian, M., Bohren, M. A., Vogel, J. P., Rashidian, A., Nogueira Pileggi,
V., Madeira, S., Leathersich, S., Tunçalp, Ӧ., Oladapo, O. T., Souza, J. P.,
Gülmezoglu, A. M., 2018, Respectful care during childbirth in health facilities
globally: a qualitative evidence synthesis. BJOG., 125(8), 932-942.
[22]. Belizán,
J. M., Miller, S., Williams, C., 2020, Every woman in the world must have respectful
care during childbirth: A reflection. Reprod Health, 17, 7.
[23]. De Jonge,
A., Downe, S., Page, L., 2019, Value based maternal and newborn care requires
alignment of adequate resources with high value activities. BMC Pregnancy
Childbirth, 19, 428.
[24]. Dahlen, H.
G., 2019, Is it time to ask whether facility based birth is safe for low risk
women and their babies? EclinicalMedicine, 14, 9-10.