This paper discusses the process of implementing a district dashboard as the means for integrating health information systems (HIS) in Indonesia. The project involved two processes: a bottom-up one with iterative design and implementation process and a top-down one involving data policies. Using moments of translation, we discuss the complex processes of aligning actors' interests necessary for the implementation of HIS in developing countries. The paper contributes to the existing discussions of HIS integration and information sharing in developing countries by providing a better understanding of translation processes and thereby of ways to handle fragmented HISs.

COVID-19started outbreaks in Indonesia from March 2020, with a large spread rate making not only Indonesia, but all exposed countries in the world find the difficulties to deal with it. The advance of technology has been used to overcome the COVID-19 cases. The Ministry of Health supported by Health Information System Programme (HISP) Indonesia adopted the DHIS2 platform in the development of a contact tracing application called SILACAK. In this study, we will discuss the development of the SILACAK application which is used as a COVID-19contact tracing application in Indonesia. The method in this study is a qualitative method with an action research approach. The use of SILACAK starts from the primary healthcare level by utilizing health workers and collaboration with volunteers and The Indonesian National Military and The Indonesia National Police. The use of SILACAK was used in stages and in July 2020 it was used by 34 provinces. Currently SILACAK is used as a tool for tracking and monitoring close contact, in which close contact tracing (at least 80%) and the ratio of close contact to confirmation cases are used as a national reference (1:15).  However, for some regions there are those that cannot exceed this provision because tacthe number of close contacts does not exceed the specified limit. So that, another assessment was also carried out to see the performance of contact tracing, which consisted of: close contacts who conducted entry and exit tests, close contacts who were monitored and completed the monitoring.Keyword: SILACAK, DHIS2, COVID-19, contact tracing applicationAbstrakCOVID-19 memasuki Indonesia di bulan Maret 2020, dengan laju penyebaran yang besar membuat tidak hanya Indonesia tapi seluruh negara yang terpapar di dunia merasa kesulitan dalam menghadapinya. Kecanggihan teknologi dimanfaatkan untuk menanggulangi COVID-19. Kementerian Kesehatan didukung oleh Health Information System Programme (HISP) Indonesia mengadopsi platform DHIS2 dalam pengembangan aplikasi Pelacakan Kasus Kontak COVID-19 yang disebut SILACAK. Dalam penelitian ini akan membahas perkembangan aplikasi SILACAK yang digunakan sebagai aplikasi pelacakan kontak COVID-19 di Indonesia. Metode dalam penelitian ini dengan metode kualitatif dengan pendekatan action research. Pemanfaatan SILACAK dimulai dari level puskesmas dengan memanfaatkan tenaga Kesehatan dan berkolaborasi dengan relawan serta TNI dan POLRI. Penggunaan SILACAK digunakan secara bertahap dan di bulan Juli 2020 dimanfaatkan oleh 34 provinsi.  Saat ini SILACAK dijadikan sebagai alat untuk pelacakan dan pemantauan kontak erat, yang mana pelacakan kontak erat (minimal 80%) dan rasio kontak erat dengan kasus konfirmasi yang dijadikan sebagai acuan Nasional (1:15). Namun beberapa daerah belum bisa memenuhi angka tersebut di karena kan angka dari jumlah kontak eratnya tidak memenuhi sampai angka tersebut. Sehingga dalam menilai suatu kinerja dari keberhasilan pelacakan kontak suatu daerah juga dapat mempertimbangkan dari kontak erat yang dilakukan entry tes dan exit tes, kontak erat yang dilakukan pemantauan dan menyelesaikan pemantauannya.Kata Kunci: SILACAK, DHIS2, COVID-19, aplikasi pelacakan kontak

Telemedicine is the use of medical information exchanged from one site to another through electronic communication to improve the clinical health status of patients. Telemedicine can be one of the solution options to overcome the limitations of health workers. This study aims to describe the benefits of implementing Telemedicine in archipelagic countries. This type of research is a Systematic Literature Review with literature sourced from Elsevier, Garuda, IEEE Xplore, NCBI, PubMed, ProQuest, ResearchGate, Science Direct, and Springer. Literature selection using PRISMA, obtained 257 scientific articles consisting of duplicate data 15, did not enter the topic 73, did not meet the inclusion & exclusion criteria 154, did not meet the minimum standard of SRQR 4 and only 10 were used. The results of the analysis obtained are 5 of the 19 archipelagic countries that are related, namely Cape Verde, the Philippines, Indonesia, Papua New Guinea, and Sao Tome & Principe. Furthermore, improving access to care in the form of eliminating trips that are burdensome for patients, making it easier for patients to access health services through patient devices. The nearest Telemedicine satellite device. Then the timeliness in treatment is to facilitate the diagnosis of patients and patient health care. Then the increase in patient satisfaction and involvement of patient satisfaction and patient involvement. Meanwhile, the increase in demand and cost-effectiveness is obtained in the form of efficient services, increasing patient expectations. The benefits of implementing Telemedicine are mostly in Cape Verde and the least in Papua New Guinea. Keywords: telemedicine, telemedicine application, archipelago country AbstrakTelemedicine sebagai penggunaan informasi medis yang dipertukarkan dari satu situs ke situs lain melalui komunikasi elektronik untuk meningkatkan status kesehatan klinis pasien. Telemedicine bisa menjadi salah satu opsi solusi mengatasi keterbatasan tenaga kesehatan. Penelitian ini bertujuan mendeskripsikan manfaat penerapan Telemedicine di negara kepulauan. Jenis penelitian Sytematic Literature Review dengan literatur bersumber dari Elsevier, Garuda, IEEE Xplore, NCBI, PubMed, ProQuest, ResearchGate, Science Direct, dan Springer. Seleksi literatur menggunakan PRISMA, diperoleh 257 artikel ilmiah terdiri dari duplikasi data 15, tidak masuk topik 73, tidak masuk kriteria inklusi & eksklusi 154, tidak masuk standar minimal SRQR 4 dan hanya 10 yang digunakan. Hasil analisis yang diperoleh ada 5 dari 19 negara kepulauan yang terkait yakni Cape Verde, Filipina, Indonesia, Papua New Guinea, dan Sao Tome & Principe.Selanjutnya pada peningkatan akses perawatan berupa menghilangkan perjalanan yang memberatkan pasien, memudahkan pasien mengakses layanan kesehatan melalui perangkat pasien/perangkat satelit Telemedicine terdekat. Lalu ketepatan waktu dalam perawatan yakni memudahkan penegakan diagnosis pasien dan perawatan kesehatan pasien. Kemudian peningkatan kepuasan dan keterlibatan pasien adanya kepuasan pasien dan keterlibatan pasien. Sedangkan pada peningkatan permintaan dan hemat biaya diperoleh berupa layanan yang efisien, meningkatnya ekspektasi pasien. Adapun manfaat penerapan Telemedicine paling banyak di negara Cape Verde dan paling sedikit di Papua New Guinea.Kata Kunci: telemedicine, penerapan telemedicine, negara kepulauan

No abstract