Designing and Evaluating an Effective Online Training Program for Health Information Systems Implementation in Indonesia

Untoro Dwi Raharjo

doi:10.47065/tin.v5i3.5506

Untoro Dwi Raharjo * Universitas Jenderal Achmad Yani Yogyakarta, Yogyakarta, Indonesia

(*) Corresponding Author

DOI: https://doi.org/10.47065/tin.v5i3.5506

Keywords: Online Training; Health Information System; Community of Inquiry; Zoonosis Information System

Abstract

Online training for health information system (HIS) introduction and capacity building offers a valuable solution for reaching remote healthcare providers. This approach provides cost-effectiveness and broad geographical reach. However, despite these advantages, online training presents several challenges, complicating its development. We aimed to design a precise online training program systematically which can be an alternative to reach remote healthcare providers. We also intend to give an important evaluation and possibility of online training in improving healthcare providers related to health information system. This paper shared insights from implementing online training for a zoonosis information system through an action research approach using a four-cycle process. We collaborated with stakeholders from various sectors, targeting healthcare providers at Primary Healthcare Centers (PHCs), zoonosis program coordinators from District and Provincial Health Offices across 10 regions in Indonesia, and national-level stakeholders. To ensure seamless online training, we used multiple platforms, including a Learning Management System, Wiki.js, Zoom Meetings, and an online discussion group. A hierarchical training model was developed, allowing national stakeholders to become trainers in future sessions. Despite the benefits in delivering new knowledge and experience in HIS, significant challenges included internet connectivity issues, affecting 60.00% of participants. The participants’ experience was a positive based on Community of Inquiry (CoI) evaluation framework. The evaluation showed that participants generally had a positive experience. Overall, online training proves to be an effective strategy for enhancing the information and technology skills of remote healthcare providers in HIS.

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References

J. Hemingway-Foday et al., “Improving Integrated Disease Surveillance and Response Capacity in Guinea, 2015-2018,” in Online Journal of Public Health Informatics, 2019. doi: 10.5210/ojphi.v11i1.9837.

N. Sarasnita, U. D. Raharjo, and Y. S. Rosyad, “Dampak pandemi covid-19 terhadap pelayanan kesehatan rumah sakit di Indonesia,” J. Kesehat., vol. 1, no. 1, pp. 307–315, 2021.

M. Ma et al., “The need for digital health education among next-generation health workers in China: a cross-sectional survey on digital health education.,” BMC Med. Educ., vol. 23, no. 1, p. 541, Jul. 2023, doi: 10.1186/s12909-023-04407-w.

F. Machleid et al., “Perceptions of Digital Health Education Among European Medical Students: Mixed Methods Survey.,” J. Med. Internet Res., vol. 22, no. 8, p. e19827, Aug. 2020, doi: 10.2196/19827.

P. P. George, O. Zhabenko, B. M. Kyaw, N. Zary, C. Lockwood, and J. Car, “Online Digital Education for Postregistration Training of Medical Doctors: Systematic Review by the Digital Health Education Collaboration,” J Med Intternet Res, vol. 21, no. 2, 2019.

P. A. Siribaddana, “Using online learning for Health Information Systems (HIS) training in developing countries: in search of ‘equity’ in health professional training,” J. Postgrad. Inst. Med., vol. 6, no. 1, p. 90, 2019, doi: 10.4038/jpgim.8226.

B. V. Uba et al., “Pilot implementation of a routine immunization module of the district health information system version 2 in Kano State, Nigeria,” Pan Afr. Med. J., vol. 40, no. 5, 2021.

R. Dehnavieh et al., “The District Health Information System (DHIS2): A Literature Review and Meta-Synthesis of its Strengths and Operational Challenges Based on The Experiences of 11 Countries,” Heal. Inf. Manag. J., vol. 48, no. 2, pp. 62–75, 2019.

D. W. Martin et al., “Implementing Nationwide Facility-based Electronic Disease Surveillance in Sierra Leone: Lessons Learned,” Heal. Secur., vol. 18, no. S1, pp. S72–S80, 2020, doi: 10.1089/hs.2019.0081.

E. M. Brennan, C. Sellmaier, P. Jivanjee, and L. Grover, “Is Online Training an Effective Workforce Development Strategy for Transition Service Providers? Results of a Comparative Study,” J. Emot. Behav. Disord., vol. 27, no. 4, pp. 235–245, 2019, doi: 10.1177/1063426618819438.

B. R. Williams et al., “‘Online Training Is Great but Human Interaction Is Better’: Training Preferences of VA Interdisciplinary Palliative Care Consult Teams,” Am. J. Hosp. Palliat. Med., vol. 37, no. 10, pp. 800–808, 2020.

U. D. Raharjo, R. A. Pratama, V. N. Sutriana, M. A. A. R, M. Keperawatan, and U. G. Mada, “Implementasi DHIS2 untuk Program Surveilans Kasus Gigitan Hewan Penyebab Rabies di Indonesia,” J. Inf. Syst. Public Heal., vol. 7, no. 1, pp. 11–24, 2022.

E. Ammenwerth, T. Gmbh, W. Hackl, T. Gmbh, M. Felderer, and C. Sauerwein, “Building A Community of Inquiry Within an Online-Based Health Informatics Building a Community of Inquiry Within an Online-Based Health Informatics Program: Instructional Design and Lessons Learned,” in German Medical Data Sciences: A Learning Healthcare System, 2018, pp. 196–200.

