Barriers in Health Information Systems and Technologies to Support Maternal and Neonatal Referrals at Primary Health Centers
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Objectives: This study explored health workers’ perceptions and experiences regarding the maternal and neonatal referralsystem, focusing on barriers of health information systems and technologies (IS/IT) at primary health centers (PHCs) inSouth Tangerang, Indonesia. Methods: This qualitative study was conducted using semi-structured interviews, which wereconducted at the South Tangerang District Health Office and three PHCs. Interviews were conducted with nine participantsresponsible for maternal and neonatal referrals in their organizations. The data were analyzed using qualitative contentanalysis. Results: In South Tangerang, the Primary Health Care Information System (SIMPUS) is used to register patientsand record data on medical treatment. To facilitate referrals, the PHCs currently use the Integrated Referral Information System(SISRUTE), P-Care, and the Integrated Emergency Management System (SPGDT). The following four IS/IT barriers tosupport maternal and neonatal referrals were found: technology, human resources, organizational support, and the referralprocess and implementation. Conclusions: The barriers in technology, human resources, and organizational support causeproblems in the maternal and neonatal referral process and in the implementation of referrals. Barriers to referrals can influencepatients’ ability to receive appropriate care in a timely fashion and lead to inefficiency in maternal and neonatal referrals. This study contributes knowledge about IS/IT implementation in maternal and neonatal referral systems and providesrecommendations to health regulators and application developers for the implementation of IS/IT in Indonesia.
Abstract
Objectives: This study explored health workers’ perceptions and experiences regarding the maternal and neonatal referralsystem, focusing on barriers of health information systems and technologies (IS/IT) at primary health centers (PHCs) inSouth Tangerang, Indonesia. Methods: This qualitative study was conducted using semi-structured interviews, which wereconducted at the South Tangerang District Health Office and three PHCs. Interviews were conducted with nine participantsresponsible for maternal and neonatal referrals in their organizations. The data were analyzed using qualitative contentanalysis. Results: In South Tangerang, the Primary Health Care Information System (SIMPUS) is used to register patientsand record data on medical treatment. To facilitate referrals, the PHCs currently use the Integrated Referral Information System(SISRUTE), P-Care, and the Integrated Emergency Management System (SPGDT). The following four IS/IT barriers tosupport maternal and neonatal referrals were found: technology, human resources, organizational support, and the referralprocess and implementation. Conclusions: The barriers in technology, human resources, and organizational support causeproblems in the maternal and neonatal referral process and in the implementation of referrals. Barriers to referrals can influencepatients’ ability to receive appropriate care in a timely fashion and lead to inefficiency in maternal and neonatal referrals. This study contributes knowledge about IS/IT implementation in maternal and neonatal referral systems and providesrecommendations to health regulators and application developers for the implementation of IS/IT in Indonesia.
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