Mother and children health reporting system: Innovative information system application in the rural West Bandung Area, Indonesia, by using multimodal communications systems

Objectives: Digitalization of maternal and post-natal care system (DigiMAPS) is a system consist of electronic medical record for mother and children health (KIA) also for tele-consultation facility called “Tele-Obgyn”. Our project focuses on the development of KIA Online and a cloud computing-based video conferencing as a basis of Tele-Obgyn platform. The web-based network allows online access not only among primary health care but also between government and private institution. DigiMAPS platform is designed to meet the needs of database management and its interphase with other services that are responsible for data acquisition and visualization. Methods: DigiMAPS combines the open-source flexible system design that benefits for implementation and development needs as well as support for mobile devices to enable high quality of patient care. The system has been developed gradually following lean-innovation management concept which focuses on customer-problem-solution matching with rapid prototyping and validation from idea to solution. There was significant effort to establish a close relationship and learning process with prospective users of DigiMAPS, hence in the broader perspective we used a participatory research approach. DigiMAPS act as central-portal and -data base in the communication information system (ICT), designed to compile patient report paperless and equipped with tele-consultation. Results: DigiMAPS developed for a variety of administrative processes. This system will simplify the work process and can be integrated with primary health care system, Health Department and the Ministry of Health. A good ICT will be useful in collecting clinical information than conventional paper-based reporting system and to minimize errors in the reporting chain. Conclusions: By using lean innovation management, several inputs are gathered from prospective users including health authority, head of local clinics, midwifes, obgyn doctors, and public health staffs. Our system may bridging gap between clinical needs and digital documentation, telemedicine-monitoring and improve the quality of patient care, facilitate communication within both the scope of the internal (primary health care) and external (stakeholders and follow-up), increasing productivity and reduce overall expenses.