1. Overview of Indonesia HIS Situation Ministry of Health Rahmaniar Brahim Head of Health Statistics Division Centre for Data and Information MoH rahmaniar@depkes.go.id

2. INDONESIA Parameters2008 GNPUSD 1,800 Average Life expectancy71 years Child Mortality34/1,000 Maternal Mortality228/100,000 Population: 238 Million 17,000 islands, 33 provinces, 497 Districts Decentralized governance since 2000 Ministry of Health Indonesia 2

3. Governance of HIS National HIS Steering Committee cross sectorial: Ministry of Internal Affair, National Statistic Board, Ministry of Communication and Information, National Family Planning Board, Universities, Insurrance Experts, National Council of ICT, Health Profesionals ) MoH: Centre for Data and Information (CDI) – Since 1984 – Similar dept. at province/district level Legislation on HIS: No 36, year 2009, Article 168 – Information is necessary to allow for the provision of effective and efficient health services. – Health information is managed through a cross sectorial health information system – Further details regarding the mentioned health information system is specified in its Bylaw. Ministry of Health Indonesia 3

4. INDONESIAN HIS SCENARIO Vertical Programs Tuberculosis Immunization Etc Top Management Hospital Health Clinic CDI* External Stakeholders District Health Authorities Historically Fragmented 1 * CDI: Centre for Data & Information Ministry of Health Indonesia 4

5. INDONESIAN HIS SCENARIO Vertical Programs Tuberculosis Immunization Etc Top Management Hospital Health Clinic CDI* External Stakeholders District Health Authorities Weak governance No Strategic Plan No Framework 2 * CDI: Centre for Data & Information Ministry of Health Indonesia 5

6. INDONESIAN HIS SCENARIO Vertical Programs Tuberculosis Immunization Etc Top Management Hospital Health Clinic CDI* External Stakeholders District Health Authorities Individual System, No Data Exchange, Islands of information 3 * CDI: Centre for Data & Information Ministry of Health Indonesia 6

7. INDONESIAN HIS SCENARIO Vertical Programs Tuberculosis Immunization Etc Top Management Hospital Health Clinic CDI* External Stakeholders District Health Authorities * CDI: Centre for Data & Information Burden on Field Workers: -301 reports -8 health related software -Duplication 4 Ministry of Health Indonesia 7

8. INDONESIAN HIS SCENARIO Vertical Programs Tuberculosis Immunization Etc Top Management Hospital Health Clinic CDI* External Stakeholders District Health Authorities * CDI: Centre for Data & Information Weak HR at all levels: -Without formal training 5 Ministry of Health Indonesia 8

9. INDONESIAN HIS SCENARIO Vertical Programs Tuberculosis Immunization Etc Top Management Hospital Health Clinic CDI* External Stakeholders District Health Authorities * CDI: Centre for Data & Information Decentralization 2000: - District Autonomy 6 Ministry of Health Indonesia 9

10. INDONESIAN HIS SCENARIO Vertical Programs Tuberculosis Immunization Etc Top Management Hospital Health Clinic CDI* External Stakeholders District Health Authorities * CDI: Centre for Data & Information Slow, inaccurate, unreliable DATA 7 Ministry of Health Indonesia 10

11. HIS Strengthening Approach Objective: – Gather accurate data in a timely and efficient manner – Improves work processes using ICT Strategy – Improve governance – Enhance resources, empowerment of managers – Promote culture of information use Principles: – Detailed and feasible – Integration & Interoperability Strategic Plan (2011 – 2014) Implementation Ministry of Health Indonesia 11

12. New HIS Model Key Initiatives Ministry of Health Indonesia 12

13. Key Initiatives Bylaw Framework - Guideline to all aspects of HIS HIS Policy Project management skills Technical knowledge on various HIS aspects Knowledge transfer through on the job training Capacity building for CDI staff Permanent position within health system Career path and incentive system Core competencies, training Formalize HIS Manager Position Ministry of Health Indonesia 13

14. Key Initiatives Quick formal training for field HIS Managers 3 month course, 1 month internship HIS short training course with local universities Owned by MoH Supports new HIS Model Long term – platform to integrate other systems Ultimately – Centralized Data Repository & Dissemination Generic HIS application software Concept paper and policy Guide future implementations Telemedicine and mHealth policy Ministry of Health Indonesia 14

15. Implementation & Funding National budget funding – CDI Budget planning according to HIS Strategic Plan – Special Allocation Budget (DAK) for district, for HIS Implementation – Deconcentration Budget, (National Budget allocation to Regions) Donor Cooperation – WHO – German Development Cooperation Successful application to GF ATM R 10 – USD 12 mil (2011 – 2015) – Concentration on remote & under served districts Ministry of Health Indonesia 15

16. THANK YOU