presented via Webinar to Masters of Science in Health Informatics students of the University of the Philippines - Manila, September 10th, 2013

1. SIMPUS JOJOK
AND
INDONESIA PUBLIC HEALTH
CENTERS
by Albert Pratama Prayogo

2. wait, who's this Albert btw?
graduated from Electrical Engineering Gadjah Mada
University (Information Technology minor) on 2002
working on various freelance website development projects,
with clients abroad
developed a series of simple HIS products and some custom
HIS for private clinics
coordinating SIMPUS development team, working closely
with Raharjo

3. (1) PUSKESMAS AND INDONESIA
HEALTH SYSTEM

4. (1) PUSKESMAS AND INDONESIA HEALTH SYSTEM
●
Puskesmas (PUSat KESehatan MASyarakat) =>
Public Health Center, goverment owned and
operated clinics
●
Big country: 9422 PHCs, in 33 provinces, in 497
regencies/cities, many islands

5. Puskesmas at a glance:
●
Gaps in computer skills of administration staffs
PHC A
PHC B
Fluent in using computers
and electronic gadgets:
smartphones,
blackberries, tablets
No one can use
computers
(1) PUSKESMAS AND INDONESIA HEALTH SYSTEM
ILLUSTRATION

6. Puskesmas at a glance:
●
Differences in report content and format
9 age groups 12 age groups
paper digital
landscape report form
portrait report form
(1) PUSKESMAS AND INDONESIA HEALTH SYSTEM

7. (2) PROBLEMS IN PUSKESMAS AND
REGIONAL HEALTH OFFICE

8. ●
Differences in data dictionary
(2) PROBLEMS IN PUSKESMAS AND REGIONAL HEALTH OFFICE

9. ●
Who handles the data?
Regional health office A:
planning section
Regional health office B:
health services section
Regional health office C:
administration staff
Regional health office D:
Pharmacy section for
pharmacy data,
Medical services section
for morbidity data,
Finance section for
patient fee data,
etc
(2) PROBLEMS IN PUSKESMAS AND REGIONAL HEALTH OFFICE

10. ●
Who is responsible for the information system?
Regency office of
electronic data?
Data/information system
section of regional health
office?
Voluntary PHC staff who
is knowledgeable on IT?
PHC IT
staff?
(2) PROBLEMS IN PUSKESMAS AND REGIONAL HEALTH OFFICE

11. ●
How if the head of regional health office were
replaced?
●
How important is data?
Which is more important for the head of health
office: valid data or just "good-looking" report?
(2) PROBLEMS IN PUSKESMAS AND REGIONAL HEALTH OFFICE

12. (3) SIMPUS

13. ●
SIMPUS: generic terminology
●
=> Sistem Informasi Manajemen PUSkesmas
●
=> PHC Management Information System
●
Many development teams (private companies,
regional health offices, MoH office)
●
Many version of SIMPUS, with their own
features
●
Product names can be different
(3) SIMPUS

14. (4) SIMPUS JOJOK

15. ●
Development started on 2001, originator: Raharjo
●
No unique name, SIMPUS "Jojok" is from the
users
●
Active users community: FB group, created not by
us, but by one of Puskesmas staff
(https://www.facebook.com/groups/simpus/)
●
Two main version: desktop based (single user),
web based (multi user) => for Puskesmas
●
Brand new version: SIMPUS GizKIA (Nutrition
and Mother-Baby Health) => for midwifes
(4) SIMPUS JOJOK

16. SIMPUS Jojok development goal:
●
To provide an easy-to-use information system, which has
hardware and human-resources requirement as minimum
as possible.
●
To help Puskesmas staffs to do data processing and report
delivery.
●
To help Regional Health Office to build a regional health
database system, using data from Puskesmas.
●
To encourage Regional Health Office to form an
information unit, who can support them to make good
health policy decisions by supplying good quality health
information.
So, it's not merely about developing and selling software.

17. ●
Our solutions:
–
minimum-hardware-requirement information
system
●
Desktop version can be run on PIII machine.
●
Web-based version can be run on PIV with
1GB RAM dedicated local network server
(to serve 3-4 clients), and can be accessed
from any connected machine as long as it
can run browser application.
(4) SIMPUS JOJOK

18. –
a simple interface
(4) SIMPUS JOJOK
one and only patient visit input form in desktop version

19. (4) SIMPUS JOJOK
Registration form of web-based version:
● Only some fields are mandatory
● Most of fields are auto-filled from
previous data/most selected options
So the registration staff only needs to fill
little number of fields.

20. Medical examination form of web-based version:
● Using auto-complete entry fields (code or description for
diagnoses, drugs, and procedures)
● Minimize mouse usage

21. –
simple application flow
registration
lab
pharmacy
room
examination
room

22. –
maximum benefit for PHC staffs (more than 20
reports, including map-based reports)
(4) SIMPUS JOJOK
number of visits by week report
number of diagnose by area
(colored map)

23. –
data connection between PHCs and
recency/city health office
(4) SIMPUS JOJOK
PHC
PHC
PHC
PHC
Regional Health Office
weekly/monthly data
for PHC with about 100
visits a day, monthly data
sent to RHO is only sized
about 100 kilobytes => can
be sent via GPRS or
transferred via USB flash,
no big capacity internet
needed

24. –
encourage regional health offices to form a
dedicated information system support units
(4) SIMPUS JOJOK
Sukoharjo (one regency in
Central Java) health office
formed one maintenance
team to support PHCs'
hardware maintenance.
Within working hour, they
accept phone calls from PHC
who has hardware problems.
Then they will pick up the
broken hardware to be
repaired.
Sukoharjo health office also
has similar support team for
software.

25. A little bit more information about SIMPUS
GizKIA:
●
To help midwifes to collect and manage valid
expectant mothers and babies data in her working
area.
●
To help Puskesmas manage maternal and child
health data.
●
To help Regional Health Office to provide
maternal and child health regional profile.
●
Indonesian midwifes can use SIMPUS GizKIA
for free.
(4) SIMPUS JOJOK

26. Changes we bring:
●
from no whatsoever medical record to digital
medical record
●
deliver reports from real data, not based on
approximations/projections
●
no after-office-hour work needed to write reports
●
calculate medical services fee to the medical
staffs
(4) SIMPUS JOJOK

27. Challenges we face:
●
Staff rotations
●
Low awareness on data backup and hardware
maintenance importance
●
Discourses to push PHCs to use uniform "formal"
version SIMPUS, instead of pushing the
discussion about health data standards
(4) SIMPUS JOJOK

28. (5) Some photos..

29. Semi formal SIMPUS JOJOK user training held at night, when the
electricity was available. At one Puskesmas in Kalimantan (Borneo).
Raharjo is the one with sarong.

30. SIMPUS JOJOK user training at Timika, Papua

31. Registration officer inputs patient data, using "highly secured"
PC.

32. Paper-based medical records are still maintained.

33. Thank you!