Implementation of an information system for tuberculosis in healthcare facilities in Indonesia: evaluation of its effectiveness and challenges
Abstract Background Tuberculosis (TB) surveillance in Indonesia is currently supported by the recording and reporting technology Tuberculosis Information System (Sistem Informasi Tuberkulosis [SITB]). SITB is used by all health workers responsible for TB programs in health facilities or hospitals th...
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| Language: | English |
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BMC
2025-01-01
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| Series: | Archives of Public Health |
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| Online Access: | https://doi.org/10.1186/s13690-025-01507-5 |
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| author | Rita Dian Pratiwi Bachti Alisjahbana Yanri Wijayanti Subronto Sigit Priyanta Suharna Suharna |
| author_facet | Rita Dian Pratiwi Bachti Alisjahbana Yanri Wijayanti Subronto Sigit Priyanta Suharna Suharna |
| author_sort | Rita Dian Pratiwi |
| collection | DOAJ |
| description | Abstract Background Tuberculosis (TB) surveillance in Indonesia is currently supported by the recording and reporting technology Tuberculosis Information System (Sistem Informasi Tuberkulosis [SITB]). SITB is used by all health workers responsible for TB programs in health facilities or hospitals throughout Indonesia. The satisfaction and ease of use of SITB affect the speed and accuracy of TB case reporting. Therefore, evaluating the information system’s quality is crucial. SITB utilization is comprehensively assessed using the End-User Computing Satisfaction (EUCS) method, which considers the dimensions of content, accuracy, timeliness, and ease of use. Furthermore, the effectiveness of the user interface using heuristic evaluation methods is critical. The primary objective of this study is to conduct a comprehensive evaluation of the System for Information on Tuberculosis (SITB) focusing on its usability and user satisfaction. Methods This study employed a multi-method design approach. First, a heuristic evaluation was conducted by three expert user experience designers. Second, a cross-sectional survey of 115 SITB users was carried out across all health facilities in the Special Region of Yogyakarta, Indonesia, for reporting TB cases, using the EUCS method. Finally, in-depth interviews were conducted in 10 health facilities, focusing on identifying specific attributes that needed improvement to enhance user satisfaction. Results The evaluation indicated that user convenience and timeliness require improvement, as well as the match between the system and the real world and error prevention, as shown in the heuristic evaluation of the SITB user interface. These findings were confirmed through interviews that identified the need for user manuals, server repairs, and information and SITB forms that are suitable for TB management in the field. The overarching assessment of the SITB reveals persistent challenges in data entry, attributed to the functionality of the application, thereby potentially impacting user satisfaction. Conclusions SITB application requires “major” improvements to make recording, reporting, and tracing activities more efficient and precise. Moreover, the integration of existing information systems in healthcare facilities is essential to support the tuberculosis surveillance reporting system in Indonesia. |
| format | Article |
| id | doaj-art-e393cc180386496b85a9ce96a45e948f |
| institution | Kabale University |
| issn | 2049-3258 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Archives of Public Health |
| spelling | doaj-art-e393cc180386496b85a9ce96a45e948f2025-01-26T12:16:22ZengBMCArchives of Public Health2049-32582025-01-0183111810.1186/s13690-025-01507-5Implementation of an information system for tuberculosis in healthcare facilities in Indonesia: evaluation of its effectiveness and challengesRita Dian Pratiwi0Bachti Alisjahbana1Yanri Wijayanti Subronto2Sigit Priyanta3Suharna Suharna4Doctor in Medical and Health Education, Faculty of Medicine, Nursing, and Public Health, Universitas Gadjah MadaDepartment of Internal Medicine, Faculty of Medicine, Universitas PadjadjaranDoctor in Medical and Health Education, Faculty of Medicine, Nursing, and Public Health, Universitas Gadjah MadaDepartment of Computer Science and Electronics, Universitas Gadjah MadaField of Control and Disease Prevention, Provincial Health Office of Yogyakarta Special RegionAbstract Background Tuberculosis (TB) surveillance in Indonesia is currently supported by the recording and reporting technology Tuberculosis Information System (Sistem Informasi Tuberkulosis [SITB]). SITB is used by all health workers responsible for TB programs in health facilities or hospitals throughout Indonesia. The satisfaction and ease of use of SITB affect the speed and accuracy of TB case reporting. Therefore, evaluating the information system’s quality is crucial. SITB utilization is comprehensively assessed using the End-User Computing Satisfaction (EUCS) method, which considers the dimensions of content, accuracy, timeliness, and ease of use. Furthermore, the effectiveness of the user interface using heuristic evaluation methods is critical. The primary objective of this study is to conduct a comprehensive evaluation of the System for Information on Tuberculosis (SITB) focusing on its usability and user satisfaction. Methods This study employed a multi-method design approach. First, a heuristic evaluation was conducted by three expert user experience designers. Second, a cross-sectional survey of 115 SITB users was carried out across all health facilities in the Special Region of Yogyakarta, Indonesia, for reporting TB cases, using the EUCS method. Finally, in-depth interviews were conducted in 10 health facilities, focusing on identifying specific attributes that needed improvement to enhance user satisfaction. Results The evaluation indicated that user convenience and timeliness require improvement, as well as the match between the system and the real world and error prevention, as shown in the heuristic evaluation of the SITB user interface. These findings were confirmed through interviews that identified the need for user manuals, server repairs, and information and SITB forms that are suitable for TB management in the field. The overarching assessment of the SITB reveals persistent challenges in data entry, attributed to the functionality of the application, thereby potentially impacting user satisfaction. Conclusions SITB application requires “major” improvements to make recording, reporting, and tracing activities more efficient and precise. Moreover, the integration of existing information systems in healthcare facilities is essential to support the tuberculosis surveillance reporting system in Indonesia.https://doi.org/10.1186/s13690-025-01507-5HeuristicEUCSSITB |
| spellingShingle | Rita Dian Pratiwi Bachti Alisjahbana Yanri Wijayanti Subronto Sigit Priyanta Suharna Suharna Implementation of an information system for tuberculosis in healthcare facilities in Indonesia: evaluation of its effectiveness and challenges Archives of Public Health Heuristic EUCS SITB |
| title | Implementation of an information system for tuberculosis in healthcare facilities in Indonesia: evaluation of its effectiveness and challenges |
| title_full | Implementation of an information system for tuberculosis in healthcare facilities in Indonesia: evaluation of its effectiveness and challenges |
| title_fullStr | Implementation of an information system for tuberculosis in healthcare facilities in Indonesia: evaluation of its effectiveness and challenges |
| title_full_unstemmed | Implementation of an information system for tuberculosis in healthcare facilities in Indonesia: evaluation of its effectiveness and challenges |
| title_short | Implementation of an information system for tuberculosis in healthcare facilities in Indonesia: evaluation of its effectiveness and challenges |
| title_sort | implementation of an information system for tuberculosis in healthcare facilities in indonesia evaluation of its effectiveness and challenges |
| topic | Heuristic EUCS SITB |
| url | https://doi.org/10.1186/s13690-025-01507-5 |
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