Introduction: Despite digital shifts in public health, the Maternal Health Handbook (MHH) remains a vital clinical instrument. However, systematic evaluations of its multi-dimensional usability and symbolic value are scarce. This study utilizes User-Centered Design (UCD) to evaluate the MHH’s effectiveness and address optimization gaps in the digital age. Theory: Grounded in UCD, the research conceptualizes the MHH as a complex socio-technical instrument and a longitudinal narrative that fosters psychological security during the transition to maternal identity. Method: A sequential exploratory mixed-methods design was employed. Phase 1 involved in-depth interviews (n = 5) to identify user experiences. Phase 2 utilized the Fuzzy Delphi Method (FDM) with 30 interdisciplinary experts to establish consensus on optimization priorities using a strategic threshold (Formula: see text ≥ 0.7). Results: The findings identified 24 high-consensus indicators. ‘Emotional resonance’ (Rank 1) and ‘collectible value’ (Rank 2) emerged as top priorities, reinforcing the handbook’s role as a family keepsake. Critical optimization pathways include enhancing durability via protective covers (Rank 3) and centralizing socio-economic subsidy guidance (Rank 5). A significant ‘digitalization gap’ regarding tactile stability was identified. Discussion: To bridge the digitalization gap, a ‘Print + Digital’ hybrid model is proposed to balance interactivity with the emotional durability of physical records. The study advocates for a participatory co-design model integrating healthcare professionals (Rank 7) and mothers (Rank 9). These insights operationalize the ‘Leave No One Behind’ (LNOB) principle, providing a roadmap for resilient, inclusive health resources.
Yi-Chen Lai (Fri,) studied this question.