Abstract
Sistem informasi gizi (Sigizi) dikembangkan oleh Direktorat Bina Gizi Kementerian Kesehatan sejak 2011. Data Sigizi mencakup data penimbangan balita di posyandu, kasus gizi buruk, cakupan pemberian tablet Fe pada ibu hamil, konsumsi garam beryodium, pemberian vitamin A, dan ASI eksklusif. Penelitian ini bertujuan untuk mengukur kinerja pengelolaan Sigizi di Dinas Kesehatan Kota Tangerang Selatan menggunakan kerangka Health Metrics Network yang dikeluarkan oleh WHO tahun 2008. Sigizi merupakan sistem informasi yang diaplikasikan pada tingkat nasional dengan mekanisme pelaporan berjenjang, dari 508 kabupaten/kota menuju 34 provinsi dan bermuara di tingkat nasional. Di Provinsi Banten, terdapat delapan kabupaten/kota yang menjalankan Sigizi. Informan penelitian berjumlah enam orang, yaitu seksi gizi, seksi sumber daya kesehatan dan sistem informasi kesehatan, dua tenaga pelaksana gizi, dan dua kader posyandu. Pengumpulan data dilakukan Januari – April 2013 menggunakan pedoman wawancara, observasi, dan telaah dokumen. Analisis interpretasi digunakan dalam menganalisis data. Hasil penelitian menunjukan belum ada kebijakan serta pelatihan mengenai pengawasan gizi. Kegiatan pemantauan telah dilakukan. Sarana dinilai cukup, namun terdapat kekurangan dalam upaya perawatannya. Terdapat enam indikator dalam pembinaan gizi yang mengacu pada MDGs. Terdapat pengelompokan dan kamus data. Pelaporan data dilakukan setiap bulan. Grafik dan peta digunakan untuk menyajikan data. Data yang tersedia digunakan untuk pemonitoran dan pengambilan keputusan dalam kegiatan pembinaan gizi, baik di tingkat posyandu, puskesmas maupun dinkes. Secara umum, pelaksanaan Sigizi di Dinas Kesehatan Kota Tangerang Selatan telah memadai. Nutrition Information System (NIS) developed by Heath Ministry’s Nutritional Development Directorate since 2011 covers data of toddler assessment in integrated health care, malnutrition case, coverages of Fe tablet among pregnant mothers, iodized salt consumption, vitamin A distribution and exclusive breastfeeding. This study aimed to assess NIS performance in South Tangerang City Health Agency using WHO’s Health Metrics Network 2008 framework. NIS is national level information system with gradual reporting mechanism starting from 508 districts/cities to 34 provinces ended at national level. Eight districts/cities over Banten Province have conducted NIS. This study had six informants namely nutrition section, health resources and health information system section, two nutrition duties and two integrated health care workers. Data was collected on January - April 2013 using interview, observation and document analysis guidelines. Data analysis used interpretation analysis. The result showed no any policy and training implemented regarding nutrition surveillance. Monitoring activity was already conducted. Facilities were adequate, but the maintenance was deficient. There are six nutritional development indicators according to MDGs. Data grouping and dictionaries were available. Data reporting was conducted every month. Graphics and maps were used for presenting data. The data served was used for monitoring and making a decision on nutritional development programs at integrated health care, primary health care and health agency levels. Generally, NIS implementation in South Tangerang City. Health agency was already adequate.
References
1. Brownson RC, Chrique JF. Understanding evidence-based public health policy. American Journal of Public Health. 2009; 99: 1576.
2. Kementerian Kesehatan Republik Indonesia. Riset kesehatan dasar tahun 2013. Jakarta: Kementerian Kesehatan Indonesia; 2014.
3. World Health Organization. Framework and standards for country health information systems. Switzerland: WHO Library Cataloguing-inPublication Data. 2nd ed. June 2008 [cited 2015 Jan 13]. Available from: http://www.who.int/healthmetrics/documents/hmn_framework200803.pdf
4. World Health Organization. Assessing the national health information system: an assessment tool version 4.00. Geneva: WHO Library Cataloguing-in-Publication Data; 2008.
5. Ministry of Public Health Afghanistan. Afghanistan health information system: review and assessment. Health Information System Assessment: Country Report. 2007 June [Cited 2015 Jan 20]. Available from: http://www.paris21.org/sites/default/files/afghan-HMNassessment2007.pdf
6. Ministry of Health of the Republic of Azerbaijan. Assessment of national health information system in Azerbaijan [report]. 2008 November [Cited 2015 Jan 20]. Available from: http://who.int/healthmetrics/library/countries/HMN_AZE_Assess_Final_2008_11_en.pdf
7. Numan WL. Social research methods: qualitative and quantitative approaches. Seventh Edition. United Kingdom: Pearson Education Limited; 2014.
8. Ammenwertha E, Gräber S, Herrmannc G, Bürkle T, König J. Evaluation of health information systems—problems and challenges. International Journal of Medical Informatics. 2003; 71: 125-35.
