Integrated Information System for Early Detection of Maternal Risk Factors Based on Continuum of Care Approach of Mother and Toddler Cohorts

Nyoman Anita Damayanti, Darmawan Setijanto, Arief Hargono, Ratna Dwi Wulandari, Maya Weka Santi, Benny Tjahjono, Aulia Ramadhani

    Research output: Contribution to journalArticlepeer-review

    3 Citations (Scopus)
    64 Downloads (Pure)


    Objectives: The aim of this study is to demonstrate how an integrated information system of mother and toddler cohorts can be developed as a basis of the continuum of care approach that subsequently can be used as the basis of early detection of risk factors of maternal mortality. Methods: This research was carried out qualitatively. The data was collected through three techniques: in-depth interviews, focus group discussion, and document studies at six public health centers located in four sub-districts of Surabaya, Indonesia. This research was conducted from 2016 to 2018. Results: The data collected from this research has become a basis input data requirement analysis for an integrated mother and toddler cohort information system. The system accommodates all the variables in each period of pre-marriage, pregnancy, labor, infancy and toddlerhood. The system facilitates healthcare workers to retrieve data and information related to mother and toddler health status. Conclusions: The availability of various pieces of information enables the health status of mothers and toddlers to be monitored thoroughly throughout their long-life cycle. This continuum of care approach is beneficial in the early detection and management of risk factors of maternal mortality, such as pregnancy complications as well as childbirth and postpartum complications.

    Original languageEnglish
    Article number153
    Pages (from-to)153-160
    Number of pages8
    JournalHealthcare Informatics Research
    Issue number3
    Publication statusPublished - 31 Jul 2019

    Bibliographical note

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


    • Continuum of care
    • Delivery of health care
    • Information systems
    • Maternal-child health services

    ASJC Scopus subject areas

    • Biomedical Engineering
    • Health Informatics
    • Health Information Management


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