Developing smart telehealth system in Indonesia: Progress and challenge

Indonesia is developing country with high population. There are more than 200 million residents living in the country. As a developing country, Indonesia has several health problems. First, Indonesia has a high value of mortality caused by heart and cardio vascular diseases. One of the major cause is the lack of medical checkup especially for heart monitoring. It is caused by limited number of medical instrumentation e.g. ECG in hospital and public health center. The supporting factor is the small number of cardiologist in Indonesia. There are 365 cardiologists across the country, which is a very small number compared to the 200 million of Indonesia population. Furthermore, they are not distributed evenly in all provinces, but only centered in Jakarta and other capital cities. Therefore, it is difficult for residents to get appropriate heart monitoring. Second, the mortality rate of mother and baby during delivery of the baby in Indonesia is also high. One way to solve this problem is to devise a system where the health clinics in rural areas can perform fetal biometry detection before consulting the results to the expert physicians from other areas. The proposed system will be equipped with algorithms for automatic fetal detection and biometry measurement. By the end of this development, we have several results, the first is a classifier to automatic heartbeat disease prediction with accuracy more than 95%, the second is compression method based on wavelet decompositon, and the third is detection and approximation a fetus in an ultrasound image with hit rate more than 93%.