TY - JOUR
T1 - Effect of district-focused approach on health information system performance in Indonesia
AU - Siregar, Kemal N.
AU - Kurniawan, Rico
AU - Retnowati,
AU - Singgih, Yudianto
AU - Eryando, Tris
N1 - Funding Information:
Based on the conditions mentioned above, a project, funded by a Global Fund Health System Strengthening (GF HSS) grant given to the Ministry of Health, began on July 1, 2016 and ended on June 30, 2018. The objectives of the project were to assemble conclusive evidence that would convince district and city leaders to invest more in national policies, instruments, and standards related to HIS, in order to promote and market the instruments and standards of HIS to regional leaders. The working areas were in ten districts in five provinces: Sumatera Utara (Deli Serdang & Labuhanbatu), Jawa Timur (Malang & Tulungagung), NTB (Lombok Barat & Lombok Timur), Sulawesi Selatan (Kota Makassar & Kota Pare-pare), and Maluku (Kota Ambon & Seram Bagian Barat), where each district or city has ten Health Centers (Puskesmas). The project is a district-focused approach that characterized by six indicators: 1) Availability of independent HIS assessments in districts, 2) Availability of HIS activities approved by the District Health Office, 3) Availability of demonstration dashboards in the district, 4) Availability of six monthly reports/dashboards for each semester in the district, 5) Availability of evaluation reports of each district, and 6) Availability of completed HIS modules with lessons learned from each district9.
Publisher Copyright:
© 2019, Indian Journal of Public Health Research and Development. All right reserved.
PY - 2019/5/1
Y1 - 2019/5/1
N2 - Background: The Health Information System (HIS) condition in Indonesia is not at an optimum level yet, and there is still much to be done to improve and strengthen all HIS components. The objectives of this study were to evaluate whether the district-focused approach could improve the performance of district-level HIS networks in Indonesia. Method: The study was carried out to evaluate the project, which was implemented in ten districts in five provinces of Indonesia. This evaluation study used two approaches: A) the Health Metric Network (HMN) framework from the World Health Organization (WHO), and b) the System Success Model from DeLone and McLean. Results: Initial assessment results in early 2017 were compared to those at the end of the project in May 2018, and HIS performance increased for each component in all districts. However, the achievements were not fully optimized, and there is room for further strengthening. Most participants of the System Success Model assessment reported that HIS strengthening was successful and useful, with 89% improvement in system quality, 85% in information quality, 93% in service quality, 96% in individual impact, and 89% in organizational impact.
AB - Background: The Health Information System (HIS) condition in Indonesia is not at an optimum level yet, and there is still much to be done to improve and strengthen all HIS components. The objectives of this study were to evaluate whether the district-focused approach could improve the performance of district-level HIS networks in Indonesia. Method: The study was carried out to evaluate the project, which was implemented in ten districts in five provinces of Indonesia. This evaluation study used two approaches: A) the Health Metric Network (HMN) framework from the World Health Organization (WHO), and b) the System Success Model from DeLone and McLean. Results: Initial assessment results in early 2017 were compared to those at the end of the project in May 2018, and HIS performance increased for each component in all districts. However, the achievements were not fully optimized, and there is room for further strengthening. Most participants of the System Success Model assessment reported that HIS strengthening was successful and useful, with 89% improvement in system quality, 85% in information quality, 93% in service quality, 96% in individual impact, and 89% in organizational impact.
KW - District Health System
KW - Evaluation
KW - Health Information System
KW - Health System Strengthening
UR - http://www.scopus.com/inward/record.url?scp=85067995614&partnerID=8YFLogxK
U2 - 10.5958/0976-5506.2019.01130.6
DO - 10.5958/0976-5506.2019.01130.6
M3 - Article
AN - SCOPUS:85067995614
SN - 0976-0245
VL - 10
SP - 1417
EP - 1423
JO - Indian Journal of Public Health Research and Development
JF - Indian Journal of Public Health Research and Development
IS - 5
ER -