9. Lewis D, Hodge N, Gamage D, Whittaker M. Understanding the role of technology in health information systems. Health information systems school of population health University of Queensland working paper series [serial on the internet]. 2011 Jun [cited 2015 Jan 20]; 17 (6): [about 15p]. Available from: http://www.uq.edu.au/hishub/docs/ WP17/HISHUB-WP17-02-WEB-6Nov2012.pdf
10. Lum On M, Bennet V, Whittaker M. Issues and challenges for health information systems in the pacific. Health information systems school of population health University of Queensland working paper series [serial on the internet]. 2009 Nov [cited 2015 Jan 20]; 7 (11): [about 8 p]. Available from: http://www.uq.edu.au/hishub/docs/WP07/WP07 _Full_Web-final_6-Nov-12.pdf
11. Braa J, Hanseth O, Heywood A, Mohammed W, Shaw V. Developing health information systems in developing countries: the flexible standards strategy. MIS Quarterly [serial on the Internet]. 2007 Aug [cited 2015 Jan 13]; 31 (8): [about 19 p]. Available from: http://misq.org/catarticles/developing-health-information-systems-in-developing-countries-the-flexible-standards-strategy.html
12. World Health Organization Regional Office for the Western Pacific. Developing health management information systems: a practical guide for developing countries. Philipines: WHO Library Catalouging in Publication Data. 2004 [cited 2015 Jan 20]. Available from: http://whqlibdoc.who.int/publications/2004/9290611650.pdf
13. Kementerian Kesehatan Republik Indonesia. Kebijakan dan strategi pengembangan sistem informasi kesehatan nasional. Jakarta: Kementerian Kesehatan Republik Indonesia; 2002.
14. Kimaro HC, Nhampossa JL. The challenges of sustainability of health information systems in developing countries: comparative case studies of Mozambique and Tanzania. Journal of Health Informatics in Developing Countries [serial on internet]. 2007; 1(1): 1-10. Available from: http://www.jhidc.org/index.php/jhidc/article/view/3.
15. Raeisi AR, Saghaeiannejad S, Karimi S, Ehteshami A, Kasaei M. District health information system assessment: a case study in Iran. Acta Informatica Medica. 2013; 21(1): 30-5.
16. Tadesse K, Gebeyoh E, Tadesse G. Assessment of ealth management information system implementation in Ayder Referral Hospital, Mekelle, Ethiopia. International Journal of Intelligent Information Systems. 2014; 3 (4): 34-9.
17. Herbst K, Littlejohns P, Rawlinson J, Collinson M, Wyatt JC. Evaluating computerized health information systems: hardware, software and human ware: experiences from the Northern Province, South Africa. Journal of Public Health Medicine. 1999; 21 (3): 305-10.
18. Aung E, Whittaker M. Building health systems capacity: an introductory training course on health information systems. Pacific Health Dialog. 2012 Apr; 18 (1): 91-102.
19. Tata S. Sistem informasi manajemen. Yogyakarta: Andi; 2005.
20. Susetyoaji E. Sistem Informasi Kesehatan Daerah (SIKDA) Kabupaten Purworejo. Buletin Jendela Data dan Informasi Kesehatan. 2011; 3 (3): 9.
21. World Health Organization Regional Office for South-East Asia. 10 Point regional strategy for strengthening health information systems. New Delhi: Department of Health Systems Development Evidence and Health Information (EHI) 2006 [cited 2015 Jan 13]. Available from: http://www.searo.who.int/entity/health_situation_trends/documents/10-Point_Regional_Strategy_for_HIS_SEA-HS-226.pdf
22. Smith M, Madon S, Anifalaje A, Malecela ML, Michael E. Integrated health information systems in tanzania: experience and challenges. The Electronic Journal on Information Systems in Developing Countries. 2008; 33 (1): 1-21.
23. Rodrigues RJ. Information systems: the key to evidence-based halth practice.Bulletin World Health Organization. 2000; 78 (11): 1344-51.
24. Johari. Pengembangan dan aplikasi sistem informasi Usaha Kesehatan Sekolah (UKS) di Kabupaten Purwakarta. Kesmas: Jurnal Kesehatan Masyarakat Nasional. 2008; 2 (4): 229.
Recommended Citation
Nurmansyah MI , Rosidati C , Wardani RK ,
et al.
Assessment of Nutrition Information System Using Health Metrics Network Framework.
Kesmas.
2015;
10(1):
1-9
DOI: 10.21109/kesmas.v10i1.814
Available at:
https://scholarhub.ui.ac.id/kesmas/vol10/iss1/1
Included in
Biostatistics Commons, Environmental Public Health Commons, Epidemiology Commons, Health Policy Commons, Health Services Research Commons, Nutrition Commons, Occupational Health and Industrial Hygiene Commons, Public Health Education and Promotion Commons, Women's Health Commons