Page 90 - ITU Journal - ICT Discoveries - Volume 1, No. 2, December 2018 - Second special issue on Data for Good

ITU JOURNAL: ICT Discoveries, Vol. 1(2), December 2018

Jour- Barrier Cause of barrier
ney
leg
num-
ber

4 The need for sani- No notification system and
tation officers to updates when there is a
constantly check change in data.
Smart-STBM app
for change in data.

Fig. 5 – The journey of the dataset on stunting
Meanwhile, the production of stunting data
employs two different methods: sampling and The existence of two different methods for
direct measurement. The first is performed collecting stunting data causes several recurring
annually by Nutritional Status Monitoring (PSG) issues (see Table 3). As PSG annual enumeration is
enumerators and the provincial health department, conducted by the provincial health department
while the direct measurement is done during under the direct supervision of the Ministry of
monthly patient visits at Posyandus. Health, its result is what is normally used to
measure a certain area’s nutritional condition.
Data held by PSG enumerators, including stunting Based on the PSG data, the provincial health
data, is first distributed to both the provincial and department will then provide direct
municipal health departments (leg 1). After the recommendations to the municipal health
verification/’data contrasting’ process is done on department and Puskesmas. However, this has
their level, the data is sent back to the province sometimes proven to be problematic as the
(leg 3) before being compiled into a publication and sampling result many times contradicts the data
sent to the Health Ministry (leg 4). held by all Puskesmas (see barriers on journey
leg 2).
Meanwhile, data produced from direct measuring is
collected monthly from Posyandus (a monthly clinic Barriers on legs 2’ and 2 also show that confusion
for children and pregnant women) by Puskesmas happens in the municipal health department, which
nutrition officers (leg 1’). Here, the data gathered is is tasked to deal with the processing and managing
converted several times across both physical and of data from the two sources. That is, the PSG
electronic formats. The Puskesmas officer first logs recommendation from the province’s health
Posyandu reports to their cohort registry and department and the direct measurement report
transfers it to PosyanduQu, a spreadsheet from Puskesmas. Moreover, the importance of
application introduced by the Health Ministry. To nutritional data for national, provincial, and city
prepare the monthly report, the numbers level policies imposes a burden on Puskesmas
aggregated from the program are then moved to a officers, who are required to convert the data into
nutritional book and again translated into a three separate formats (see barrier in journey
spreadsheet form prepared by the municipal health leg 1’).
department. This information is then sent
physically to the municipal health department
(leg 2’) and processed to be used for citywide health
policymaking.

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