Parasitology Division, Department of Biomedical Science, Faculty of Medicine, Universitas Padjadjaran, Bandung 45363, Indonesia.
Foreign Visiting Researcher at Department of Civil and Environmental Engineering, Ehime University, Matsuyama, Ehime 790-8577, Japan.
Int J Environ Res Public Health. 2020 Mar 10;17(5):1795. doi: 10.3390/ijerph17051795.
This study was performed to evaluate the health information system regarding the dengue surveillance system in Indonesia. Major obstacles to the implementation of an effective health information system regarding dengue cases in Bandung are examined, and practical suggestions on measures to overcome them are discussed. The study utilized a mixed-method research design using qualitative approaches: document analysis, key informants and focus group interviews. Thirty key informants were selected, comprised of policymakers, senior managers, and staff at the Ministry of Health. Data from documents and transcripts were evaluated through a modified Institutional Analysis and Development (IAD) framework described by Ostrom. Through this study, we have identified several issues that hinder the effective implementation of the health information system in the case of dengue in Bandung. In the end, we propose several recommendations for reform that encompasses motivational, strategic, and structural approaches to each component of the analysis. Through evaluation of the health information system for dengue surveillance in Indonesia, we conclude that well-coordination in multi-level governance in a country as large as Indonesia is the key in the implementation of the health information system in different levels of agencies. Furthermore, the adaptability of human resources in adopting a new information system also plays an important part.
本研究旨在评估印度尼西亚登革热监测系统的卫生信息系统。本文研究了在万隆实施有效的登革热病例卫生信息系统的主要障碍，并讨论了克服这些障碍的实际措施建议。本研究采用混合方法研究设计，采用定性方法：文件分析、关键知情人访谈和焦点小组访谈。选择了 30 名关键知情人，包括政策制定者、高级管理人员和卫生部工作人员。通过修改 Ostrom 描述的机构分析和发展（IAD）框架对文件和转录本中的数据进行评估。通过这项研究，我们确定了一些阻碍登革热病例卫生信息系统在万隆有效实施的问题。最后，我们提出了几项改革建议，涵盖了分析各个组成部分的激励、战略和结构方法。通过对印度尼西亚登革热监测卫生信息系统的评估，我们得出结论，在印度尼西亚这样一个大国，多层次治理中的良好协调是在不同机构层面实施卫生信息系统的关键。此外，人力资源对新信息系统的适应能力也起着重要作用。
