case of district health information system development in Wonosobo District, Indonesia using PHP MySQL

2. Indonesia

3. 230 million populations 33 provinces 440 districts (new districts coming) 1.246 hospitals (50% private, 32% districts) 7.540 primary health centers

6. District Health Management Information Systems: Wonosobo District case

7. Central Java Province consist of 35 Districts with approximately 30 million of population Wonosobo District

9. Each PHC serves 20.000 – 40.000 populations Led by a doctor or public health officer Funded by the government for operational activities Varies altitudes (from 50 to 2000 m above sea level) Open daily for health services and community outreach

14. Wide area network architecture DHO hospital subdivision PHC LAN (intranet) LAN (intranet) Wide Area Network (WAN) WAN WAN WAN PHC LAN (intranet)

15. District Health Office Primary Health Centers

23. Computer utilization before the program (n=36) Computer utilization others File printing File copying Entertainment Creating map Creating graphic Game Preparing report Preparing letter

25. Patient registration at PHC

26. Electronic-based patient registration -near real time -change from family patient index to individual patient index -improve double registration -daily registration range 10 – 80 patients -specific module for: -community outreach program -maternal and child health register

27. Patient Registration search from other PHC database individual identifiers from other district

28. Services: -general outpatient -maternal and child health

29. Diagnosis entry

30. procedures selection

31. Recorded diagnosis alteration

32. Patient's database

33. Monthly routine reporting form required by the District Health Office -Incidence & prevalence of each disease -Grouped by new and old cases -Grouped by aged

35. Automatic reporting

37. Simple map of morbidity

38. Integrated application in the district health office (DHO)

42. Thank you