Development of a User-Personalized Decision Support System for Contraception Method Selection

Ahmad Fahmi Karami, Rany Ekawati, Syauqi Muhammad Marier, Purwanti Susantini

Abstract


The number of unmet needs for contraception has not reached the target set by the Indonesian government, while the uneven distribution of health workers, the main source of information for contraception, is still an unresolved problem. The Internet serves as an alternative source of information for contraception selection. However, without personalization, it may lead to inappropriate choices. This study discussed the development of an information system for selecting contraceptives, incorporating a decision support system (DSS), enabling personalized recommendations based on user preferences to assist in determining the appropriate contraceptive method. The functionality of the information system was evaluated using black-box testing, conducted by reproductive health experts, while its usability was assessed based on ISO-9241-11:2018 standards with 25 respondents. The functional evaluation of the system showed that 14 functions successfully passed the testing procedures, while 2 functions failed. The usability evaluation yielded excellent results, with an overall score of 4.52. Based on these findings, the developed information system can serve as a medium for reducing the number of unmet needs for contraception by providing users with contraceptive information tailored to their preferences. Further research needs to enhance system information by integrating user medical reports and user location and evaluating the recommendation-to-selection conversion rate— the extent to which users follow the system’s recommendations when choosing contraceptives.


Keywords


Contraception, decision support system, blackbox testing, usability evaluation

Full Text:

PDF

References


V. Kantorová, M. C. Wheldon, A. N. Z. Dasgupta, P. Ueffing, and H. C. Castanheira, “Contraceptive use and needs among adolescent women aged 15–19: Regional and global estimates and projections from 1990 to 2030 from a Bayesian hierarchical modelling study,” PLoS One, vol. 16, no. 3, Art. no. e0247479, Mar. 2021, doi: 10.1371/journal.pone.0247479.

UNSD, “SDG indicator metadata,” Https://Ourworldindata.Org/Natural-Disasters#, vol. 24, no. July, pp. 1–28, 2021, [Online]. Available: https://unstats.un.org/sdgs/metadata/files/Metadata-11-03-01.pdf

R. K. Biswas, M. Farzana, S. Bhar, and J. Bhowmik, “Contraceptive use in south and south-east asian region: assessment of sustainable development goal 3.7 through indicator 3.7.1,” J. Public Health (Bangkok)., vol. 45, no. 2, pp. 450–461, Jun. 2023, doi: 10.1093/pubmed/fdac105.

A. G. Wondie, “The association between unmet need for contraception and unintended pregnancy among reproductive-age women in ethiopia,” Medicine Access @ Point of Care, vol. 5, pp. 1–8 2021, doi: 10.1177/23992026211033436.

A. Rahayu, S. Suharsih, and E. A. Julianto, “Determinants of Unmet Need for Family Planning in Sleman District, Yogyakarta Province, Indonesia,” Econ. Bus. Q. Rev., vol. 5, no. 3, pp. 263–273, Sep. 2022, doi: 10.31014/aior.1992.05.03.453.

Badan Pusat Statistik RI, Profil Kesehatan Ibu dan Anak 2020. Badan Pusat Statistik Jakarta, 2020.

G. Hrusa, M. Spigt, T. Dejene, and S. Shiferaw, “Quality of family planning counseling in ethiopia: trends and determinants of information received by female modern contraceptive users, evidence from national survey data, (2014- 2018),” PLoS One, vol. 15, no. 2, pp. 1–18, Feb. 2020, doi: 10.1371/journal.pone.0228714.

C. E. Warren, T. L. McClair, K. R. Kirk, C. Ndwiga, and E. A. Yam, “Design, adaptation, and diffusion of an innovative tool to support contraceptive decision-making: Balanced counseling strategy plus,” Gates Open Res., vol. 6, Art. no. 2, May 2022, doi: 10.12688/gatesopenres.13477.2.

