E-healthcare in Indonesia aims to improve universal health coverage through use of information and communication technologies. The government intends to build a better health system, but currently disease reporting yields incomplete data due to decentralization. Efforts have been made to establish a national e-health policy and health information system, but adoption of information technology remains limited. Connectivity between primary health facilities, hospitals, and health offices is expanding through use of short messaging services and internet connections. Overall, e-healthcare in Indonesia works to enhance health services delivery and information access through emerging technologies.

1. E-HealthCare in Indonesia
PREPARED BY : RIRI KUSUMARANI / 20155636

2. Healthy Citizens are the greatest
Asset any Country can Have
– Winston Churchill -

3. Definition
• E-Health is the use of information and communication technologies (ICT) for health (WHO) .
• e-health is …. health services and information delivered or enhanced through the Internet
and related technologies (Eysenbach, 2001).
Summarized from Eysenbach,2001
Eysenbach explained several issues
related with E-Health.
This diagram is my effort to summarize
issues related with E-Health in general
and categorized them into two parts :
The green one shows opportunities ,
while the red one shows challenges.

4. Universal health coverage : Ensure all Citizens have access to needed promotion, preventive, curative
and rehabilitative health services, of sufficient quality to be effective, while also ensuring that people do
not suffer financial hardship when paying for these services.
Government’s Intention on a Better Health System
Statistics on Health Sector
3.1%
$293/capita
69
73
65
70
75
Life Expectancy
Male Female
3378 (inpatient)
6353 (outpatient)
6
(per 10.000)
1.3
(per 10.000)
8.2
(per 10.000)
E-learning in health sciences at
tertiary level
ICT Education for students &
professional groups
All data is taken from Indonesia’s Statistic Agency and Indonesia’s Ministry of Health, 2015

5. Worldbank stated the urgency for Indonesia to build its Health Information System. As they mentioned in their
report :
The current disease reporting systems yield incomplete and incompatible health data, a situation
which has worsened under decentralization to the point where epidemiological surveillance of infectious
diseases has been curtailed throughout the country. As a result, less is known about health outcomes
today than before 2001(Worldbank.org).
Despite of many effort to build an automated health system, the adoption and use of information technology is
still limited and not well coordinated. This includes the limited growth in the use of electronic medical records
(WHO,2017)

6. Source : Worldbank, 2016
The picture on the left summarizes the
organization of Indonesia’s health system and
reflects the relationships among the major actors.
In the context of E-Health System, Ministry of
ICT is cooperating with Ministry of Health to
establish the system.
Indonesia already published National eHealth
policy back in 2007 .Earlier in 2002, Ministry of
Health mandated the development of national
health information system (SIKNAS).

7. The National Health Information System (SIKNAS)
MoH decree No. 511/Menkes/SK/V/2002 mandated the development of the national health information system
(SIKNAS) which will be incorporated with District/ municipial health information system (SIKDA).
SIKNASServices
Financing
Workforce
Drugs &
Devices
Community
Empowerment
Health
Management
Subsystem of SIKNAS , Source : WHO,2017
The proposed NHIS will consist of 6 subsystems as
picturized by the picture on the left side.

8. Health Network Connectivity
Puskesmas are now starting to be equipped with Internet connections that are directly linked with the MoH
database on a real time basis.
The plan is to link all 497 District Health Office and 33 Province Health Office with each of the different
directorates at the MoH.
Primary health care facilities and hospitals will be linked to both the local health offices and the MoH.
The SIKDA Generic system is now being implemented in a pilot programme in 138 underserved and remote
districts (WHO,2017).
Early Warning Alert and Response System (EWARS)
The Directorate General of Communicable Disease Control and Environmental Health initiated early warning
alert and response system (EWARS) reporting in 2007, using short messaging services (SMS) technology
between the field personnel (midwife/paramedics at auxiliary puskemas) to puskesmas and then onto the
surveillance personnel at the DHO (Directorate of Health Services, 2011).
Status of ICT in Health Sector

9. References
Eysenbach, Gunther. "What is e-health?." Journal of medical Internet research 3.2 (2001).
Indonesia’s Statistic Agency ,2015
Indonesia’s Ministry of Health, 2015
ITU,2015
World Health Organizations, 2015
World Health Organizations, 2015
Worldbank, 2015