Empathy-Driven MVP Design For Digital Circumcision Services In Indonesia

Bayu Kelana; Albert Sembiring

doi:10.69693/ijim.v4i3.1360

Authors

Bayu Kelana Bunda Mulia University
Albert Sembiring Bakrie University

DOI:

https://doi.org/10.69693/ijim.v4i3.1360

Keywords:

Circumcision, Digital Health Services, Minimum Viable Product, Empathy Map, Design Science Research

Abstract

Independent circumcision services are widely practised across Indonesia, particularly in areas with limited access to formal healthcare facilities; however, digital innovation in this sector remains limited despite national policies promoting electronic medical records. This study aims to design a Minimum Viable Product (MVP) for digital circumcision services using an empathy-driven approach within the Design Science Research (DSR) paradigm. An exploratory qualitative method was employed through in-depth interviews with four independent circumcision operators from different regions. Data were analysed using a six-element empathy map framework and cross-informant qualitative analysis to identify user needs. The results identify six core needs among operators: structured digital communication, automated administration and scheduling, home care support, digital reputation management, continuous education, and socio-spiritual integration. Based on these findings, five core MVP features were developed as the DSR artefact: a patient monitoring dashboard, WhatsApp API integration, a testimonial and portfolio module, a collaboration and education space, and a location-based service catalogue. The study contributes to digital health and information systems research by providing an empirically grounded MVP design that aligns technological functionality with the social and cultural context of community-based healthcare services.

Downloads

Download data is not yet available.

References

Adiwinata, M. R., & Yusran, H. L. (2023). Enrichment: Journal of Management The effect of perceived usefulness, perceived risk and offline consultation habit on telemedicine user behavioral intention. Enrichment: Journal of Management, 13(3), 2145–2152. https://www.enrichment.iocspublisher.org/index.php/enrichment/article/view/1590/1132

Agbeyangi, A. O., & Lukose, J. M. (2025). Telemedicine Adoption and Prospects in Sub-Sahara Africa: A Systematic Review with a Focus on South Africa, Kenya, and Nigeria. Healthcare (Basel, Switzerland), 13(7). https://doi.org/10.3390/healthcare13070762

Alexandra, S., Handayani, P. W., & Azzahro, F. (2021). Indonesian hospital telemedicine acceptance model: the influence of user behavior and technological dimensions. Heliyon, 7(12), e08599. https://doi.org/10.1016/j.heliyon.2021.e08599

Aryani, A. T. D., Rosyid, A., & Pangayow, B. (2023). User Satisfaction on Academic Information System in UIN KH Abdurrahman Wahid Pekalongan. Applied Information System and Management (AISM), 6(2), 97–104. https://doi.org/10.15408/aism.v6i2.31245

Aulia, I., Valeria, M., Zacharia, N. J., Amangku, B. R., & Prasetyo, M. L. (2023). The Acceptability Of Telemedicine In Post-Mass Charity Circumcision In Indonesia: A Pilot Study. Jurnal Plastik Rekonstruksi (JPR), 10(1), 1–8. https://doi.org/10.14228/jprjournal.v10i1.348

Blank, S. (2012). The Startup Owner’s Manual. K&S Ranch.

Cassandra, V., & Bernanda, D. Y. (2024). Analisis Faktor Niat dan Perilaku Pengguna Bank Digital dengan Model TAM & UTAUT2. Jurnal Teknologi Dan Sistem Informasi Bisnis, 6(1 SE-Articles). https://doi.org/10.47233/jteksis.v6i1.1111

Cooper, H. (2010). Research Synthesis and Meta-Analysis: A Step-by-Step Approach. Sage Publication, Inc.

Correia, J. C., Meraj, H., Teoh, S. H., Waqas, A., Ahmad, M., Lapão, L. V., Pataky, Z., & Golay, A. (2021). Telemedicine to deliver diabetes care in low- and middle-income countries: a systematic review and meta-analysis. Bulletin of the World Health Organization, 99(3), 209-219B. https://doi.org/10.2471/BLT.19.250068

Creswell, J. W. (2014). Research design: qualitative, quantitative, and mixed methods approaches. (4th ed.). Sage Publication, Inc.

