Sinofa Pasti (Sistem Notifikasi Whatsapp Broadcast Pemantauan Ibu Nifas Resiko Tinggi) untuk Meningkatkan Fast Respon dan Kontinuitas Kunjungan Nifas Resti Pasca Perawatan di Rumah Sakit oleh Bidandi Kabupaten Sampang

Abstract

Background: Manual back-referral systems from hospitals to primary health care facilities often lead to a breakdown in the continuity of information. This results in slow and inadequate follow-up monitoring within the community, particularly for patients with vulnerable medical histories. Objective: This study aims to analyze the effectiveness of the SINOFA PASTI innovation (a WhatsApp Broadcast Notification System) in improving response speed ("fast response") and monitoring continuity—specifically for high-risk postpartum mothers following hospital care—as carried out by midwives in Sampang Regency. Methods: This study employed a quasi-experimental design using a one-group pretest-posttest approach. The sample consisted of 26 midwives managing back-referrals of high-risk postpartum mothers from Dr. Moh Zyn Regional General Hospital (RSUD) in Sampang, selected via total sampling. Data were collected using questionnaires and analyzed using the non-parametric Wilcoxon Signed-Rank Test. Results: The average "fast response" score among midwives increased from 5.08 (pre-test) to 11.19 (post-test). Regarding the monitoring continuity indicator, the average score rose from 6.50 to 9.27. Wilcoxon test results for both variables yielded a p-value of 0.000 (p < 0.05), indicating a significant difference before and after the intervention regarding response speed and the continuity of postpartum visits for high-risk mothers after hospital care. Conclusion: The SINOFA PASTI innovation shows potential effectiveness as an early warning system. It can be implemented sustainably not only for high-risk postpartum patients but also for all obstetric patients.