Understanding Participation in Value Co-Creation and Acceptance of iPosyandu by Extending UTAUT among Community Health Workers


  • Azmii Lathifah Institut Teknologi Bandung
  • Utomo Sarjono Putro Institut Teknologi Bandung
  • Fedri Ruluwedrata Rinawan Universitas Padjadjaran
  • Santi Novani Institut Teknologi Bandung
  • Valid Hasyimi Institut Teknologi Bandung
  • Adhya Rare Tiara Institut Teknologi Bandung




Value Co-Creation, Acceptance, Unified Theory of Acceptance and Use of Technology (UTAUT), Community Health Worker (CHW)


Digitalization is inevitable, including in the health sector. The iPosyandu, a mobile digital platform, is introduced to help the report of Community Health Workers (CHWs) and monitor the Pos Pelayanan Terpadu (Posyandu - Integrated Healthcare Center) data online. Unfortunately, CHWs still report data manually using paper, which takes a long time to store because some are still reluctant to change to digital services. Therefore, it is necessary to study CHWs’ intention to create new values and accept technology to sustain the application. The research aims to determine the factor influencing the intention to participate in value co-creation and use iPosyandu by extending the Unified Theory of Acceptance and Use of Technology (UTAUT) among CHW. A Partial Least Square-Structural Equation Modelling (PLS-SEM) is conducted with a cross-sectional survey involving 222 CHWs in Purwakarta, Indonesia. The research finds that effort expectancy and perceived policy support significantly affect the intention to participate in value co-creation and usage of iPosyandu. The findings highlight that the critical role of intention to participate in value co-creation significantly affects the intention to use iPosyandu. The findings also suggest that policymakers and application developers should increase the use of iPosyandu by improving the effort systems, providing policy support, and facilitating CHWs to cocreate the value of the application to encourage them to use iPosyandu.


Plum Analytics

Author Biographies

Azmii Lathifah, Institut Teknologi Bandung

School of Business and Management

Utomo Sarjono Putro, Institut Teknologi Bandung

School of Business and Management

Fedri Ruluwedrata Rinawan, Universitas Padjadjaran

Department of Public Health, Faculty of Medicine

Santi Novani, Institut Teknologi Bandung

School of Business and Management

Valid Hasyimi, Institut Teknologi Bandung

School of Business and Management

Adhya Rare Tiara, Institut Teknologi Bandung

School of Business and Management


A. K. Al Hasni and O. M. Al-Rawajfah, “Effectiveness of implementing emergency severity index triage system in a selected primary health care center in Oman: A quasi-experimental study,” Journal of Emergency Nursing, vol. 45, no. 6, pp. 717.e1–717.e11, 2019.

F. White, “Primary health care and public health: Foundations of universal health systems,” Medical Principles and Practice, vol. 24, no. 2, pp. 103–116, 2015.

Menteri Kesehatan Republik Indonesia, “Peraturan Menteri Kesehatan Republik Indonesia Nomor 75 Tahun 2014 tentang Pusat Kesehatan Masyarakat,” 2014. [Online]. Available: http://hukor.kemkes.go.id/uploads/produk hukum/PMKNo.75ttgPuskesmas.pdf

Kementerian Kesehatan RI, “Kurikulum dan modul pelatihan kader Posyandu,” 2011. [Online]. Available: https://promkes.kemkes.go.id/pub/files/files43996Kurmod Kader Posyandu.pdf

——, “Profil kesehatan Indonesia tahun 2020,” 2021. [Online]. Available:


Kementerian PPN/Bappenas, “Indonesia 2045: Berdaulat, maju, adil, dan makmur,” 2019. [Online]. Available: https://perpustakaan. bappenas.go.id/e-library/file upload/koleksi/ migrasi-data-publikasi/file/Policy Paper/RingkasanEksekutifVisiIndonesia2045 Final.pdf

World Health Organization, “Digital adaptation kit for family planning,” 2021. [Online]. Available: https://apps.who.int/iris/rest/bitstreams/1352885/retrieve

F. R. Rinawan, A. I. Susanti, I. Amelia, M. N. Ardisasmita, Widarti, R. K. Dewi, D. Ferdian, W. G. Purnama, and A. Purbasari, “Understanding mobile application development and implementation for monitoring Posyandu data in Indonesia: A 3-year hybrid action study to build “a bridge” from the community to the national scale,” BMC Public Health, vol. 21, pp. 1–17, 2021.

A. Feroz, R. Jabeen, and S. Saleem, “Using mobile phones to improve community health workers performance in low-and-middle-income countries,” BMC Public Health, vol. 20, pp. 1–6, 2020.

