Open Smart Register Platform or known as OpenSRP is an integrated electronic health information system to enhance maternal and neonatal health outcomes. This digital system is aimed to provide an integrated health platform to improve frontline workforce efficiencies, data quality, and timeliness of RMNCH interventions to enhance maternal and neonatal health outcomes.
SID has run the OpenSRP program through the THRIVE project since 2014. This program has successfully been implemented in five districts in Indonesia with more than 200 users and benefits more than 120.000 pregnant women, neonatal babies and children under five-year-old.
Know more out THRIVE Project here: https://sid-indonesia.org/thrive-indonesia/
In 2016, the World Health Organization (WHO) released recommendations for antenatal care for a positive pregnancy experience. In order to facilitate the implementation of these guidelines and leverage the expertise of front-line health workers, WHO is developing digital tools to support decision making during antenatal and intrapartum care named WHO ANC Module. The WHO ANC Module was developed to promote the latest WHO recommendations on antenatal care. WHO ANC Modules are in draft form and it is essential to identify and correct anomalies that these systems could produce. Therefore, user testing is conducted to gather feedback regarding the usability of the module in providing care and possible adaptation for country-level customization.
The WHO Antenatal Care (ANC) Module will consist of an algorithm guiding clinical ANC service provision (with content based on WHO’s guidelines), housed within the Open Smart Register Platform (OpenSRP) platform. It will allow health care providers to track individual patients (similarly to an electronic medical record), yet each patient’s information will form part of a larger register allowing for easy tracking of interventions and care, at a large scale. The tool presents an innovative opportunity to merge existing WHO Guidance for service provision with the compilation of necessary ANC related metrics. Data is crucial for service delivery, especially given the increase to eight ANC contacts. This tool will allow for collecting information at scale, with the possibility to tailor it to each country, by linking it to the parameters set using the ANC Recommendations Adaptation Toolkit. It will be customizable for content within the health system.
The user testing of the WHO ANC Module was conducted in North Lombok, Indonesia involving twelve Bidans (Bidan). The feedback was gathered through a short questionnaire after two ANC routines provided to at least 10 pregnant women with common complications for each Bidan, an in-depth interview and a focus group discussion (FGD).
Based on the feedback, the Bidans agreed that the module is a helpful tool to assist ANC contacts and would love to use this module in their daily activity. However, technical issues such as lag and crash highly discourage them to use the module. Moreover, the lack of language options also inhibits them to deliver the ANC service fully. In general, all question variables and response options are very comprehensive and the analysis provides good insights into the condition of each pregnant woman. The midwives are willing to switch to this system as it is easier to use compared to their current paper-based system. However, there are a few variables and response options that can be improved based on the local policy.
Positive cases of COVID-19 and mortality rates due to COVID-19 are increasing sharply and causing panic. The increase in positive cases reaches up to more than 100 people every day, along with the death rate that never settles or decreases. The panic that occurred in the community, can be reduced if we understand more about how to prevent it. Here are 5 easy keys to dealing with COVID-19.
It all starts with your hand. Hands that are always clean will keep us from viruses that want to enter the body. Always keep your hands clean, wash your hands often, especially after handling public objects that are held by people, such as door handles, chair disclaimers, ladder handles and etc.
The best way to prevent droplets or salivary fluid coming out from the mouth when sneezing or coughing is to cover our mouth with the elbow. Why? Because if we cover it with our bare hands, then the liquid sticks to an object, potentially transmitting the coronavirus, even though there are no symptoms.
The front part of our body is really important to maintain because it acts as a portal entry of the viruses into the body. Avoid touching our face such as eyes, nose, and mouth as much as possible, especially if you have not washed your hands or hands are not clean.
If maintaining personal hygiene has been done, the next step is to ensure the condition of others. We never know whether other people do the same thing to prevent themselves from COVID-19 or not. So keeping a minimum distance of 1 meter from other people when leaving the house or deciding to stay at home is the right step to avoid yourself from the possibility of contracting this new virus. Take advantage of technology and benefits which have been given by superiors or schools.
All the effort has been done, from hygiene and self and family habits. But the virus never chooses whom to infect. Recognize the symptoms in our body, such as feeling unwell, sore throat, and breathing difficulty. If you experience mild symptoms, immediately recover with frequent drinking water, consume healthy food along with supplements, and consult your health to an online doctor’s consultation platform. You will receive guidance from the doctor about what to do. If the symptoms are getting worse, accompanied by a history of other diseases, do not delay to immediately go to the COVID-19 referral hospital.
Always take care of your health. Make the World free from Corona!
Writer : Ardina Ulya
Editor : Irza Husmelinda, Iqmi Qaisah Ali, M. Billy Ryan Putra,
Translator: Mazidatun Maftukhah
On Friday, February 21st, 2020, the Summit Institute of Development (SID) team were represented by Inraini Syah, Irza Husmelinda, and Annisa Dwi Utami had a meeting with several stakeholders to discuss the Adaptive Network for Care at Scale (ANC) Program which is currently being initiated by SID. Attended by Pungkas Bahjuri Ali as Director of Public Health and Nutrition of BAPPENAS, Wisnu Trianggono as Director of Family Health, Ministry of Health, dr. Rina Agustina from Medical School of University of Indonesia, Minarto Noto Soedirdjo as Global Financing Facility (GFF) representative in Indonesia, Anuraj Shankar from Oxford University, and Paul Pronyk from UNICEF. This meeting took place at the Meeting room of the BAPPENAS office in Jakarta.
In discussing ANCS, this program received full support from BAPPENAS, the Indonesian Ministry of Health, GFF, FKUI, and UNICEF. The purpose of the ANCS program is to facilitate the midwives and health workers to do the documentation through integrating and digitalize pregnant women’s data in 20 districts in Indonesia, this program is in line with National Medium-Term Development Plan (RPJMN) which were released by BAPPENAS in January 2020.
With the full support from all the relevant stakeholders, hopefully, the implementation of the ANCS program will be successful in creating a digital and integrated data system for recording maternal health, and to increase health inclusion in Indonesia.