Building capacity: Health informatics training and curriculum in Indonesia

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Gladys Rodgers
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1 Building capacity: Health informatics training and curriculum in Indonesia Anis Fuad, Lutfan Lazuardi & Guardian Y Sanjaya Graduate Program of Public Health Master program of Health Management Information Systems Faculty of Medicine Universitas Gadjah Mada [email protected]

Health Master program of Health Management Information Systems Faculty of

2 Indonesia 238 million populations 33 provinces 530 districts/municipalities Double burden disease: -Communicable disease + nutrition +MCH -Non communicable disease GDP per capita US $ Health expenditure/gpd 2.5% Adult literacy rate 92% Mobile network coverage 90% Mobile phone subscription 69%

nutrition +MCH -Non communicable disease GDP per capita 4.

3 IT Readiness

4 HIS workforces 33 Provincial Health Offices 500x District Health Offices 9000x Primary health centers 1700x Hospitals Health Human Resources: 1,6 doctors per 10,000 population - 3,5 midwives per 10,000 population 2,4 nurses per 10,000 population Health Information Systems Workforces? IT workforce? Health record technician? Any health profession with HIS skills?

3,5 midwives per 10,000 population 2,4 nurses per 10,000 population Health Information

5 Health Information System Health Information Management training in Indonesia Undergraduate level 3 year diploma on medical records association Bachelor in public health (with or without major on HIS) Informatics/computer science other Graduate Level Graduate program on Public Health (3) Master program on HMIS Master program on Health Informatics Graduate program on Informatics (1) Master program on Biomedical Engineering other

Informatics/computer science other Graduate Level Graduate program on Public Health (3) Master program on

6 MPH program on Health Management Information Systems Graduate program of Public Health since 1990s MPH program on HMIS was started in 2005 Participants: Employment: mostly civil servants health offices (provincial/ district), hospital, primary health centers Background: Mostly public health Funding: mostly fellowship from their organization 100 alumni

civil servants health offices (provincial/ district), hospital, primary health centers

7 Courses public health (50%) Public health management & policy (20%) HMIS (30%) Health Informatics Design, development and evaluation of Health Information System Geographic Information System Database and datawarehouse Field internship in health organization Thesis

evaluation of Health Information System Geographic Information

8 Research topic

9 Geographical Distribution of alumni

10 Reflection: Still fragmented IS districs/national Failure case of IS development Is it enough? High turn over Tour of duty Promoted Back to barrack (clinical practice) structural I m not academia

11 Who are data manager in Yogyakarta province? Midwive Public Health Nurse Medical Record Medical Instrumentation Computer Science Others

12 30 Health informatics staffs at provincial health office PHI/IT # of staff 5 0

13 Health informatics staffs at district health office PHI/IT # of staff 0

14 HIS-related activities 100% 80% HIS Planning 60% 70 Data&Information Management Technical Support 40% % % HIS Programs Other Programs Hospital&Prim.Care

Management Technical Support 40% 30 80 20%

15 Informatics competencies for public health professionals (O Carroll, 2002)

16 Shortcourse on health informatics 3 months fellowship Blended learning E-learning Face to face Internship Open recruitment Collaborative training (University, MOH, development partner:giz) 2 batches

face Internship Open recruitment Collaborative

17 HIS project management 1. HIS strategic planning 2. HIS project management 3. HIS evalu+on System planning 8. Data analysis, presenta+on & dissemina+on 9. GIS 10. Medical record and Clinical informa+on systems Health Informa.on Management Evalua+on Health Informa.cs Shortcourse IS Implementa+on 7. Troubleshoo+ng and maintenance IS Selec+on/ Development 4. HIS infrastructure 5. Basic programming 6. Database and datawarehouse Use of IT

Medical record and Clinical informa+on systems Health Informa.on Management Evalua+on Health Informa.

18 Follow up Participants HIS community/forum in social media UGM: Sharing experiences Benchmark study Planning to implement web-based short course training Journal IS for public health Indonesia health informatics forum Working together with MOH Center of excellences of HIS

short course training Journal IS for public health Indonesia health

19 Annual event of Indonesia Health Informatics Forum Yogyakarta (2010), Jakarta (2011) and Semarang (planned 2013) Inspired by Global Health Information Forum, Bangkok site visit (primary health center, district health office, hospital) -workshop (OpenMRS, Healthmapper) -conference (200 participants) -supported by WHO, GIZ, WB, Telkom OpenMRS workshop

visit (primary health center, district health office, hospital) -workshop (OpenMRS,

Outbound student mobility to Indonesia and the New Colombo Plan: Lessons learnt from ACICIS Ms Elena Williams, MA ACICIS Resident Director

Outbound student mobility to Indonesia and the New Colombo Plan: Lessons learnt from ACICIS Ms Elena Williams, MA ACICIS Resident Director What is The Australian Consortium for In-Country Indonesian Studies