In the ever-evolving landscape of healthcare, digital transformation has emerged as a crucial enabler to enhance efficiency, accuracy, and accessibility of medical data. Indonesia has taken a significant step forward by integrating the Hepatitis Information System (SIHEPI) with Puskesmas and hospital e-registries, facilitating seamless recording and reporting of health data at provincial level in Jakarta. This ground-breaking initiative, led by the Jakarta Provincial Health Office (PHO) in collaboration with the Digital Transformation Office (DTO) and direction from the Hepatitis Working Group, MoH, WHO along with the Clinton Health Access Initiative (CHAI), aims to improve the country’s health information system and strengthen the fight against hepatitis.
The Working Group Hepatitis team of MoH Indonesia; WHO, Jakarta PHO, Central Jakarta DHO and Cipto Mangunkusumo Hospital staff in process of integrating the system, pulling out the indicators required from SIHEPI to the hospital e-registry platform. (Credit: Jakarta PHO)
WHO and the MoH’s Hepatitis Working Group underscore the importance of a comprehensive and collaborative approach to enhancing the Hepatitis program by harmonizing health information systems from subnational to national level. WHO provided specialized knowledge and shared guidance and best practices to ensure the smooth integration of SIHEPI. This effort serves as a blueprint for advancing the health information system. As the integration progresses, this initiative will potentially be extended beyond Jakarta, inspiring similar initiatives nationwide. WHO’s technical assistance propels this effort forward, showcasing WHO commitment and dedication to building stronger, data-driven healthcare systems that benefit populations far and wide.
Wisnu, DTO’s staff and Jakarta PHO team discuss the flow of the integration from SIHEPI into e-Pus (Puskesmas Gambir E-Registry) to reduce workload and increase efficiency in recording and reporting (Credit: Jakarta PHO)
With the integration of SIHEPI and Puskesmas’ information systems, healthcare workers experienced a remarkable reduction in the time and effort required for data recording. This integration has proven beneficial, reducing the time from 30 to 10 minutes. Building upon this success, the initiative has scaled up to include 14 major hospitals and more than 300 Community Health Centers in DKI Jakarta, where the integration of SIHEPI with the Hospital Information System (SIMRS) has been endorsed by all stakeholders, promising to alleviate the burden of data recording and reporting.
This initiative was implemented successfully as a result of the high engagement and leadership from Jakarta PHO. Jakarta PHO extracted relevant indicators from health facilities’ information system and integrated them into SIHEPI, reducing data replication and redundancy. This unified system allows for automatic data synchronization and information exchange.
Dr. Dwi Oktavia, TLH, M. Epid, Head of Disease Prevention and Control for Jakarta PHO and the team discuss the integration of SIHEPI into Cipto Mangunkusomo’s SIM-RS (Credit: Jakarta PHO)
Moreover, SIHEPI offers an additional feature that benefits positive patients, which is the ‘alert icon’ to ensure adherence to the follow-up plan for the triple elimination program in pregnant women (HIV, syphilis and hepatitis B). This feature also reminds people with HIV-positive status to undergo hepatitis C testing. These additional features eventually led to improved overall health outcomes in the key targeted population.
This integration marks a momentous achievement in the nation’s health landscape by bridging the silos in recording and reporting systems. With this success, Jakarta has set an exemplary standard for other regions and program to replicate. This transformative initiative exemplifies the power of collaboration, digital innovation, and a shared commitment to building a healthier future for all residents of Jakarta.
While overseeing the SIHEPI and SIM-RS platform in Cipto Mangunkusomo hospital, dr. Dwi Oktavia TLH, M. Epid, Head of Disease Prevention and Control for Jakarta Provincial Health Office, commented that “In the era of digital transformation, integrated recording and reporting for infectious disease programs such as hepatitis, HIV, TB and sexually transmitted infections ( STIs) is a dream come true. The focus on integration is key, where technology and collaboration among health service providers unite, forming a solid barrier against infectious disease. With the spirit of togetherness, DKI Jakarta Province is committed to leading change towards a healthier and prosperous society.”
Furthermore, Dr. Lady MF Sirait, MSc., Program Manager of Hepatitis, Jakarta PHO, said “To enhance healthcare efficiency and streamline data management, SIHEPI integration with e-registry will save time and reduce workload.”
