The Effect of Digitally Enabled District (DED 2.0) Ecosystem on the Completeness and Timeliness of Maternal and Neonatal Services in Primary Health Care

Inclusion Criteria (Pregnant Women): * Mothers residing within the catchment area of a participating Puskesmas in Garut Regency during their pregnancy * Pregnancy registered in the maternal health records of a participating Puskesmas within the study catchment area in Garut Regency * The pregnant woman provides informed consent to participate in the study. Exclusion Criteria (Pregnant Women): \- The participant relocates permanently outside the study area before the outcome-observation window begins. Inclusion Criteria (Puskesmas Level): \- Located in Garut Regency; at baseline, the DED ecosystem had not been integrated into daily service operations. Exclusion Criteria (Puskesmas Level): * Puskesmas had fully implemented the DED ecosystem in daily practice before the study baseline period * Puskesmas lacks adequate routine service data for outcome measurement throughout the study period