SIKDA Lombok Timur: Sukses Digital di Tengah Bencana dan Keterbatasan SDM. #SIKDA #sisteminformasi

Summary

This video explores the implementation of the Regional Health Information System (eSIGDA) in East Lombok Regency, which began in 2018. Despite challenges such as the 2018 earthquake and limited human resources, eSIGDA has significantly improved reporting timeliness, rising from 57% to 81% in two years. However, the lack of IT-trained staff and inadequate training highlighted the importance of continuous capacity development. The case study offers valuable lessons on the need for robust systems, human resource development, and emergency preparedness in health data management, providing insight for regions planning similar implementations.

Takeaways

• 😀 East Lombok Regency began implementing the regional health information system (esigda) in 2018 following the Minister of Health Regulation 92 of 2014.
• 😀 The implementation of esigda covered 33 health centers, 2 regional public hospitals, and 58 other health facilities in East Lombok.
• 😀 Prior to esigda, health reporting in East Lombok was fragmented and mostly paper-based, leading to delayed and inaccurate decision-making.
• 😀 The implementation of esigda resulted in a significant improvement in reporting timeliness, increasing from 57% to 81% after two years.
• 😀 Dr. Aun Hasrida, Head of the East Lombok Health Office, emphasized the shift from paper-based to integrated digital systems for faster and more accurate decision-making.
• 😀 The 2018 Lombok earthquake caused nearly three weeks of downtime for the sigda system, highlighting the importance of backup systems and emergency preparedness.
• 😀 A key challenge in implementing sigda was the limited capacity of human resources, with 68% of operators lacking an IT background and 73% never receiving formal training in health data management.
• 😀 Many of the personnel managing sigda were health workers given additional tasks, leading to conflicts between health services and data management.
• 😀 The data entry error rate reached 34%, with significant errors in disease diagnosis and coding, reflecting the need for better training and human resource development.
• 😀 Short training programs were insufficient, with continuous capacity building and long-term technical assistance identified as essential for improving the system's efficiency and data quality.

Q & A

What is the main subject of the case study?

The case study discusses the implementation of the regional health information system, known as SIGDA, in East Lombok Regency and the challenges and lessons learned from this experience.

When did East Lombok begin implementing SIGDA?

East Lombok began implementing SIGDA in 2018, following the issuance of the Minister of Health Regulation number 92 of 2014 regarding data communication.

What were the primary issues with the health reporting system in East Lombok before SIGDA?

Before SIGDA, the health recording and reporting system in East Lombok was fragmented and largely paper-based, leading to delayed and inaccurate decision-making due to the reliance on manual reports from various health facilities.

How did SIGDA impact the timeliness of health reporting in East Lombok?

The implementation of SIGDA drastically increased the timeliness of health reporting, from 57% to 81% within two years of its implementation.

What challenge did East Lombok face during the Lombok earthquake in 2018?

During the 2018 Lombok earthquake, severe infrastructure damage caused SIGDA to experience nearly three weeks of downtime, which hampered the coordination of health data during the disaster response.

What lesson did East Lombok learn from the earthquake in terms of SIGDA implementation?

East Lombok learned the importance of having a backup system and a contingency plan for emergency situations to ensure the continuity of data management during disasters.

What was the most significant challenge faced in the human resource capacity for SIGDA in East Lombok?

The most significant challenge was the limited capacity of human resources, as many SIGDA operators lacked an IT educational background and had not received formal training in health data management, leading to errors and inconsistencies in data entry.

What percentage of SIGDA operators in East Lombok lacked an IT educational background?

According to a study conducted by the Ministry of Health and the University of Mataram in 2021, 68% of SIGDA operators in East Lombok did not have an IT educational background.

How did the lack of training affect data quality in East Lombok?

The lack of training and the involvement of health workers as additional data managers led to a high error rate, with a 34% error rate in data entry, particularly in the diagnosis and coding of diseases, and a 41% inconsistency rate in morbidity and mortality data.

What is the recommended approach to improve capacity building for SIGDA operators in East Lombok?

The case study recommends that capacity building should go beyond short training sessions and include continuous development programs and long-term technical assistance to address the complexity of the SIGDA system and improve data quality.

What broader lessons does the East Lombok experience offer for other regions implementing SIGDA?

The experience of East Lombok highlights that implementing SIGDA is not just about technology; it also requires a focus on developing human capacity, change management, and preparedness for emergencies, all of which are essential for the successful implementation of health information systems.