scholarly journals The Birth of I-Kelahiran – Sabah’s experience

2014 ◽  
Vol 6 (3) ◽  
Author(s):  
Dhesi Raja

Though over the years, Sabah has recorded an increase of childbirth with better healthcare indicators, improving maternal and childcare has always been a major challenge.  Therefore, with the aim of addressing the current issues of birthing discrepancy, delayed reporting of high risk pregnancy and maximum immunization coverage within the state of Sabah, “I-Kelahiran”: Inovasi Kelahiran: was developed in June 2012.   This computerised birthing system acts not only as an online storehouse of information, it also traces data and generates reports to reduce enormous duplication, save cost and time, as well as eliminating delays and confusion on management of health information.  The system also helps to overcome the issue of collecting data from rural health personnel, particularly with the extreme geographical terrain in Sabah.  This paper discusses how I-Kelahiran, a health information system was developed under the Sabah Health Department and shares its experiences in implementation.  The experience and feedback from this system will help to build a full-fledged system capable of handling childbirth data at the higher level in Borneo.

Author(s):  
D. S. Faujdar ◽  
Neha Dahiya ◽  
Har Ashish Jindal

Background: Despite of improvement of public health service, the reach of these services has remained low in urban slums due to various socio cultural and environmental factors.Methods: An information and communication technology (ICT) based community health information system was installed in a urban primary health centre catering to urban slum populations in North India. The system was used to track all the antenatal cases registered over a period of one and half years for antenatal services, risk factors and antenatal outcome. The system allowed for tracking of antenatal cases for antenatal care (ANC) visits, investigations, high risk factors, delivery and perinatal care. Real-time monitoring of antenatal cases was made possible through dynamic dashboard with indicators.Results: Among 614 women tracked for ANC and outcome, majority were below 30 years of age (78.3%), belonged to lower caste (85.7%) and many were illiterate (42.8%). Out of all antenatal cases 68% got registered in 1st trimester and only 47% completed 4 ANC visit. Majority delivered in government hospitals (95.4%) with 22.8% delivered through caesarean section. Illiteracy was found to have significant association with higher gravida (>2) (p<0.001). The high risk factors were present in 29.5% of antenatal cases and it was found to be significantly associated with increasing age (p=0.02) and preterm deliveries (p<0.001). Twin pregnancy was also found to be significantly associated with increasing age (p<0.001).Conclusions: An ICT based community health information system can be an effective tool for real-time monitoring of health services, identifying the gaps and tracking of antennal cases especially in difficult to reach slum population.


2018 ◽  
Vol 7 (2) ◽  
pp. 29
Author(s):  
Samad Hi Husen ◽  
Irma B Lewa

Abstract : Health information system is an information management at all levels of government systematically for service delivery to the public. Legislation that mentions the health information system is Kepmenkes No. 004/Menkes/SK/I/2003 on the policy and strategy of decentralization in health and Kepmenkes No. 932/Menkes/SK/VIII/2002 on the implementation of the instructions of health information reporting system development district / the city. It's just the two of contents Kepmenkes contains weaknesses which are both just looked at the health information system from the point of the field of health management, do not utilize state of the art technology and no information relating to the national information system. Information and communication technology are also not yet elaborated so that the data presented are not appropriate and not timely. Based on the background of the problem, it can be argued formulation of the problem "How Ability Health Workers In SIK in PHC Sulamadaha Management District of Ternate Island" viewed from the aspect of education and training, motivation, and work experience. General Purpose To determine the ability of health professionals in the management of health information in health centers Sulamadaha District of Ternate Island. Specific Objectives To determine the ability of health professionals in the management of health information in health centers Sulamadaha District of Ternate Island in terms of aspects of education and training, to determine the ability of health personnel in the management of health information in health centers Sulamadaha District of Ternate Island viewed from the aspect of motivation and to determine the ability of health personnel in the management of SIK The PHC Sulamadaha District of Ternate Island viewed from the aspect of work experience.


1995 ◽  
Vol 34 (03) ◽  
pp. 297-301 ◽  
Author(s):  
G. B. Woelk ◽  
I. M. Moyo

Abstract:The experience is reported with the health information system of the Health Department of Harare City, five years after its introduction. The system was evaluated in terms of the implementation procedure and improvements in the management process. It is concluded that careful management of the implementation process itself is a key to the successful realization of a health information system in developing countries. The statement that the quality of information produced during a computerization process is only as good as the original data fed into it, is emphasized.


2014 ◽  
Vol 61 (6) ◽  
pp. 1129-1131 ◽  
Author(s):  
Ami V. Desai ◽  
Marko Kavcic ◽  
Yuan-Shung Huang ◽  
Nicole Herbst ◽  
Brian T. Fisher ◽  
...  

2018 ◽  
Vol 8 (10) ◽  
Author(s):  
Keith Horvath ◽  
◽  
Patricia Sengstack ◽  
Frank Opelka ◽  
Andrea Borondy Kitts ◽  
...  

Cardiology ◽  
2021 ◽  
pp. 1-7
Author(s):  
Aziez Ahmed ◽  
Parthak Prodhan ◽  
Beverly J. Spray ◽  
Elijah H. Bolin

Introduction: Tachydysrhythmias (TDS) frequently occur after complete repair of tetralogy of Fallot (TOF). However, not much is known about the effect of TDS on morbidity and mortality after TOF repair. We sought to assess the associations between TDS and mortality and morbidity after repair of TOF using a multicentre database. Materials and Methods: We identified all children aged 0–5 years in the Pediatric Health Information System who underwent TOF repair between 2004 and 2015. Codes for TDS were used to identify cases. Outcome variables were inpatient mortality and total length of stay (LOS). Univariate and multiple logistic and linear regression analyses were used to identify the effects of multiple risk factors, including TDS, on mortality and LOS. Results: A total of 7,749 patients met inclusion criteria, of which 1,493 (19%) had codes for TDS. There was no association between TDS and inpatient mortality. However, TDS were associated with 1.1 days longer LOS and accounted for 2% of the variation observed in LOS. Conclusion: After complete repair of TOF, TDS were not associated with mortality and appeared to have only a modest effect on LOS.


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