W. Nadeem, M. Juntunen, F. Shirazi, and N. Hajli, “Consumers’ value co-creation in sharing economy: The role of social support, consumers’ ethical perceptions and relationship quality,” Technological Forecasting and Social Change, vol. 151, pp. 1–13, 2020.

S. Motamarri, “Consumer co-creation of value in mHealth (Mobile Health) service,” Journal of Creating Value, vol. 3, no. 1, pp. 63–76, 2017.

C. Apipoonyanon, S. Szabo, J. K. Kuwornu, and M. M. Ahmad, “Local participation in community forest management using theory of planned behaviour: Evidence from Udon Thani Province, Thailand,” The European Journal of Development Research, vol. 32, pp. 1–27, 2020.

L. V. Casal´o, C. Flavi´an, and M. Guinal´ıu, “Determinants of the intention to participate in firmhosted online travel communities and effects on consumer behavioral intentions,” Tourism Management, vol. 31, no. 6, pp. 898–911, 2010.

F. Hamidi, N. Shams Gharneh, and D. Khajeheian, “A conceptual framework for value cocreation in service enterprises (Case of tourism agencies),” Sustainability, vol. 12, no. 1, pp. 1–21, 2020.

M. Rajak and K. Shaw, “An extension of technology acceptance model for mHealth user adoption,” Technology in Society, vol. 67, 2021.

S. L. Vargo and R. F. Lusch, “Institutions and axioms: An extension and update of servicedominant logic,” Journal of the Academy of marketing Science, vol. 44, pp. 5–23, 2016.

J. M. Gunderson, M. L. Wieland, O. Quirindongo-Cedeno, G. B. Asiedu, J. L. Ridgeway, M. W. O’Brien, T. M. Nelson, R. Buzard, C. Campbell, and J. W. Njeru, “Community health workers as an extension of care coordination in primary care: A communitybased cosupervisory model,” The Journal of Ambulatory Care Management, vol. 41, no. 4, pp. 333–340, 2018.

A. Suharto, O. Soedirham, S. Suparji, and F. Hendriyani, “Behavior of mother to visit Posyandu in Magetan Regency, Indonesia,” Open Access Macedonian Journal of Medical Sciences, vol. 9, no. E, pp. 1590–1595, 2021.

F. Suaedi and P. A. F. Ariawantara, “Manajemen pelayanan gizi buruk berbasis teknologi di Kecamatan Sugih Waras Kabupaten Bojonegoro,” Jurnal Layanan Masyarakat (Journal of Public Services), vol. 5, no. 1, pp. 42–48, 2021.

G. Catan, R. Espanha, R. V. Mendes, O. Toren, and D. Chinitz, “Health information technology implementation-impacts and policy considerations: A comparison between Israel and Portugal,” Israel Journal of Health Policy Research, vol. 4, pp. 1–12, 2015.

A. N. Sari, A. I. Susanti, and F. R. Rinawan, “Survei kepuasan kader dalam penggunaan aplikasi iPosyandu dalam pelayanan kesehatan ibu dan anak di Indonesia: Cadre satisfaction survey in using iPosyandu application for maternal and child health services in Indonesia,” Jurnal Bidan Cerdas, vol. 3, no. 2, pp. 72–80, 2021.

P. Philippi, H. Baumeister, J. Apolin´ario-Hagen, D. D. Ebert, S. Hennemann, L. Kott, J. Lin, E. M. Messner, and Y. Terhorst, “Acceptance towards digital health interventions–Model validation and further development of the unified theory of acceptance and use of technology,” Internet Interventions, vol. 26, pp. 1–9, 2021.

V. Venkatesh, M. G. Morris, G. B. Davis, and F. D. Davis, “User acceptance of information technology: Toward a unified view,” MIS Quarterly, pp. 425–478, 2003.

V. Venkatesh, J. Y. L. Thong, and X. Xu, “Consumer acceptance and use of information technology: Extending the unified theory of acceptance and use of technology,” MIS Quarterly, vol. 36, no. 1, pp. 157–178, 2012.

P. Wu, R. Zhang, J. Luan, and M. Zhu, “Factors affecting physicians using mobile health applications: An empirical study,” BMC Health Services Research, vol. 22, no. 1, pp. 1–14, 2022.

V. Venkatesh, J. Y. L. Thong, and X. Xu, “Unified theory of acceptance and use of technology: A synthesis and the road ahead,” Journal of the Association for Information Systems, vol. 17, no. 5, pp. 328–376, 2016.