Davis, F. D. (1989). Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology. MIS Quarterly, 13(3), 319. https://doi.org/10.2307/249008

Drury, P., & Lazuardi, L. (2021). Telehealth and Digital Inclusion in Indonesia. HEART (High-Quality Technical Assistance for Results), 44(June), 0–7. https://www.heart-resources.org/wp-content/uploads/2022/01/Telehealth-and-Digital-Inclusion-in-Indonesia-Full-Report.pdf

Effendi, D. E., Handayani, S., Nugroho, A. P., Ardani, I., Fitrianti, Y., Karlina, K., & Latifah, C. (2024). The Significance of Physician-Patient Communication on Telemedicine Patients’ Health Outcomes: Evidence from Indonesia. Health Communication, 39(10), 1932–1941. https://doi.org/10.1080/10410236.2023.2247852

Hevner, A. R., March, S. T., Park, J., & Ram, S. (2004). Design science in information systems research. MIS Q., 28(1), 75–105.

Hidayat, M. T. N., Hariguna, T., & Saputra, D. I. S. (2025). Assessing The Acceptance and Trust in Student Information Systems Through a Modified TAM Perspective. Applied Information System and Management (AISM), 8(1 SE-Articles), 95–102. https://doi.org/10.15408/aism.v8i1.42324

Kembau, A. S., Putra, I. G. W. S. C., Tampinongkol, F. F., & Raditya, D. (2025). AI Literacy , Readiness , and Ecosystem Support in Student AI Adoption. Journal of Digital Business Management and Technology, 5(2). https://doi.org/dx.doi.org/10.30813/digismantech.v5i2.9218 Vol. 5(No. 2): no.76 - no 89. Th.2025 p-ISSN: 2798-1819 e-ISSN: 2798-0819 AI

Kolukisa, T., & Cinar, N. (2025). Mothers of children with autism spectrum disorder: Their views on their children’s hospital experiences, expectations from nurses, and a hospital environment sensitive to differences – A qualitative study. Archives of Psychiatric Nursing, 57, 151912. https://doi.org/https://doi.org/10.1016/j.apnu.2025.151912

Mahdavi, S., Fekri, M., Mohammadi-Sarab, S., Mehmandoost, M., & Zarei, E. (2025). The use of telemedicine in family medicine: a scoping review. BMC Health Services Research, 25(1), 376. https://doi.org/10.1186/s12913-025-12449-7

McKenna, L., Efendi, F., & Sommers, C. (2025). Digital Health in Indonesian Nursing: A Scoping Review. Computers, Informatics, Nursing : CIN. https://doi.org/10.1097/CIN.0000000000001326

Muntean, M., & Militaru, F. D. (2022). Design Science Research Framework for Performance Analysis Using Machine Learning Techniques. Electronics, 11(16). https://doi.org/10.3390/electronics11162504

Naderbagi, A., Loblay, V., Zahed, I. U. M., Ekambareshwar, M., Poulsen, A., Song, Y. J. C., Ospina-Pinillos, L., Krausz, M., Mamdouh Kamel, M., Hickie, I. B., & LaMonica, H. M. (2024). Cultural and Contextual Adaptation of Digital Health Interventions: Narrative Review. J Med Internet Res, 26, e55130. https://doi.org/10.2196/55130

Nuryani, S. N. A., Arnyana, I. B. P., Parwati, N. N., Dantes, G. R., & Juanamasta, I. G. (2022). Development of blended learning model integrated nursing leadership training using web-based in Indonesia. Journal of Education and Health Promotion, 11, 222. https://doi.org/10.4103/jehp.jehp_1170_21

Osterwalder, A., Pigneur, Y., Bernarda, G., & Smith, A. (2014). Value Proposition Design: How to Create Products and Services Customers Want. John Wiley & Sons.

Patton, M. Q. (2002). Qualitative Research & Evaluation Methods (3rd ed.). SAGE Publications.

