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Mental health is one of the major public health issues in Indonesia, facing significant challenges such as a shortage of professionals, insufficient funding, and a high treatment gap. In implementing mental health programs, Puskesmas utilize the Mental Health Information System (SIMKESWA) for data recording and reporting. However, SIMKESWA only covers data input specific to mental health programs and operates separately from the Puskesmas Management Information System (SIMPUS), which is used for overall healthcare service management. This study aims to identify the gaps between SIMKESWA and the SATUSEHAT interoperability standards developed by the Ministry of Health. A qualitative descriptive method was used through document analysis and in-depth interviews with relevant informants. The findings reveal data duplication between SIMKESWA and SIMPUS, which requires healthcare workers to perform double data entry, increasing their workload. Additionally, the current state of mental health data recording is not yet fully aligned with the data standards and interoperability structures outlined by SATUSEHAT. Based on these findings, the study produces an initial draft of an interoperability playbook for the mental health program, including a mapping of key data elements, relevant FHIR resource structures, and system integration recommendations. This playbook draft is expected to serve as a preliminary step toward a more integrated and efficient mental health information system.
Data of good quality on Minimum Service Standard of Maternal and Child Health (MSS MCH) is required to be utilized as a basis for planning. One of the data assessment models that has been developed is the Routine Data Quality Assessment (RDQA) model, which is an adaptation of the WHO model adopted by Pusdatin. No research has been conducted in Depok City until recently. Therefore, this study aimed to assess SPM data on maternal health, specifically indicators such as the K4 and Linakes, in Depok City. The assessment was conducted by considering the indicators of completeness, timeliness, internal consistency, external consistency, and accuracy as well as the organizational factors that influence them. The results showed that data completeness in Depok City was good, timeliness could not be optimally analyzed, internal consistency was relatively good although there was some inconsistent data in some puskesmas, external consistency was good, and lastly, inaccuracy was found in one of the health centers in Depok City.. In addition, this study also found organizational issues surrounding data collection that could potentially affect data quality.
Pendahuluan Kementrian Kesehatan sedang berkomitmen untuk melakukan transformasi system Kesehatan guna meningkatkan layanan kesehatan yang lebih baik, merata, dan berkualitas bagi Masyarakat. Terdapat 6 pilar utama untuk menopang SKN. Melalui Keputusan Kemenkes RI No HK.0107/Menkes/11983/2022 ditaur mengenai penerapan sistem pemerintahan berbasis elektronik bidang kesehatan dan strategi transformasi digital kesehatan. Tetapi Kemenkes telah mempunyai banyak aplikasi pada setiap program. Pada Pada program KIA, ada 6 aplikasi yang terkait yaitu: e-Kohort, Komdat, EPPGBM, RME, ASIK dan SIP. E-Kohort dan EPPBGM merupakan aplikasi KIA yang mempunyai sasaran sama dan isian data yang sama. Sehingga perlu analisis untuk mengetahui gap pada kedua aplikasi tersebut. Tujuan Penelitian ini bertujuan untuk mengetahui Melakukan analisis secara komprehensif terhadap sistem pencatatan dan pelaporan KIA di E-Kohort dan EPPGBM di Jakarta Pusat. Metode Penelitian ini merupakan penelitian kualitatif menggunakan pendekatan Performance of Routine Information System Management (PRISM) Framework, dengan melihat pada aplikasi E-Kohort dan EPPBGM di Puskesmas didaerah Jakarta Pusat. Hasil dan Pembahasan Terjadinya perbedaan sasaran pada E-Kohort dan EPPBGM, yang mengakibatkan penjaringan permasalahan gizi di Ibu dan Anak juga tidak berjalan dengan baik. E-Kohort dan EPPBGM mempunyai isian data yang sama, meskipun E-Kohort lebih lengkap dibandingkan EPPBGM. Sehingga lebih efisien untuk dilakukan peleburan pada kedua aplikasi tersebut.
Introduction
The Ministry of Health is committed to transforming the national health system in order to provide better, more equitable, and higher-quality healthcare services for the population. There are six main pillars that support the National Health System (SKN). Through the Decree of the Minister of Health of the Republic of Indonesia No. HK.0107/Menkes/11983/2022, the implementation of an electronic-based government system in the health sector and a digital health transformation strategy has been regulated. However, the Ministry of Health currently operates numerous applications for each health program. In the Maternal and Child Health (MCH) program, there are six related applications: e-Kohort, Komdat, EPPGBM, RME, ASIK, and SIP. Among them, e-Kohort and EPPGBM are MCH applications that target the same population and collect similar data. This overlap necessitates an analysis to identify the gaps between the two systems.
Objective
This study aims to conduct a comprehensive analysis of the MCH recording and reporting systems in e-Kohort and EPPGBM in Central Jakarta.
Methods
This is a qualitative study using the Performance of Routine Information System Management (PRISM) framework, focusing on the use of e-Kohort and EPPGBM applications in community health centers (Puskesmas) located in Central Jakarta.
Results and Discussion
The study found inconsistencies in target populations between e-Kohort and EPPGBM, which have led to ineffective identification and management of maternal and child nutrition issues. Although both applications require similar data inputs, e-Kohort provides a more comprehensive dataset than EPPGBM. Therefore, integrating or merging the two systems would be a more efficient solution.
Hypertension is one of the leading causes of death in Indonesia and contributes significantly to the burden of non-communicable diseases. This study aims to analyze the risk factors associated with hypertension among individuals aged ≥18 years in Indonesia using a probabilistic approach through Bayesian Network modeling. This research is a quantitative study utilizing secondary data from the fifth wave of the Indonesia Family Life Survey (IFLS-5). The sample consisted of 34,271 individuals who met the inclusion criteria after data cleaning and variable classification. The Bayesian Network structure was constructed manually based on bivariate analysis and theoretical references, then visualized using R (bnlearn) and Python (CausalNex). Conditional Probability Tables (CPTs) were generated to identify both direct and indirect risk pathways. The results indicate that smoking and abnormal BMI (imt_kat) are two primary risk factors that directly increase the probability of hypertension. The highest probability of hypertension (25.87%) was found among individuals who both smoke and have an abnormal BMI. Additionally, indirect pathways were also identified, such as income → education → stress → smoking → hypertension, as well as age, physical activity, and dietary patterns → BMI → hypertension. Behavioral and socioeconomic variables were shown to be interconnected in influencing hypertension risk cumulatively. In conclusion, this study demonstrates that the Bayesian Network approach is effective in revealing the probabilistic relationships among various risk factors. These findings highlight the importance of holistic public health interventions that consider social, behavioral, and physiological determinants as an integrated risk system.
