Digital Implementation for Healthy City : Case Study in Makassar City, Indonesia
Amanda Pomeroy Stevens1, Raz Mohammad Wali2, Sonha Dinh 2, Ahmad Isa 2, Muh. Afdhal2, Andi Shahriah Alam2, Ayub Kusumaningrum2, Taufiq Sitompul3, Muhammad Amri Akbar4, Syefira Salsabila5, Sri Neswati Risamin6
1Building Healthy Cities Project, JSI Research & Training Institute, Inc., Arlington, VA, USA.
2Building Healthy Cities Project, International Organization for Migration, Makassar, Indonesia.
3University of Oslo, Norway
4City Planning and Development Agency (Bappeda), Makassar City, Indonesia
5University of Haluoleo, Kendari, Indonesia
6Health Department, Makassar City Indonesia
Background:
Makassar as an urban city has given their focus to implement the Healthy City Project that would serve the better environmental, social and economic determinants of health, and put the health issues into urban agendas. Healthy city can be formed in various ways, one of them by realizing smart city that fully use the advance of Information Technology (IT) that covers all multisectoral data needs. However, the Data is partially available in all city departments in Makassar yet they are still underutilized due to disparate collecting and storing practices. By promoting integrated data and analyzing multisectoral cross tabulation variables, this can capture real and comprehensive health conditions across the city and facilitates improved outcomes through data-driven decision making effectively target and distribute resources. The USAID funded project, Building Healthy Cities (BHC) is supporting the city in its data integration goals, and as part of this has chosen District Health Information Software (DHIS2) as an open-source platform and tool to integrate the multisectoral data.
Aim: This research describes the process Makassar and BHC used to develop a multi-sector set of indicators and integration processes via DHIS-2 to integrate city data. The purpose of this work was to improve data driven decision making.
Result: Healthy city program is a multisectoral program with around 174 indicators, categorized into 7 main concerns include: healthy settlements, facilities and infrastructure; healthy traffic facilities, and transportation; healthy industry and office; healthy tourism; healthy societies; food security and nutrition; healthy social life. To integrate into DHIS-2, the BHC first developed operational definition for 174 indicators, then developed metadata based on those indicators. Multiple trainings will be also implemented for departments on how to entry data through those metadata as well use the data for decision making. Collaborating with health department, the BHC is also supporting metadata development for 6 indicators of health standard including health service for children at elementary school, health service for productive age, health service for elderly, hypertension, diabetes, and mental health. It is being developed by using DHIS2 platform to integrate and visualize all multisectoral data in order to support healthy city.
BHC is also facilitating data use agreements between sectors as a way to overcome issues of data privacy concerns previously identified by BHC research. A memorandum of Action (MoA) between related stakeholders was signed to encourage commitment of stakeholders to share their data and ensure the sustainability of these process. This will increase the quality, accessibility, and timeliness of data for decision making and encourage cross sector collaboration.