AI-powered whatsapp chatbots for maternal and child health: a quasi-experimental study among pregnant women in Indonesia
DOI:
https://doi.org/10.12928/jcp.v7i2.13858Keywords:
Health Information Access, Health Literacy, Maternal Health, Meta AI-Chatbot, Pregnant WomenAbstract
Maternal and child health remains a critical priority in global health strategies, particularly in achieving the Sustainable Development Goals (SDGs). In Indonesia, maternal mortality remains significantly higher than the SDG target, underscoring the urgent need for accessible and high-quality maternal health information. Digital innovations, such as Artificial Intelligence (AI)-based chatbots, have emerged as promising tools to help bridge this gap. This study aimed to evaluate the effectiveness of a Meta-AI chatbot delivered via WhatsApp in improving pregnant women’s access to maternal and child health information. A quasi-experimental one-group pretest–posttest design was employed, involving 30 pregnant women in Singasari Village, Tasikmalaya Regency. Participants received a one-time training session on accessing health information—particularly related to pregnancy care—through the Meta-AI WhatsApp chatbot, supported by a guidance booklet. Data were collected using a validated and reliable questionnaire that assessed participants’ knowledge and skills before and after the intervention. Paired sample t-tests were used to compare pre- and post-intervention scores. The results demonstrated significant improvements in both knowledge and skills. Knowledge scores increased from 5.00 (SD = 2.00) to 9.40 (SD = 0.85), t(29) = 29.0, p < 0.001, Cohen’s d = 1.88, 95% CI [1.27, 2.47]. Similarly, skills scores rose from 26.5 (SD = 5.40) to 36.7 (SD = 3.02), t(29) = 29.0, p < 0.001, Cohen’s d = 2.31, 95% CI [1.61, 2.99]. These findings indicate that the Meta AI chatbot, accessed via WhatsApp, significantly enhanced pregnant women’s knowledge and skills, thereby improving access to accurate maternal health information, strengthening health literacy, and supporting informed decision-making. Future research should explore the long-term effects of this intervention and its potential integration into public health systems.
References
Perez K, Wisniewski D, Ari A, Lee K, Lieneck C, & Ramamonjiarivelo Z. Investigation into Application of AI and Telemedicine in Rural Communities: A Systematic Literature Review. Healthcare. 2025;13:3:324. https://doi.org/10.3390/healthcare13030324
Sylla B, Ismaila O, Diallo G. 25 Years of Digital Health Toward Universal Health Coverage in Low- and Middle-Income Countries: Rapid Systematic Review. J Med Internet Res 2025;27: 59042. https://doi.org/10.2196/59042
Syairaji M, Nurdiati DS, Wiratama BS, Prust ZD, Bloemenkamp KWM, Verschueren KJC. Trends and causes of maternal mortality in Indonesia: a systematic review. BMC Pregnancy Childbirth. 2024;24:1:515. https://doi.org/10.1186/s12884-024-06687-6
Suparji S, Nugroho HSW, Sunarto S, Prayogi AS. High maternal mortality rate in Indonesia: a challenge to be addressed immediately. PAMJ One Health. 2024;14:13:1-6. https://doi.org/10.11604/pamj-oh.2024.14.13.44464
UNICEF. Maternal mortality [Internet]. UNICEF Data. 2025. Available from: https://data.unicef.org/topic/maternal-health/maternal-mortality.
WHO. World health statistics 2024: monitoring health for the SDGs, sustainable development goals. World Health Organization. 2024. Available from: https://www.who.int/publications/i/item/9789240094703
Jariyah A, Sudiamin FH, Syahridayanti S, Arliatin A, Astuti A. Factors affecting health literacy among pregnant women in the Moncongloe Community Health Center area. Afiasi Jurnal Kesehatan Masyarakat. 2024;9:165–178. https://doi.org/10.31943/afiasi.v9i2.363
Handayani S, Milie P. Pengaruh Pendidikan Kesehatan melalui Whatsapp Group terhadap Pengetahuan dan Sikap Ibu Hamil dalam Deteksi DIni Preeklampsia pada Masa Pandemi COVID-19. Jurnal Kebidanan. 2020;12:217–230. https://doi.org/10.35872/jurkeb.v12i02.394
Adedokun ST, Yaya S. Factors influencing mothers’ health care seeking behaviour for their children: evidence from 31 countries in sub-Saharan Africa. BMC Health Serv Res. 2020;20:842. https://doi.org/10.1186/s12913-020-05683-8
Pavalagantharajah S, Negrin AR, Bouzanis K. et al. Facility-Based Maternal Quality of Care Frameworks: A Systematic Review and Best Fit Framework Analysis. Matern Child Health J. 2023;27:1742–1753. https://doi.org/10.1007/s10995-023-03702-8.