M. Kaul, M. Aksela, and X. Wu, “Dynamics of the community of inquiry (CoI) within a massive open online course (MOOC) for in-service teachers in environmental education,” Educ. Sci., vol. 8, no. 2, p. 40, 2018.

C. W. Parrish, S. K. Guffey, D. S. Williams, J. M. Estis, and D. Lewis, “Fostering Cognitive Presence, Social Presence and Teaching Presence with Integrated Online—Team-Based Learning,” TechTrends, vol. 65, pp. 473–484, 2021.

F. Sukums, D. Simba, C. Kumalija, S. Asiimwe, S. Pothepragada, and P. Githendu, “Avoiding pitfalls: Key insights and lessons learnt from customizing and rolling out a national web‐based system in Tanzania,” Electron. J. Inf. Syst. Dev. Ctries., vol. 87, no. 6, p. e12193, 2021.

S. Sahay, A. Rashidian, and H. V Doctor, “Challenges and opportunities of using DHIS2 to strengthen health information systems in the Eastern Mediterranean Region: A regional approach,” Electron. J. Inf. Syst. Dev. Ctries., vol. 86, no. 1, p. e12108, 2020.

F. Martin, T. Sun, and C. D. Westine, “A Systematic Review of Research on Online Teaching and Learning from 2009 to 2018,” Comput. Educ., vol. 159, no. September, p. 104009, 2020.

E. Reynolds et al., “Implementation of DHIS2 for Disease Surveillance in Guinea: 2015–2020,” Front. Public Heal., vol. 9, no. January, pp. 2015–2020, 2022, doi: 10.3389/fpubh.2021.761196.

S. Caskurlu, “Confirming The Subdimensions of Teaching, Social, and Cognitive Presences: A Construct Validity Study,” Internet High. Educ., vol. 39, no. May, pp. 1–12, 2018.

S. Stenbom, “A Systematic Review of The Community of Inquiry Survey,” Internet High. Educ., vol. 39, no. June, pp. 22–32, 2018.

D. R. Krathwohl, “A revision of Bloom’s Taxonomy: An overview,” Theory Pract., vol. 4, no. Autumn, 2002.

P. Armstrong, “Bloom’s taxonomy,” Vanderbilt Univ. Cent. Teach., 2016.

J. Braa and S. Sahay, Integrated Health Information Archetecture Power to the Users: Design, Development and Use. New Delhi: Matrix Publishers, 2012.

L. F. Castro, “Social Presence in an Online Professional Conference,” TechTrends, vol. 63, no. 4, pp. 408–419, 2019.

B. Nwankwo and M. N. Sambo, “Can training of health care workers improve data management practice in health management information systems: A case study of primary health care facilities in Kaduna State, Nigeria,” Pan Afr. Med. J., vol. 30, pp. 1–8, 2018, doi: 10.11604/pamj.2018.30.289.15802.

L. M. Castro Benavides, J. A. Tamayo Arias, M. D. Arango Serna, J. W. Branch Bedoya, and D. Burgos, “Digital Transformation in Higher Education Institutions: A Systematic Literature Review,” Sensors (Basel)., vol. 20, no. 11, pp. 1–22, 2020, doi: 10.3390/s20113291.

A. Bygholm, “Staff training on the use of health information systems: what do we know?,” in MIE, 2018, pp. 191–195.

A. Dahal, “Analysis of Capacity Levels around Health Information Use District Level Case Study from Nepal,” 2019, [Online]. Available: https://www.duo.uio.no/handle/10852/73229

MEASURE Evaluation, “Capacity Building Interventions in Health Information Systems: Action for Stronger Health Systems,” 2018, [Online]. Available: https://www.measureevaluation.org/resources/publications/tr-18-256.html

J. A. M. Khobi, J. S. Mtebe, and J. T. Mbelwa, “Factors influencing District Health Information System usage in Sierra Leone: A study using the Technology-Organization-Environment Framework,” Electron. J. Inf. Syst. Dev. Ctries., vol. 86, no. 6, pp. 1–15, 2020, doi: 10.1002/isd2.12140.

J. Karuri, P. Waiganjo, and D. Orwa, “Perceived Impact of Devolved Health Services on Implementation of DHIS2 in Kenya: A Qualitative Study,” in 2018 IST-Africa Week Conference (IST-Africa), IEEE, 2018, p. Page-1.

R. O. Kuyo, L. Muiruri, and S. Njuguna, “Organizational Factors Influencing the Adoption of the District Health Information System 2 in Uasin Gishu Sub County Hospitals, Kenya Kuyo,” Int. J. Med. Heal. Sci., vol. 7, no. 10, pp. 48–75, 2018, [Online]. Available: https://www.indianjournals.com/ijor.aspx?target=ijor:ijmrhs&volume=7&issue=10&article=004

A. Manya, S. Sahay, J. Braa, and B. Shisia, “Understanding the effects of decentralization on health information systems in developing countries: A case of devolution in Kenya,” in 2018 IST-Africa Week Conference, IST-Africa 2018, 2018, pp. 1–11.

K. Regmi and L. Jones, “A Systematic Review of The Factors – Enablers and Barriers – Affecting E-Learning in Health Sciences Education,” BMC Med. Educ., vol. 20, no. 91, pp. 1–18, 2020.

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