BKKBN, “Laporan Kinerja Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN) Tahun 2021,” Perpustakaan Kemendukbangga/BKKBN Jawa Timur, 2021. https://pustaka.kbjatim.id/index.php?p=show_detail&id=598&keywords=

N. Rohkmah and E. Nurlaela, “Literature Review Pengetahuan dan Sumber Informasi Pustaka Mengenal Kontrasepsi Suntik di Era Kemajuan Teknologi,” in Proceeding of The 12th University Research Colloquium 2020: Bidang MIPA dan Kesehatan, 2020, pp. 464–472. [Online]. Available: http://repository.urecol.org/index.php/proceeding/article/view/1231

S. Santikasari and P. Laksmini, “Hubungan Sumber Informasi Dengan Pemakaian Kontrasepsi di Kelurahan Merak Tangerang,” J. Ilmu Kesehat. Bhakti Husada Heal. Sci. J., vol. 10, no. 1, pp. 74–87, 2019, doi: 10.34305/jikbh.v10i1.87.

K. S. Soin, P. T. Yeh, M. E. Gaffield, C. Ge, and C. E. Kennedy, “Health workers’ values and preferences regarding contraceptive methods globally: A systematic review,” Contraception, vol. 111, pp. 61–70, Jul. 2022, doi: 10.1016/j.contraception.2022.04.012.

L. S. dos S. Gomes et al., “The impact of international health worker migration and recruitment on health systems in source countries: Stakeholder perspectives from Colombia, Indonesia, and Jordan,” Int. J. Health Plann. Manage., vol. 39, no. 3, pp. 653–670, May 2024, doi: 10.1002/hpm.3776.

L. Daraz et al., “Can Patients Trust Online Health Information? A Meta-narrative Systematic Review Addressing the Quality of Health Information on the Internet,” J. Gen. Intern. Med., vol. 34, no. 9, pp. 1884–1891, 2019, doi: 10.1007/s11606-019-05109-0.

R. Maulana, N. Suryani, and D. C. P. Buani, “Sistem pendukung keputusan pemilihan alat kontrasepsi terbaik metode smart (simple multi attribute rating technique) bagi keluarga berencana,” EVOLUSI J. Sains dan Manaj., vol. 9, no. 1, pp. 52–59, 2021, doi: 10.31294/evolusi.v9i1.9940.

W. K. Safitri, O. D. E. Wulansari, A. Junaidi, and A. Aristoteles, “Penerapan metode simple additive weighting (SAW) pada sistem pendukung keputusan pemilihan alat kontrasepsi (studi kasus: puskesmas kecamatan raman utara),” J. Pepadun, vol. 3, no. 2, pp. 250–258, Aug. 2022, doi: 10.23960/pepadun.v3i2.121.

L. N. Sumiati, D. N. Wirawan, and L. S. Ani, “Determinants of unmet needs for family planning in indonesia: Secondary data analysis of the 2017 indonesia demographic and health survey,” Public Heal. Prev. Med. Arch., vol. 7, no. 2, pp. 85–94, Dec. 2019, doi: 10.53638/phpma.2019.v7.i2.p03.

J. Cleland, S. Harbison, and I. H. Shah, “Unmet Need for Contraception: Issues and Challenges,” Stud. Fam. Plann., vol. 45, no. 2, pp. 105–122, Jun. 2014, doi: 10.1111/j.1728-4465.2014.00380.x.

H. Ismainar and M. Mishbahuddin, “Family planning unmet need; determinant factors and strategy design through health management approach and fishbone analysis in riau province, indonesia,” Tech. Soc. Sci. J., vol. 26, pp. 749–760, Dec. 2021, doi: 10.47577/tssj.v26i1.5231.

M. Sarfraz, S. Hamid, A. Kulane, and R. Jayasuriya, “‘The wife should do as her husband advises’: Understanding factors influencing contraceptive use decision making among married Pakistani couples—Qualitative study,” PLoS One, vol. 18, no. 2 February, pp. 1–19, 2023, doi: 10.1371/journal.pone.0277173.