M. Z. Alam, W. Hu, M. R. Hoque, and M. A. Kaium, “Adoption intention and usage behavior of mHealth services in Bangladesh and China: A cross-country analysis,” International Journal of Pharmaceutical and Healthcare Marketing, vol. 14, no. 1, pp. 37–60, 2020.

D. Gu, S. Khan, I. U. Khan, S. U. Khan, Y. Xie, X. Li, and G. Zhang, “Assessing the adoption of e-health technology in a developing country: An extension of the UTAUT model,” Sage Open, vol. 11, no. 3, pp. 1–16, 2021.

C. W. Yu, C. M. Chao, C. F. Chang, R. J. Chen, P. C. Chen, and Y. X. Liu, “Exploring behavioral intention to use a mobile health education website: An extension of the UTAUT 2 model,” Sage Open, vol. 11, no. 4, pp. 1–12, 2021.

A. Alaiad, M. Alsharo, and Y. Alnsour, “The determinants of m-health adoption in developing countries: An empirical investigation,” Applied Clinical Informatics, vol. 10, no. 05, pp. 820–840, 2019.

W. B. Arfi, I. B. Nasr, G. Kondrateva, and L. Hikkerova, “The role of trust in intention to use the IoT in eHealth: Application of the modified UTAUT in a consumer context,” Technological Forecasting and Social Change, vol. 167, 2021.

S. Candra and A. Nainggolan, “Understanding business intelligence and analytics system success from various business sectors in Indonesia,” CommIT (Communication and Information Technology) Journal, vol. 16, no. 1, pp. 37–52, 2022.

S. Alimamy and J. Gnoth, “I want it my way! The effect of perceptions of personalization through augmented reality and online shopping on customer intentions to co-create value,” Computers in Human Behavior, vol. 128, 2022.

B. Sarmah, Z. Rahman, and S. Kamboj, “Customer co-creation and adoption intention towards newly developed services: An empirical study,” International Journal of Culture, Tourism and Hospitality Research, vol. 11, no. 3, pp. 372–391, 2017.

M. M. Altalhi, “Social co-creation acceptance among females in Saudi Arabia,” Cogent Business & Management, vol. 7, no. 1, pp. 1–17, 2020.

M. Guzel, B. Sezen, and U. Alniacik, “Drivers and consequences of customer participation into value co-creation: A field experiment,” Journal of Product & Brand Management, vol. 30, no. 7, pp. 1047–1061, 2021.

G. N. C. Munthali and W. Xuelian, “COVID-19 lockdown measures on least developing economies in Africa-A case of Malawi economy,” Technium Social Sciences Journal, vol. 7, pp. 295–301, 2020.

H. Wang, J. Li, A. Mangmeechai, and J. Su, “Linking perceived policy effectiveness and proenvironmental behavior: The influence of attitude, implementation intention, and knowledge,” International Journal of Environmental Research and Public Health, vol. 18, no. 6, pp. 1–17, 2021.

K. Lu and X. Wang, “Analysis of perceived value and travelers’ behavioral intention to adopt ride-hailing services: Case of Nanjing, China,” Journal of Advanced Transportation, vol. 2020, pp. 1–13, 2020.

S. Ali, P. Poulova, A. Akbar, H. M. U. Javed, and M. Danish, “Determining the influencing factors in the adoption of solar photovoltaic technology in Pakistan: A decomposed technology acceptance model approach,” Economies, vol. 8, no. 4, pp. 1–20, 2020.

M. Twrsnick, “Influences of customer personality traits on co-creational activities,” Master’s thesis, Norwegian School of Economics, 2016.

A. R. B. Soutter, T. C. Bates, and R. M˜ottus, “Big Five and HEXACO personality traits, proenvironmental attitudes, and behaviors: A meta-analysis,” Perspectives on Psychological Science, vol. 15, no. 4, pp. 913–941, 2020.

J. Farf´an, M. Pe˜na, S. Fern´andez-Salinero, and G. Topa, “The moderating role of extroversion and neuroticism in the relationship between autonomy at work, burnout, and job satisfaction,” International Journal of Environmental Research and Public Health, vol. 17, no. 21, pp. 1–12, 2020.

A. I. Susanti, F. R. Rinawan, and I. Amelia, “Mothers knowledge and perception of toddler growth monitoring using iPosyandu application,” Global Medical and Health Communication (GMHC), vol. 7, no. 2, pp. 93–99, 2019.

J. F. Hair, W. C. Black, B. J. Babin, and R. E. Anderson, Multivariate data analysis. Cengage Learning, 2019.

P. O. Do Valle and G. Assaker, “Using partial least squares structural equation modeling in tourism research: A review of past research and recommendations for future applications,” Journal of Travel Research, vol. 55, no. 6, pp. 695–708, 2016.

