Utilization of TELECTG in Empowering Midwives Through The Diffusion of Innovation Approach

Abstract

This research studied the diffusion process of innovation in the use of TeleCTG medical devices as a local creation to help monitor the health of mothers, fetuses and babies. With telemedicine-based technology midwives can send diagnosis results online to doctors so that medical action can be taken immediately. This technology helps to equalize the quality of health services because the majority of puskesmas in Indonesia do not have a doctor on duty for 24 hours. This study used five attributes of the diffusion of innovation’s Everett M Rogers, namely: relative advantage, compatibility, complexity, trialability, and observability. The empowerment of midwives is analyzed in terms of welfare, clinical competence, and complementary competences. The locations of research object were in Indramayu and Kupang Regency because the Maternal Mortality rate (MMR) and the Infant Mortality Rate (IMR) have been still quite high. This study used a descriptive qualitative approach with in-depth interview data collection techniques on key informants from the TeleCTG creator, midwives and the Regency Health Office. The results of this study found that there was a difference in understanding of the diffusion of innovation attributes that differentiated the use of TeleCTG in empowering midwives in the two regions.

Note:
Funding Statement: The research team would like to thank LPPM Pancasila University for providing the research funding.

Declaration of Interests: No competing financial, professional, or personal interests that might have influenced the performance or presentation of the work described in this manuscript.

Ethic Approval Statement: The manuscript was be reviewed and approved by the institutional review boards/ethical committees with respect to scientific content and compliance with applicable research regulations.

Keywords: diffusion, innovation, empowerment, midwife, TeleCTG