Introduction : Despite significant global advancements, maternal mortality remains a pressing public health issue, particularly in low- and middle-income countries like India. Effective antenatal care (ANC) is vital for reducing maternal deaths, especially in underserved areas.
OBJECTIVES : This study aims to explore the perceptions and experiences of field-level healthcare providers regarding the digitalization of home-based antenatal care in Kundrathur Block, Kancheepuram District.
Methods : The study utilized both quantitative and qualitative approaches. A semi-structured questionnaire was administered to assess providers' knowledge, attitudes, and practices concerning digital tools. Focus group discussions (FGDs) complemented the quantitative data, offering deeper insights into the facilitators and barriers of digitalization in ANC services.
RESULTS: Our study revealed that 92.8% of participants were aware of digitalization initiatives, with 85.8% using mobile health apps and 14.2% using electronic health records (EHR). However, 90.5% reported challenges related to insufficient training, and 88% faced technical issues. Despite these challenges, 66.7% had a positive attitude towards digital antenatal care, while 33.4% viewed it negatively. Additionally, 61.9% believed digitalization improved the quality of antenatal care services, and 64.3% reported daily usage of digital tools. However, 59.5% identified a need for standardized data protocols. Participants highlighted the necessity of digital tools for monitoring pregnancies and reported partial digitalization, with some services still relying on manual methods. Common barriers included poor infrastructure, lack of training, internet connectivity issues, and community resistance.
CONCLUSION: The study highlighted practical challenges and benefits associated with digital tools. Addressing barriers such as training needs and digital literacy is essential for successful implementation. Enhancing healthcare providers' engagement and support will improve the effectiveness of digital interventions. Leveraging technology in maternal healthcare has the potential to significantly reduce maternal mortality rates and improve overall health service delivery in underserved communities.