Clinical Decision Support System (CDSS) based on Integrated Childhood Illness Management (ICIM) at Primary Health Care Center

Abstract

The neonatal period is an important period in life. Infant Mortality Rate (IMR) is the number of infant deaths in the first 28 days of life (neonatal) per 1000 live births (PERMENKES No 53, 2014). IMR in Indonesia is still high compared to other ASEAN countries, based on data in 2016 showed that IMR reached 25.5, its mean that there were around 25.5 deaths per 1,000 babies born (BPS, 2016). Poor neonatal management clinically would cause abnormalities, and could  even  lead  to  lifelong  disability,  and  death,  while  administratively  could  cause  legal problems.  Neonatal  management  required  complete  clinical  data  support,  relevance,  accurate and timeliness aspects. This research was a mixed method research with action research approach and prototype  method in the development of Clinical Decision Support System (CDSS). This study produced CDSS based on Integrated Childhood Illness Management (IMCI) algorithm for neonatal service  management in primary  health care center. The results of testing system  that used  black-box  technique  was  accordance  with  the  requirements  and  obtained  a  valid  overall result.  DSS  IMCI  could  be  integrated  with  Electronic  Health  Record  (EHR)  so  appropriate clinical decision making could be done.