Peffers, K., Tuunanen, T., Rothenberger, M. A., & Chatterjee, S. (2007). A Design Science Research Methodology for Information Systems Research. Journal of Management Information Systems, 24(3), 45–77. https://doi.org/10.2753/MIS0742-1222240302

PERATURAN MENTERI KESEHATAN REPUBLIK INDONESIA NOMOR 24 TAHUN 2022 TENTANG REKAM MEDIS, Pub. L. No. No.829, 2022 (2022). https://peraturan.go.id/files/bn829-2022.pdf

Religia, Y., Ramawati, Y., Said, J., & S. (2025). Uncovering The Barriers and Business Impacts of E-Commerce Non-Adoption Among SMEs: A TOE Framework Perspective. Applied Information System and Management (AISM), 8(2 SE-Articles), 175–182. https://doi.org/10.15408/aism.v8i2.46657

Ries, E. (2011). The Lean Startup. Crown Business.

Rochwulaningsih, Y., Sulistiyono, S. T., Utama, M. P., Masruroh, N. N., Sholihah, F., & Yudha, F. G. P. (2023). Integrating socio-cultural value system into health services in response to Covid-19 patients’ self-isolation in Indonesia. Humanities and Social Sciences Communications, 10(1), 162. https://doi.org/10.1057/s41599-023-01629-7

Rudy, V. E., Patra, I. G. W. S. C., Christy, A., Montana, A., Widjaja, R. V., & Tamrin, C. V. (2025). Pengaruh Adoption Readiness terhadap Minat Penggunaan Aplikasi Bibit dengan Perceived Trust sebagai Mediasi Influence of Adoption Readiness on the Intention to Use the Bibit Application with Perceived Trust as a Mediator. Journal of Digital Business Management and Technology, 5(1), 53–67. https://doi.org/dx.doi.org/10.30813/digismantech.v5i1.8397

Salsabila, I. M., & Sari, K. (2022). Analysis of Factors Related To Intention-To-Use Telemedicine Services (Teleconsultation) in Jabodetabek Residents During the Covid-19 Pandemic in 2021. Journal of Indonesian Health Policy and Administration, 7(3), 262. https://doi.org/10.7454/ihpa.v7i3.6090

Shao, C. C., Katta, M. H., Smith, B. P., Jones, B. A., Gleason, L. T., Abbas, A., Wadhwani, N., Wallace, E. L., Mugavero, M. J., & Chu, D. I. (2024). Reducing no-show visits and disparities in access: The impact of telemedicine. Journal of Telemedicine and Telecare, 1357633X241241357. https://doi.org/10.1177/1357633X241241357

Soelasih, Y., Sumani, & Efendi. (2025). Consumer trust in telemedicine in Indonesia. Health Informatics Journal, 31(2), 14604582251345328. https://doi.org/10.1177/14604582251345328

Venkatesh, V., Thong, J. Y. L., & Xu, X. (2012). Consumer Acceptance and Use of Information Technology : Extending the Unified Theory. MIS Quarterly, 36(1), 157–178. https://doi.org/10.1017/CBO9781107415324.004

Weber, I. (2023). Presentation of Design Science Research in Information Systems and Engineering Disciplines - Empirical Investigation of Common Structures and Differences Irene. Proceedings of the 56th Hawaii International Conference on System Sciences |, 5116–5175. https://doi.org/10.24251/HICSS.2023.632

Yuniarto, D., & Rahman, A. B. A. (2025). Critical Success Factors for IT Risk Management in the Digital Transformation Era: Insights from a Multiple Case Study. Applied Information System and Management (AISM), 8(1 SE-Articles), 1–10. https://doi.org/10.15408/aism.v8i1.41090

Zelfia, H., Simanungkalit, T., & Raharjo, T. (2022). Comparison of Scrum Maturity Between Internal and External Software Development : A Case Study at One of the State-Owned Banks in Indonesia. 2022 1st International Conference on Information System & Information Technology (ICISIT), 312–317. https://doi.org/10.1109/ICISIT54091.2022.9872843