B. Ö. Yilmaz, H. Tozan, and M. A. Karadayi, “Multi-criteria decision making (MCDM) applications in military healthcare field,” J. Heal. Syst. Policies, vol. 2, no. 2, pp. 149–181, 2020.

S. K. Sahoo and S. S. Goswami, “A comprehensive review of multiple criteria decision-making (MCDM) methods: advancements, applications, and future directions,” Decis. Mak. Adv., vol. 1, no. 1, pp. 25–48, Dec. 2023, doi: 10.31181/dma1120237.

E. Triantaphyllou, Multi-Criteria Decision Making Methods: A Comparative Study. Springer, 2000.

World Health Organization and Johns Hopkins Blombeerg School of Public Health, Decision-Making Tool for Family Planning Clients and Providers. World Health Organization and Johns Hopkins Bloomberg School of Public Health/Center for Communication Programs, 2005.

Kemenkes RI, Alat Bantu Pengambilan Keputusan ber-KB, 6th ed. Jakarta: Kemenkes RI, 2004.

N. Rifqi and A. Iskandar, “Prioritas Penanganan Anemia pada Ibu Hamil Menggunakan Metode TOPSIS,” J. Sist. Komput. dan Inform., vol. 5, no. 169–174, p. 169, 2023, doi: 10.30865/json.v5i1.6820.

A. Ghazian, Yuhandri, and M. Ikhlas, “Decision Support System for PKH Assistance Recipients Promethee Method,” J. Comput. Scine Inf. Technol., vol. 9, pp. 181–187, 2023, doi: 10.35134/jcsitech.v9i4.85.

Y. Rumapea, G. G. B. Ginting, and S. Manurung, “Employee Position Promotion Decision Support System Using Vikor Method (Case Study PT BPR Pijer Podi Kekelengen),” J. Inf. Technol., vol. 2, no. 2, pp. 53–57, 2022, doi: 10.32938/jitu.v2i2.2995.

S. Kusumadewi, S. Hartati, A. Harjoko, and R. Wardoyo, Fuzzy Multi-Attribute Decision Making (Fuzzy MADM). Yogyakarta: Graha Ilmu, 2006.

P. Weichbroth, “Usability of mobile applications: a systematic literature study,” IEEE Access, vol. 8, pp. 55563–55577, 2020, doi: 10.1109/ACCESS.2020.2981892.

H. Liu and H. B. Kuan Tan, “Covering code behavior on input validation in functional testing,” Inf. Softw. Technol., vol. 51, no. 2, pp. 546–553, 2009, doi: 10.1016/j.infsof.2008.07.001.

S. Nidhra, “Black box and white box testing techniques - a literature review,” Int. J. Embed. Syst. Appl., vol. 2, no. 2, pp. 29–50, Jun. 2012, doi: 10.5121/ijesa.2012.2204.

A. C. Pamungkas and R. Samihardjo, “Evaluation of the utilization of web-based library application information systems using whitebox and blackbox testing methods,” Appl. Inf. Syst. Manag., vol. 7, no. 2, pp. 17–24, Sep. 2024, doi: 10.15408/aism.v7i2.38876.

International Organization for Standardization (ISO), “Ergonomics of human-system interaction - Part 11: Usability: Definitions and concepts (ISO 9241-11:2018).” ISO. https://www.iso.org/standard/63500.html (accessed Mar. 7, 2025).

S. R. Rahayu et al., “Development of the SIKRIBO mobile health application for active tuberculosis case detection in semarang, indonesia,” Healthc. Inform. Res., vol. 28, no. 4, pp. 297–306, 2022, doi: 10.4258/hir.2022.28.4.297.

C. T. Witkop, D. M. Torre, and L. A. Maggio, “Decide + Be Ready: A contraceptive decision-making mobile application for servicewomen,” Mil. Med., vol. 186, no. 11–12, pp. 300–304, Nov. 2021, doi: 10.1093/milmed/usab194.

