Sthira: Pregnancy Miscarriage Prevention in Rural Areas

Project Logo. Derived from Sanskrit, Sthira stands for "reliability, perseverance, and strength". This shows our spirit in our service

Inspiration

As a large archipelago, Indonesia is largely constituted by small islands. Parts of these islands exist on the national border, causing 44.02% of Indonesia’s population to be termed as rural. To increase its public welfare and economic growth, the future generation should be free of malnutrition and stunting through proper antenatal treatment. Pregnancy miscarriage in rural areas has been dominantly caused by mistreatment over the first tri-semester, as the risk of miscarriage after getting asymptomatic result at first antenatal visit between 6 and 11 weeks is low (1.6% or less). In East Nusa Tenggara, one of Indonesia’s notable disadvantaged areas with the highest stunting rate, lower socioeconomic status, malaria-positive, anemia, and abnormal BMI showed a positive correlation with miscarriage. Hence, through primary care intervention by medical specialists and maternal behaviour tracking by General Practitioners alongside local figures.

What it does

The primary care and maternal behaviour tracking will be accompanied with Sthira. Sthira is an application that provides medical supervision by health specialist such as doctor. Since there are some misunderstanding on maternal's behaviour during pregnancy which have some impacts to the stunting issue, we also provide some learning modules to break the wrong behaviour and increase the quality of the pregnant mothers. These application will be used by both Indonesian's mothers and the medical experts alongside an operator (helper) to bridge the gap of tech-savviness.

How we built it

We made Sthira with Glides (glidesapp.com) that provide an opensource platform to develop an application based on a database from google-sheet.

Challenges we ran into

A complex socio-demographic condition in Indonesia is a big deal to make a suitable approach toward pregnant mothers to fix the stunting issue.

Accomplishments that we're proud of

In a short period of time, we get the main problem and formulate the solutions to be implemented both as an application and a policy brief. We also identify a path to create a better human capital in Indonesia through primary care intervention by medical specialists and maternal behaviour tracking by General Practitioners alongside local figures.

What we learned

To solve a nation-wide solution, there is a complex approach to find the problem. On way to know the main cause is by finding the issue using the root-cause tree framework. Sometimes, in problem solving, we identify only the symptoms, not the main problem. By break it down and generate the root-cause tree, we could see the causes that lead to the main problem. Therefore, we could find the solution that tackle the causes and set another causes as the limitations since the complex issue cannot be done in one hit.

What's next for Sthira: Pregnancy Miscarriage Prevention in Rural Areas

To improve the user experience, Sthira could add more traditional language to increase the understanding of patient user. In other hand, the usage of easy-to-understood icons can be implemented to make Sthira more user-friendly.