The Birth of I-Kelahiran – Sabah’s experience

Though over the years, Sabah has recorded an increase of childbirth with better healthcare indicators, improving maternal and childcare has always been a major challenge. Therefore, with the aim of addressing the current issues of birthing discrepancy, delayed reporting of high risk pregnancy and maximum immunization coverage within the state of Sabah, “I-Kelahiran”: Inovasi Kelahiran: was developed in June 2012. This computerised birthing system acts not only as an online storehouse of information, it also traces data and generates reports to reduce enormous duplication, save cost and time, as well as eliminating delays and confusion on management of health information. The system also helps to overcome the issue of collecting data from rural health personnel, particularly with the extreme geographical terrain in Sabah. This paper discusses how I-Kelahiran, a health information system was developed under the Sabah Health Department and shares its experiences in implementation. The experience and feedback from this system will help to build a full-fledged system capable of handling childbirth data at the higher level in Borneo

Evaluation of I-Kelahiran, A Health Informatics System in Sabah State Health Department – A Structural Equation Modeling

I-Kelahiran (Inovasi-Kelahiran) is a health informatics system that manages birth and immunisation data, developed and implemented in Sabah to address birth discrepancy, delayed reporting of high-risk pregnancy, and immunization coverage. This study aimed to evaluate the conceptual framework and the factors that determine the information system success of I-Kelahiran among the nurses in the Sabah State Health Department. It was a cross-sectional web-based study, conducted in 21 hospitals and 292 health clinics. A total of 1.200 nurses participated, with a mean age of 31.96 years (SD=7.761) and the majority of them were community nurses. About 93.8% of them had good computer literacy. Individual Impact (p=0.011) and Organizational Impact (p=0.0019) were seen to have significant association towards the nurse's place of work, and computer literacy had a significant association towards organizational impact (p=0.046). A structural equation modeling indicated that only perceived ease of use & importance of system are good predictors in outcome evaluation of I-Kelahiran while Individual Impact & Effectiveness are good domains to measure the overall outcome of I-Kelahiran (Chi-Square/df=2.850, Comparative Fit Index [CFI]= 0.991, Tucker-Lewis Index [TLI]= 0.989, Root Mean Square Error Of Approximation [RMSEA]= 0.939). Future study is needed to study the complex external factors that lead to this information success model in Malaysi

Perception of end users on "I-Kelahiran", In Sabah state Health Department

I-Kelahiran (InovasiKelahiran) is a health informatics system for managing birth data. It was developed and implemented in June 2012 in Sabah to intervene birthing discrepancy, delayed reporting of high risk pregnancy and immunization coverage. Since its implementation, there has not been any formal evaluation on the utilisation of the system, particularly among the nurses who are the end user of this system. Although the end-users have been encouraged or even mandated to use the systems it is still important to know their opinion or perception of the system. This study aims to assess the perception and acceptance ofi-Kelahiran among the J nurses in Sabah Health Department. It was a cross-sectional web-based study, conducted on February 2013 among nurses actively working with i-Kelahiran in 21 hospitals and 292 health clinics. A 12~items questionnaire based on "perceived usefulness" and "perceived ease-of-use", adapted from technology acceptance model (TAM) was used for data collection. Data was analysed using SPSS version 21. A total of 800 nurses participated in this study, with a mean age of 33.62 years (SD=8.060) and majority of them are community and staff nurses. About 63% of them are from primary health clinics and only 6.3% do not have any experience with computer. Mean score for both perceived usefulness 6.11 (SD=1.058) and perceived ease of use 6.14 (SD=0.952) were found to be high. Significant associations were found between perceived usefulness (p=O.OOI) and perceived ease of use (p=0.008) towards place of work. Significant higher score in perceived ease of use (p=0.033) and perceived userulness (p=0.047) were found among nurses who have degree and higher qualification than those who have diploma. Though the 'study indicates that overall perceived usefulness and perceived ease of use were high, future study is needed to understand why higher qualification and place of work play an important role in determining technology acceptance behavior

Perception of End Users on I-Kelahiran in Sabah, Malaysia

I-Kelahiran (Inovasi-Kelahiran) is a health informatics system that manages birth data developed and implemented in Sabah to intervene birthing discrepancy, delayed reporting of high risk pregnancy and immunization coverage. Since its implementation, there has not been any formal evaluation on the acceptance of the system. This study aims to assess the perception and acceptance of i-Kelahiran among the nurses in Sabah Health Department. It was a cross-sectional web-based study, conducted on February 2013 among nurses actively working with i-Kelahiran in 21 hospitals and 292 health clinics. A 12-items questionnaire based on “perceived usefulness" and “perceived ease-of-use", adapted from technology acceptance model (TAM) was used for data collection. Data was analyzed using SPSS version 21. A total of 800 nurses participated in this study, with a mean age of 33.62 years (SD=8.060) and majority of them are community and staff nurses. About 63% of them are from primary health clinics and only 6.3% do not have any experience with computer. Mean score for both perceived usefulness 6.11 (SD=1.058) and perceived ease of use 6.14 (SD=0.952) were found to be high. Significant associations were found between perceived usefulness (p=0.001) and perceived ease of use (p=0.008) towards place of work. Significant higher score in perceived ease of use (p=0.033) and perceived usefulness (p=0.047) were found among nurses who have qualification at degree level or higher than those who have diploma. Though the study indicates that overall perceived usefulness and perceived ease of use were high, future study is needed to assess the effectiveness of this system as a whole using other study models