Effectiveness of Digital-Based Continuity of Midwifery Care on Client Satisfaction in West Java, Indonesia

Background: Continuity of midwifery care ensures consistent, personalised support across the maternity cycle and is linked to better maternal and neonatal outcomes. In low-resource areas like West Java, implementation is challenged by geographic and workforce limitations. Digital-based continuity of care has emerged as a promising approach to overcome geographical and logistical barriers, particularly in low-resource settings such as West Java, Indonesia. Objective: This study evaluated the impact of a digital-based continuity of midwifery care program on postpartum client satisfaction zin West Java, Indonesia. Methods: A quasi-experimental design was employed, involving 300 postpartum women divided equally into intervention (digital-based care) and control (standard care) groups for six weeks. The intervention utilised a digital platform that offered features such as appointment scheduling, health education materials, and real-time communication with midwives. Client satisfaction was measured using the Indonesian version of the Patient Satisfaction Questionnaire Short Form (PSQ-18). Data were analysed using paired t-tests and ANCOVA to adjust for potential confounding variables such as age, education, and parity when comparing satisfaction scores between groups. Results: The intervention group showed significant improvements in satisfaction scores across all PSQ-18 subscales compared to the control group. Adjusted mean differences were statistically significant, with moderate to large effect sizes (Cohen’s d: 0.52–0.70). The digital platform significantly enhanced accessibility, communication, and interpersonal engagement, contributing to higher satisfaction levels among participants. Conclusion: Digital-based continuity of midwifery care effectively improves client satisfaction by improving accessibility, facilitating effective communication, and providing personalised support. Future research should investigate the long-term effectiveness and scalability of digital-based continuity of care interventions.