Luxembourg, 1 3 April 2009

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1 Luxembourg, 1 3 April 2009 INTERNET & MOBILE-PHONE BASED e-health SYSTEMS FOR OUTBREAK MANAGEMENT AND SAFE MOTHERHOOD PROGRAM IN COMMUNITY HEALTH CENTER ENVIRONMENT S. Soegijoko, J. Hasugian, T.S. Barkah Biomedical Engineering Program School of Electrical Engineering & Informatics, Institut Teknologi Bandung INDONESIA

2 ACKNOWLEDGEMENTS The Med-e-Tel Organizing Committee The Ministry of Health of Indonesia, Hospitals & Healthcare Units, Education & Research Organizations, ns Sponsoring Organizations: IDRC PANACeA, AKU, BME ITB Colleagues & Students for their efforts & supports to our e- Health & Bio-medical Eng research, and for their contributions to this presentation Health Systems 2

3 OUTLINE 1. INTRODUCTION 2. e-health SYSTEMS FOR OUTBREAK MANAGEMENT 3. e-health SYSTEMS FOR MATERNAL & CHILD CARE 4. CURRENT PROGRESS 5. CONCLUDING REMARKS Health Systems 3

4 1. INTRODUCTION Indonesia: Country & Health lh Profiles fl Indonesia is the largest archipelago country: about 17,500 islands, more than 220 million people Population density 118 people/km2 More than 50% in rural & underserved area Health Systems 4

5 Indonesia Country & Health Profiles 33 provinces, More than 8,000 Community Health Centers (CHC, puskesmas) ) and 260,000 Community Health Posts (posyandu) Hospitals 1270 p 1270 (51% public, 49% private) of various types (levels) Health Systems 5

6 Healthcare Problems in Indonesia (simplified) Large varieties of the number of healthcare facilities & quality of healthcare services: Relatively modern hospitals vs. Community Health Centers Private Medical Specialists vs. Rural Healthcare providers More than half of the population are covered by Referral hospitals system More than 8,000 community health centers Relatively high Mother & Child Mortality Rate Communicable & Non-communicable Diseases Supports are most needed for improving the Community Health Centers & Health Offices Health Systems 6

7 Waiting Room for Patients in Puter Community Health Center (Bandung) Example of e-health System for Patient Data Recording & Reporting System in a Community Health Center Health Systems 7

8 2. e-health SYSTEMS FOR OUTBREAK MANAGEMENT Internet-based Outbreak Management System Mobile Phone & PC-based Outbreak Management System n CHCs Health Office PASIE N Datab ase at a CHC Health Office s Datab ase Health Systems 8

9 Dedicated Website Web-based e-health/ Telemedicine System for Outbreak Management Monitoring Station (Health Office) The Internet Mobile phone or Modem Reporting Stations Health Systems 9

10 Monitoring Station (Health Office) I n t e r f a c e Mobile Phone-based Telemedicine System for Outbreak Management (SMS format) Mobile phone Networks Internet Access Mobile phone or GSM/CDMA Modem Reporting Station Health Systems 10

11 3. e-health SYSTEMS FOR MATERNAL & CHILD CARE **Development steps: General Purpose e-health Systems for Primary Healthcare (for various applications) e-health System with Separate Web- server & SMS-server server (for specific application) e-health System with Integrated Web- server & SMS-server for Maternal & Child Care Health Systems 11

12 Integrated Web-server and SMS-server I n t e r f a c e General Purpose e-health System for Primary Healthcare Mobile Networks The Internet Internet Access Mobile phone or GSM/CDMA Modem Mobile Clients (Nodes) Reporting Station Health Systems 12

13 Dedicated Web-server e-health System with Separate Web-server & SMS server Monitoring Station The Internet GSM Networks Mobile phones SMS Server Health Systems 13

14 e-health System with Web-server & SMS server Health Systems 14

15 SMS Server Data Base Health Systems 15

16 4. CURRENT PROGRESS Laboratory tests: successfully completed Field tests t partially completed Further Socializations/Promotions and Training for potential users Users continuous evaluations Health Systems 16

17 itb org Health Systems 17

18 Health Systems 18

19 5. CONCLUDING REMARKS [1/3] The outbreak management e-health systems have successfully undergone both laboratory and field tests The systems are in place for obtaining continuous users evaluation & feedback The safe motherhood e-health system has also successfully completed a series of laboratory tests Health Systems 19

20 Concluding Remarks [2/3] The internet and mobile phone-based e- health systems for both applications are under further continuous improvements m The Internet & Mobile phone Based e- Health Systems could be developed to support the needs of community health centers and hospitals in both urban and rural areas of Indonesia. Health Systems 20

21 Concluding Remarks [3/3] The large range of e-health developments in Indonesia should be: Continuously & consistently improved Politically & financially supported by government ICT companies should strongly support healthcare h & education as part of their Corporate Social Responsibility Health Systems 21

22 Thank you for your attention ΒΜ Ε Biomedical Engineering Program Institut tut Teknologi og Bandung Health Systems 22

23 FOR FURTHER INFORMATION Biomedical Engineering Program Biomedical Engineering Research Division, School of Electrical Eng. & Informatics, Institut Teknolgi Bandung (ITB), Jalan Ganesha 10, Bandung 40132, Indonesia Tel/Fax: (http://biomed.ee.itb.ac.id) b d) id ΒΜ Ε Health Systems 23

24 REFERENCES BME - ITB Internal Reports, (2003 to 2009) Proceedings - ICEEI 2007 Proceedings - BME Days 2006, 2007, 2008 Indonesia Country Profile 2006, Ministry i of Health, 2007 Indonesia Health Profile 2006, Ministry of Health, [Dept. of Health] Health Systems 24

25 Biomedical Engineering Program School of Electrical Engineering & Informatics, Institut Teknologi Bandung Educational Programs offered: Doctorate Program on Biomedical Eng Master Program on Biomedical Eng Regular Program International Double Degree Master Program ram (in collaboration with RUG, Netherlands) International Master Program CASECUBE Asia Link Project, using e-learning (collaboration: RUG, Ghent Univ Belgium, Leeds Univ UK, Indian IT India, Univ. Gadjah Mada Indonesia, BME ITB) Undergraduate Program on Biomedical Eng Health Systems 25

26 Biomedical Engineering Program School of Electrical Engineering & Informatics, Institut Teknologi Bandung Current Research Interests: Biomedical Instrumentation, Biomedical Engineering Education Biomedical Informatics, e-health, Telemedicine Biomedical Imaging & Image Processing Biomaterials & Drug Delivery System Biomechanics & Rehabilitation Engineering Contact Address: Jalan Ganesha 10, Bandung 40132, Indonesia Tel/Fax: URL: Health Systems 26

: Jalan Ganesha 10, Bandung 40132, Indonesia

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