J. F. Hair, M. Sarstedt, C. M. Ringle, and J. A. Mena, “An assessment of the use of partial least squares structural equation modeling in marketing research,” Journal of the Academy of Marketing Science, vol. 40, pp. 414–433, 2012.

J. H. Kim, “Multicollinearity and misleading statistical results,” Korean Journal of Anesthesiology, vol. 72, no. 6, pp. 558–569, 2019.

M. Sarstedt, C. M. Ringle, and J. F. Hair, Handbook of market research, 2020.

B. Lusheng, M. S. B. Aman, and L. B. Hooi, “Exploring the factors regulate grassroots football development in Anhui province, China with structural equation modeling,” Journal of Language and Linguistic Studies, vol. 18, no. 2, pp. 465–483, 2022.

P. Ndayizigamiye, M. Kante, and S. Shingwenyana, “An adoption model of mhealth applications that promote physical activity,” Cogent Psychology, vol. 7, no. 1, pp. 1–12, 2020.

E. Tural, D. Lu, and D. Austin Cole, “Safely and actively aging in place: Older adults’ attitudes and intentions toward smart home technologies,” Gerontology and Geriatric Medicine, vol. 7, pp. 1–15, 2021.

Y. Zhao, Q. Ni, and R. Zhou, “What factors influence the mobile health service adoption? A meta-analysis and the moderating role of age,” International Journal of Information Management, vol. 43, pp. 342–350, 2018.

S. Zaidi, A. M. Kazi, A. Riaz, A. Ali, R. Najmi, R. Jabeen, U. Khudadad, and S. Sayani, “Operability, usefulness, and task-technology fit of an mhealth app for delivering primary health care services by community health workers in underserved areas of Pakistan and Afghanistan: Qualitative study,” Journal of Medical Internet Research, vol. 22, no. 9, pp. 1–13, 2020.

M. Z. Alam, W. Hu, M. A. Kaium, M. R. Hoque, and M. M. D. Alam, “Understanding the determinants of mHealth apps adoption in Bangladesh: A SEM-neural network approach,” Technology in Society, vol. 61, 2020.

H. Mahmood, B. Mckinstry, S. Luz, K. Fairhurst, S. Nasim, T. Hazir, and R. Collaboration, “Community health worker-based mobile health (mHealth) approaches for improving management and caregiver knowledge of common childhood infections: A systematic review,” Journal of Global Health, vol. 10, no. 2, pp. 1–22, 2020.

N. A. Omar, A. S. Kassim, M. A. Nazri, and F. Sidek, “The impact of customer value cocreation and relationship quality on relationship equity: Personality traits as a moderator,” Jurnal Pengurusan, no. 54, 2018.

L. N. Li, J. H. Huang, and S. Y. Gao, “The relationship between personality traits and entrepreneurial intention among college students: The mediating role of creativity,” Frontiers in Psychology, vol. 13, pp. 1–10, 2022.

R. Roberts, R. Flin, D. Millar, and L. Corradi, “Psychological factors influencing technology adoption: A case study from the oil and gas industry,” Technovation, vol. 102, pp. 1–17, 2021.

H. J. Cho, C. M. Wray, S. Maione, F. Macharet, A. Bansal, M. E. Lacy, and S. Tsega, “Right care in hospital medicine: Co-creation of ten opportunities in overuse and underuse for improving value in hospital medicine,” Journal of General Internal Medicine, vol. 33, pp. 804–806, 2018.

J. Sander, F. Bolinski, S. Diekmann, W. Gaebel, K. G¨unther, I. Hauth, A. Heinz, A. Kleiboer, H. Riper, N. Trost, O. Vlijter, J. Zielasek, and G. Gerlinger, “Online therapy: An added value for inpatient routine care? perspectives from mental health care professionals,” European Archives of Psychiatry and Clinical Neuroscience, vol. 272, no. 1, pp. 107–118, 2022.

J. Pandey, M. Gupta, A. Behl, V. Pereira, P. Budhwar, A. Varma, Y. Hassan, and P. Kukreja, “Technology-enabled knowledge management for community healthcare workers: The effects of knowledge sharing and knowledge hiding,” Journal of Business Research, vol. 135, pp. 787–799, 2021.

S. J. M. Grootjans, M. M. N. Stijnen, M. E. A. L. Kroese, D. Ruwaard, and M. W. J. Jansen, “Citizen science in the community: Gaining insight in community and participant health in four deprived neighbourhoods in the Netherlands,” Health & Place, vol. 75, pp. 1–9, 2022.



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