Khan M, Vatsa M, Singh K, Khurshid M, Singh R, Duggal M. On AI Approaches for Promoting Maternal and Neonatal Health in Low Resource Settings: A Review. Front Public Health. 2022;10: 880034. https://doi.org/10.3389/fpubh.2022.880034
Collins TE, Akselrod S, Altymysheva A, Nga PTQ, Banatvala N, Berlina D. The promise of digital health technologies for integrated care for maternal and child health and non-communicable diseases. BMJ. 2023;381:071074. https://doi.org/10.1136/bmj-2022-071074
Ahmad SG, Iqbal T, Javaid A, Munir EU, Kirn N, Jan SU, Ramzan N. Sensing and Artificial Intelligent Maternal-Infant Health Care Systems: A Review. Sensors. 2022;22:12:4362. https://doi.org/10.3390/s22124362
Ramadhan AR. Strategi penggunaan chatbot artificial intelligence dalam pembelajaran Bahasa Arab pada perguruan tinggi di Indonesia. Journal Oase. 2023;2:77–86. Retrieved from https://ejurnal.kptk.or.id/oase/article/view/32
Darcy A, Robinson A, Wicks P. Conversational Agents in Health Care. JAMA. 2020;324:23:2444. https://doi.org/10.1001/jama.2020.21509
Kang B, Hong M. Development and Evaluation of a Mental Health Chatbot Using ChatGPT 4.0: Mixed Methods User Experience Study With Korean Users. JMIR Med Inform. 2020;13:63538.
Chung K, Cho HY, Park JY. A Chatbot for Perinatal Women’s and Partners’ Obstetric and Mental Health Care: Development and Usability Evaluation Study. JMIR Med Inform. 2021; 9:3:18607. https://doi.org/10.2196/18607
Kim HK.The Effects of Artificial Intelligence Chatbots on Women's Health: A Systematic Review and Meta-Analysis. Healthcare (Basel, Switzerland). 2024;12:5:534. https://doi.org/10.3390/healthcare12050534
McAlister K, Baez L, Huberty J, Kerppola M. Chatbot to Support the Mental Health Needs of Pregnant and Postpartum Women (Moment for Parents): Design and Pilot Study. JMIR Form Res. 2025;9:72469. https://doi.org/10.2196/72469
Milne-Ives M, deCock C, Lim E, Shehadeh MH, de Pennington N, Mole G, Normando E, Meinert E.The Effectiveness of Artificial Intelligence Conversational Agents in Health Care: Systematic Review. J Med Internet Res. 2020;22:10:20346. https://doi.org/10.2196/20346
Han JW, Park J, & Lee H. Development and effects of a chatbot education program for self-directed learning in nursing students. BMC Med Educ. 2025;25:825. https://doi.org/10.1186/s12909-025-07316-2
Nguyen QC, Aparicio EM, Jasczynski M, Doig AC, Yue X, Mane H, Srikanth N, Gutierrez FXM, Delcid N, He X. Rosie, a Health Education Question-and-Answer Chatbot for New Mothers: Randomized Pilot Study. JMIR Form Res. 2024;8:51361. https://doi.org/10.2196/51361
Karamolahi PF, Khalesi ZB, Niknami M. Efficacy of mobile app-based training on health literacy among pregnant women: A randomized controlled trial study. Eur J Obstet Gynecol Reprod Biol X. 2021;12:100133. https://doi.org/10.1016/j.eurox.2021.100133
Irawan AMA, Cholidhazia P, Koiriyah T, Orchidhea KR, Denaneer K, Harna H. Efektivitas Chatbot sebagai Media Edukasi untuk Meningkatkan Pengetahuan dan Sikap Ibu Hamil terkait Gizi dan Anemia Gizi. Ghidza: Jurnal Gizi Dan Kesehatan. 2023;7:337–346. https://doi.org/10.22487/ghidza.v7i2.1054
Zhou N, Wu D, Liu M, Hu S, Zhang F, Zan Y, Sun F. The mediating role of self-efficacy in the relationship between eHealth literacy and childbirth readiness among pregnant women: a cross-sectional study. Front Public Health. 2025;13:1561855. https://doi.org/10.3389/fpubh.2025.1561855
Chua JYX, Choolani M, Chee CYI, Chan YHC, Lalor JG, Chong YS, Shorey S. Insights of Parents and Parents-To-Be in Using Chatbots to Improve Their Preconception, Pregnancy, and Postpartum Health: A Mixed Studies Review. J Midwifery Womens Health. 2023;68:480–489. https://doi.org/10.1111/jmwh.13472
Barreto ICHC, Barros NBS, Theophilo RL, Viana VF, Silveira FRV, Souza O, Sousa FJG, Oliveira AMB, & Andrade LOMICHC, Barros NBS, Theophilo RL, Viana VF, Silveira FRV, Souza O, Sou LOM. Development and evaluation of the GISSA Mother-Baby ChatBot application in promoting child health. Cien Saude Colet. 2021;26:5:1679–1690. https://doi.org/10.1590/1413-81232021265.04072021
Ali SH, Rahman F, Kuwar A, et al. Rapid, Tailored Dietary and Health Education Through A Social Media Chatbot Microintervention: Development and Usability Study With Practical Recommendations. JMIR Form Res. 2024:8:52032. https://doi.org/10.2196/52032
Putri AP, Hanifah L, AM AI, Lu YY. Maternal health literacy among pregnant women in Indonesia: A qualitative study. IJNHS: International Journal of Nursing and Health Service. 2023;6:6:354-364. https://doi.org/10.35654/ijnhs.v6i6.763
Ningrum EW, Lusmilasari L, Huriyati E, Hasanbasri M. Experiences of Low-Income Indonesian Pregnant Women Regarding the Challenges of Receiving Health Services: A Qualitative Content Analysis. Int J Community Based Nurs Midwifery. 2024;12:4:278–288. https://doi.org/10.30476/ijcbnm.2024.101795.2447
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