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"Indonesia Health Information System"

indonesia HIS

adityarini djadir

on 19 December 2012

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Transcript of "Indonesia Health Information System"

II. Assessment Process Literature reviews

Communication with key informants through e-mail

HMN Framework tool assessment

PRISM framework
Assessed organizational, behavioral, and technical determinants that influence HIS performance III. HIS FINDINGS HMN Tool IV. SWOT ANALYSIS V. Recommendations Suggestions for improving the HIS based on assessment that was conducted Indonesia Health Information System BY: Abdoulaye Diallo, Adityarini Djadir, Haroon Rastagar INTRODUCTION External Strengths Weaknesses Opportunities Threats Positive Negative Decree for NHIS legitimization

NHIS vision and mission

Good quality of socioeconomic and health household survey periodically

Experience HMN assessment

Persons who can assess

Availability of data and information for public Lack of continuous of HMN assessment

Each program has its own indicators

No warehouse for national data

Insufficient data from private facilities

Occasional HIS summary report WHO support

Some donors for assessment Vital registration manage by another department

Geographical access difficulty to health facilities Suggestions for additional or more extensive assessments References Key reference materials
Indonesia National Health System Profile 2010: http://www.searo.who.int/LinkFiles/Indonesia_CHP-Indonesia.pdf
World populationview.com/population-of indonesia-2012/
Indonesia Health Information System Review and Assessment, Centre for Data and Information Ministry of Health of Indonesia Jakarta, Indonesia, August, 2007
Indonesia MOH website (www.depkes.go.id)
Borome, Nike. (2011). Review of Health information system in Selected Country: Indonesia. Retrieved from: http://www.docstoc.com/docs/73432500/Assessment-of-health-information-systems-HIS-in-selected-countries
Class slides and readings
Assessment Tool: HMN
Completed HMN assessment tool (scoring)
Key Informants Short-term

Training for HIS HR should be conducted regularly to update their skills and knowledge in information system

Development unique and comprehensive indicators

Regular HIS integrated report Short-term
The HMN and PRISM assessment should be implemented regularly I. Indonesia overview and its HIS

II. Assessment Process

III. HIS assessment findings
HMN Framework tool
PRISM Framework

IV. SWOT Analysis

V. Recommendations Presentation Plan I. Indonesia Overview and Its HIS Indonesia is located in Southeast Asia and it is the biggest Archipelago with 6,000 islands occupied among 18,000 in the country.

Total population is 248,216,193 (Word population review, 2012)

Decree for NHIS strategy legitimization

NHIS vision and mission

Availability of good quality of socioeconomic and health household survey periodically

Separated data collection for each program PRISM Framework Resources Data Management Indicators Information Products Dissemination and Use
Partially, reporting and recording data in Health Center and Hospital

Each program has its reporting and recording system

There is no system of data centralization

Data dictionary but not used at the subsystems
Use of ICD mortality report

Accuracy and completeness of data reporting/recording has been simplified

Development of reporting mechanism from sub to national level

Advanced computer technology introduced

Accessibility to ICT varies from sub to national
Insufficient use of computerized system

Insufficient use of data from health information collected at all level.

Difficulties to gather health financing information from public health facilities

Inadequate vital information registration

Private sector has insufficient health care reported

Both public and private health insurance organizations do not provide sufficient health care information THANK YOU ANY QUESTION? SUGGESTION?
Identification codes but difficult to merge

Lack competence in checking data quality

Data are collected each five years

No system to check the routine data  Behavioral, Technical and organizational Behavioral, Technical and organizational (continue)
Lack of some softwares and knowledge to use

Private facilities have good ICT, used for billing

Discrepancy in Data quality from one facility to another

Concerns about validity of diagnosis exists

Patient's record is not easily accessible Behavioral, Technical and organizational (continue) Behavioral, Technical and organizational (continue) Decision of HIS resource allocation only at national

Lack of PRISM assessment

Limited capacity for data dissemination and use analysis

High turnover rate

Low ICT financial support

Decentralization system affected Information flow and its quality Sascha Leimstein, Professor, JSI/Brandeis University

Russell Vogel, Country Director, USAID|DELIVER Indonesia

Jane Soepardi, Head of Center for Data and Information, Ministry of Health

Boga Hardana, Staff of Center for Data and Information, Ministry of Health

Yudianto, Chief of Data Bank Subdivision, Center for Data and Information, Ministry of Health, Indonesia KEY INFORMANTS Internal Long-term

Development of national data warehouse

Improvement on ICT equipment and its maintenance

Harmonize Vital registration reporting system

Improvement on using ICD in all health facilities level

Extensive Health Service Based Information system
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