M. J. Rana and S. Goli, “The road from ICPD to SDGs: Health returns of reducing the unmet need for family planning in India,” Midwifery, vol. 103, pp. 1–7, Dec. 2021, doi: 10.1016/j.midw.2021.103107.

B. Donta, S. Begum, and D. D. Naik, “Acceptability of male condom: An Indian scenario,” Indian J. Med. Res., vol. 140, no. Suppl 1, pp. 152–156, 2014.

S. S. T. Ginting, L. N. Sinuhaji, J. Munthe, O. Kristin, and C. Pane, “Relationship of husband support, culture, and sexual comfort with mother’s interest in using IUD at tanah alas district public health southeast aceh,” Sci. Midwifery, vol. 10, no. 4, pp. 3326–3333, 2022, doi: 10.35335/midwifery.v10i4.818.

J. Urbina, A. Christie, and R. Valthaty, “My boyfriend feels my strings! What do I do?,” in Contraception, Oct. 2017, pp. 280–280. doi: 10.1016/j.contraception.2017.07.069.

M. Ibad, I. Lutfiya, A. Imron, and M. Mardiyono, “Determinan Penggunaan Alat Kontrasepsi Tradisional Di Jawa Timur,” J. Hum. Care, vol. 6, no. 1, pp. 130–138, Feb. 2021, doi: 10.32883/hcj.v6i1.1107.

S. Anggraeni, “Hubungan Motivasi Suami Dengan Pemakaian Kontrasepsi Pria Di Desa Sukoharjo Iv Kabupaten Pringsewu,” Kesehat. Reproduksi, vol. 1, no. 1, pp. 32–38, 2017, [Online]. Available: http://akbidbhaktiasihciledugtangerang.ac.id/wp-content/uploads/2018/06/Sumi-32-38.pdf

A. R. Krishnan, “Past efforts in determining suitable normalization methods for multi-criteria decision-making: A short survey,” Front. Big Data, vol. 5, pp. 1–10, Aug. 2022, doi: 10.3389/fdata.2022.990699.

W. Ali, O. Riaz, S. Mumtaz, A. R. Khan, T. Saba, and S. A. Bahaj, “Mobile Application Usability Evaluation: A Study Based on Demography,” IEEE Access, vol. 10, pp. 41512–41524, 2022, doi: 10.1109/ACCESS.2022.3166893.




DOI: https://doi.org/10.15408/aism.v8i1.44648

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

EDITORIAL ADDRESS:

Department of Information Systems, Faculty of Science and Technology,
Universitas Islam Negeri (UIN) Syarif Hidayatullah Jakarta
Faculty of Science and Technology Building, 3rd Floor, 1st Campus, Universitas Islam Negeri (UIN) Syarif Hidayatullah Jakarta
Jl. Ir. H. Juanda No. 95, Ciputat Timur, Kota Tangerang Selatan, Banten 15412, Indonesia.
Tlp/Fax: +622174019 25/+62217493315.
E-mail: aism.journal@apps.uinjkt.ac.id, Website: https://journal.uinjkt.ac.id/index.php/aism


Creative Commons Licence
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Applied Information System and Management (AISM) | E-ISSN: 2621-254 | P-ISSN: 2621-2536 

https://journal.uinjkt.ac.id/index.php/aism

piala dunia 2026

Toto Togel

toto slot

bandar togel

toto togel

toto togel

nextogel

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

NEXTOGEL

JEPETOGEL

JEPETOGEL

JEPETOGEL

JEPETOGEL

KIM369

KIM369

KIM369

KIM369

KIM369

KIM369

KIM369

KIM369

KIM369

KIM369

batmantoto

toto slot

Situs togel

situs totositus toto

toto slot

togel online

slot demo

slot88

Slot Online

situs toto

toto slot

situs toto

togel online

binjaitoto

situs toto

Nana4D

Toto 4D


slot88

bandar togel

toto slot

situs toto

slot88

juaraslot88

toto slot

licin4d

toto slot

kakaktogel

topslot88

situs togel

slot online

situs toto

slot gacor

payungtoto

slot gacor

toto togel