Telemedicine-Enabled Bedside Monitoring System for Low-Birth-Weight Infants: Strengthening Primary Healthcare Resilience and Family-Centered Neonatal Care in Indonesia

Sari Luthfiyah; Bambang Guruh Irianto; Lusiana Lusiana; Abdul Kholiq; Syevana Dita Musvika; Much Faiz Nafi'u Pradana; Rifan  Ramandani; Muhamad Muflih  Ridwan

doi:10.35882/ficse.v5i2.142

Authors

Sari Luthfiyah Department of Nursing, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia https://orcid.org/0000-0001-9677-7209
Bambang Guruh Irianto Department of Electromedical Engineering, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia https://orcid.org/0000-0002-1613-4762
Lusiana Lusiana Department of Electromedical Engineering, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia https://orcid.org/0000-0001-6228-8407
Abdul Kholiq Department of Electromedical Engineering, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia
Syevana Dita Musvika Department of Electromedical Engineering, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia https://orcid.org/0000-0003-3560-8828
Much Faiz Nafi'u Pradana Department of Electromedical Engineering, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia
Rifan Ramandani Department of Electromedical Engineering, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia
Muhamad Muflih Ridwan Department of Electromedical Engineering, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia

DOI:

https://doi.org/10.35882/ficse.v5i2.142

Keywords:

Bedside Monitor, Telemedicine, Low Birth Weight, Neonatal Care, Primary Healthcare

Abstract

Low Birth Weight (LBW) infants remain highly vulnerable to respiratory instability, temperature disturbances, infection, and other complications, making continuous physiological monitoring essential. However, primary healthcare facilities may face limitations in access to real-time monitoring technology, remote information sharing, and health-worker competency in operating and maintaining digital medical devices. This community service activity aimed to implement a telemedicine-based bedside monitoring system at Gedangan Community Health Center, Sidoarjo Regency, while strengthening health workers’ knowledge, operational skills, and compliance with standard operating procedures (SOPs) for LBW neonatal monitoring. The program was conducted over two days and involved 30 health workers, including nurses, midwives, and electromedical personnel. The implementation comprised counseling, expert demonstration, hands-on training, simulation, re-demonstration, evaluation, and continuing mentoring. Knowledge was assessed through pre- and post-training questioning, while practical competence and SOP adherence were evaluated through structured observation. The mean knowledge score increased from 62.4% before training to 86.7% after training, representing a 24.3-percentage-point improvement. Furthermore, 83% of participants were able to operate the bedside monitor independently, while SOP compliance increased from 54% during initial practice to 88% after training. The system also successfully transmitted physiological parameters, including oxygen saturation, heart rate, respiratory rate, and temperature, to both the bedside monitor and mobile application without significant transmission delay during simulation and initial field use. In addition, four medical devices at the health center were repaired and calibrated. The findings demonstrate that integrating telemedicine-based monitoring with structured practical training can strengthen neonatal monitoring capacity and improve access to physiological information at the primary healthcare level. Nevertheless, sustained mentoring, periodic refresher training, reliable connectivity, and dedicated maintenance resources remain necessary to ensure long-term safety, compliance, and system sustainability.

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