Health Information Systems: Challenges

and effort to strengthen health systems

in Indonesia
Center for Data and Information
Ministry of Health
 Outline
• HIS role in strengthening health systems
• Current HIS condition in Indonesia: Challenges and
opportunity
• Policy and focus of intervention
• GF-HSS Project: Strategy of strengthening HIS
ROLE OF HIS TO STRENGTHEN
HEALTH SYSTEMS
 HIS role in health systems

Sistem informasi kesehatan tidak dapat berdiri sendiri, tetapi merupakan entitas
fungsional dalam kerangka sistem kesehatan yang komprehensif.
Sistem informasi kesehatan yang efektif memberikan dukungan informasi untuk
proses pengambilan keputusan di semua tingkatan. Sistem informasi kesehatan harus
diubah menjadi alat manajemen yang efektif.

World Health Organisation. 2007. Everybody's business: strengthening health

systems to improve health outcomes: WHO’s framework for action
CURRENT HIS CONDITION:
CHALLENGES AND OPPORTUNITY
 HIS Assessment using HMN Framework
2012 2016
2007
NO HIS Component ( 24 (NASIONAL Challenges
( MoH)
Districts) )
human resources, infrastructure and financing,
1 HIS Resources 47% 54,1% 58% policy and collaboration and coordination
mechanism
Information and indicators that need to be
2 Indicator 61% 67,2% 76% collected and used are not fully and accurately
defined.
Data sources are fragmented and difficult to
3 Data Source 51% 59,9% 69%
access
The collection, processing, storing, and
transforming data into information has not been
4 Data Management 35% 32,6% 56%
comprehensive, appropriate mechanism has not
been implemented effectively and efficiently.
Ability to produce health information is still
5 Information Product 55% 69,8% 72% lacking and facing quality of data issues
(completeness, timeliness)
Dissemination and Information product has not been disseminated
6 Use 57% 74,2% 84% to the relevant stakeholders and has not been
used properly
Complexity of health systems
• Fragmentation of
information systems
• Lack of standard:
• Data integration
and compilation
problem
• Un-
interoperability
systems
• Low data
completeness
• Limited access to
health information
National
Government
Policy

SatuData is an initiative of the Government of Indonesia to improve

interoperability and utilization of government data.
Utilization of government data is not limited to internal use between
agencies, but also as a form of public data needs fulfillment for the
community.
The SatuData policy is implemented with strategies through the development
of one data standard, one metadata standard, and one portal
 HIS Strengthening Opportunity

• Government regulation on
HIS Implementation,
including the use of ICT
• Increased need and use oh
health information for
decision making
• The rapid development of
ICT in health sector
• Information Systems and
ICTs in Referral Systems
and UHC
• eGovernment framework
that include eHealth
• Clear career path for
human resource for HIS
HIS POLICY AND FOCUS OF
INTERVENTION
 MoH policy to strengthen HIS
Mission 5. Improving Utilization and Dissemination of Information to
Vision Improve Evidence-Based Management and Services
Achieve an
Misi 2. Misi 3. Mission 4.
integrated and Mengebangkan Meperkuat Sumber Tingkatkan Kualitas
reliable HIS, Indikator Kesehatan Data dan Pengelolaan Data
capable of yang Dapat Meningkatkan Jaringan Kesehatan
providing Menjelaskan Upaya dengan Semua (Mengumpulkan,
adequate dan Pencapaian Stakeholder Penyimpanan dan
Pengembangan Analisis, dan
support for Penyebaran Informasi)
Kesehatan Masyarakat
health
development
Misi 1. Memperkuat Sumber Daya SIK yang meliputi Dasar Hukum,
management Kebijakan, Advokasi dan Koordinasi untuk Pendanaan, Sumber Daya
Manusia, Infrastruktur dan Lembaga
 HIS Focus of Intervention
Information Use
Improve the quality and speed
Improve the availability and
of work process of health
quality of data and information
services

Strengthening data Data Flow Optimization

transaction health and datawarehouse
facility Development
Basic Resources:
Leadership, Governance, Regulation, Policy,
Standardization, Infrastructure
STRATEGY OF STRENGTHENING HIS
THROUGH GF HSS PEOJECT
Schedule of HIS Project Implementation HSS-Global Fund
2016 - 2018

4 Months 12 Months 6 Months

2016 2017 2018

Preparation & Start-up Development & Implementation Evaluation and Finalization

HIS & SCM HIS Project

Monitoring and Evaluation 30 June

1. PMT established (1 Sept’16)
2018 closing
Sept-Okt

2. Intervention location
3. Self Assessment Tools trial
4. Procurement TsT dan PMU
Prov and district
5. Contract TsT dan PMU
1. Launching Project/workshop HIS Action Plan implemented in District
Nov-Jan

2. Self Assessment District HIS

Action Plan
3. Advocacy in provincial and
district
 Activities of HIS Global Fund Project

Introduction of Monitoring of
Self assessment Develop action Develop tools,
health HIS activity:
of HIS in target plan for HIS Evaluation of all method and
information Report, review,
districts (10 strengthening HIS best practices
dashboard and re-design,
districts in 5 in targeted components for scaling up
health systems analysis and use
provinces) districts HIS project
monitoring of dashboard
 Keyword of HIS Project – GF HSS
• Identify routine health data sources
Health Data (MCH, Nutrition, HR, surveillance,
etc.) and population data
Transaction • Implementation of electronic system
(SIKDA Generik)

• Integrated data reporting system

Data Flow (health services, health programs,
and health resource data
• Implementation of DHIS2 as
Integration datawarehouse

• Presentation and
dissemination of health
Data and information (dashboard
information via DHIS2)
DHIS2 • Continuous data quality
use Improvement (PMKDR)
Thank you