Background Dengue is an emerging vector disease with frequent outbreaks in Nepal that pose a major threat to public health. Dengue control activities are mostly outbreak driven, and still lack systematic interventions while most people have poor health-related knowledge and practices. Mobile Short Message Service (SMS) represents a low-cost health promotion intervention that can enhance the dengue prevention knowledge and practices of the affected communities. This study aimed to explore the acceptability, appropriateness, and effectiveness of mobile SMS intervention in improving dengue control practices. Methods This study was an implementation research that used mixed-methods design with intervention. A total of 300 households were divided into three groups, i.e. one control group, one dengue prevention leaflet (DPL) only intervention group and one DPL with mobile SMS intervention group (DPL + SMS). We used a structured questionnaire to collect information regarding participants’ knowledge and practice of dengue prevention. We conducted in-depth interviews with key informants to measure acceptability and appropriateness of intervention. Mean difference with standard deviation (SD), one-way ANOVA, paired t-test and regression analyses were used to assess the effectiveness of the interventions. Thematic analysis was used to assess the acceptability, and appropriateness as well as barriers and enablers of the intervention. Results The DPL + SMS intervention produced significantly higher mean knowledge difference (32.7 ± 13.7 SD vs. 13.3 ± 8.8 SD) and mean practice difference (27.9 ± 11.4 SD vs 4.9 ± 5.4 SD) compared to the DPL only group (p = 0.000). Multivariate analysis showed that the DPL + SMS intervention was effective to increase knowledge by 28.6 points and practice by 28.1 points compared to the control group. The intervention was perceived as acceptable and appropriate by the study participants and key stakeholders. Perceived barriers included reaching private network users and poor network in geographically remote areas, while enabling factors included mobile phone penetration, low cost, and shared responsibility. Conclusions Mobile SMS is an effective, acceptable and appropriate health intervention to improve dengue prevention practices in communities. This intervention can be adopted as a promising tool for health education against dengue and other diseases.

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: Introduction : Maternal and child health (MCH) is a global priority as health care innovation continues to evolve, including the use of information and communication technology. Studies showed that interoperable information systems can improve the quality of health services and at the same time facilitate the integration of data for the purpose of monitoring and evaluating the performance of health services, especially MCH. Aims : This study aims to identify various maternal and child health information systems used in Indonesia and opportunity of interoperability between systems to support continuum of care services. Methodology: Qualitative descriptive research was conducted in Yogyakarta Province from November to December 2020. This study assessed MCH applications that have been used in public and private primary health care, hospitals, health offices and in the community by identifying their functions and mapped data elements used by each application to assess potential interoperability between systems. The online focus group discussions with various application providers was conducted to explore the challenges of interoperability between digital systems. Results and Discussion : There were 18 maternal and child health information systems have been developed by the government (central and local), health facilities and private sector. The initiation of interoperability between systems has not yet occurred, except to support regular reporting at the health office and Ministry of Health level. Interoperability between information systems required efforts to improve information technology facilities and infrastructure, development of health data standards, strengthening governance and regulation and utilization of data as an effort to monitor, evaluation and continuity of interoperability between systems to support the digitalization of services and routine reporting. Conclusions and Recommendations : Digitalization of MCH services in Indonesia has the opportunity to support the continuum of care through an interoperable system. However, several enabler factors need to be prepared to support interoperability between information systems.

West Papua is the second biggest province in eastern part of Indonesia. Availability and accessibility of health care services are among the priority problems in this province. Telemedicine Indonesia (TEMENIN), a telemedicine pilot project from the Ministry of Health, has been implemented in 4 health care facilities in West Papua since 2018. This paper aims to evaluate the implementation and challenges of TEMENIN in respected health facilities in West Papua province. We applied a descriptive study using qualitative and quantitative approaches. Focus group discussion and interviews with participants emphasized the high demands of well running telemedicine. However, several difficulties and challenges have contributed to the low utilization of the TEMENIN during the pilot project. Those include unstable Internet connection, limited ease of use and lack of suitable features that meet local health problems. Several recommendations are suggested to increase the utilization and improve the pilot project in the coming years.

Utilization of health services is increasing in the era of National Health Insurance (JKN) through referral service. Unfortunately, lack of information of health facilities resources, leading to sub optimal referral services and emergency care. On the other hand, information and communication technology can facilitate referral services through the provision of information of health facilities resource in an area. This research aimed to design an integrated information system to support a referral service and emergency care in DI Yogyakarta province. A qualitative research was conducted in order to analyze the need of information of health facilitiy resources, designing integrated information system and to provide information of health facilities resources electronically. Most of the health facilities, both primary care and hospitals already have an electronic information system. Integrated information system was developed to integrate data of health facilities resource from various existing systems thorugh the web service technology.Keywords: integrated information system, health facility resources, referral services, web service AbstrakDi era Jaminan Kesehatan Nasional (JKN), utilisasi pelayanan kesehatan semakin tinggi melalui pelayanan rujukan berjenjang. Sayangnya ketersediaan informasi sumber daya fasilitas kesehatan menyebabkan pelayanan rujukan dan kegawat-daruratan kurang optimal. Disisi lain, teknologi informasi dan komunikasi dapat memfasilitasi pelayanan rujukan melalui penyediaan informasi sumber daya fasilitas kesehatan di suatu wilayah. Penelitian ini bertujuan untuk merancang sistem informasi terintegrasi untuk mendukung pelayanan rujukan dan kegawat-daruratan medis di DI Yogyakarta. Penelitian dilakukan secara kualitatif untuk menganalisa kebutuhan informasi sumber daya fasilitas kesehatan, merancang integrasi antar sistem informasi secara elektronik, serta penyediaan layanan informasi sumber daya fasilitas kesehatan bagi pengguna. Sebagian besar fasilitas kesehatan, baik layanan primer maupun rumah sakit sudah memiliki sistem informasi elektronik. Sistem informasi terintegrasi dikembangkan untuk mengumpulkan data sumber daya fasilitas kesehatan, dengan mengintegrasikan berbagai macam sistem yang digunakan melalui teknologi web service.Kata kunci: sistem informasi terintegrasi, sumber daya fasiltias kesehatan, pelayanan rujukan, web service