The government of Indonesia and the Japan International Cooperation Agency launched a three-year project (2008–2011) to strengthen the surveillance of human avian influenza cases through a comprehensive surveillance system of local-priority communicable diseases in South Sulawesi Province. Based on findings from preliminary and baseline surveys, the project developed a technical protocol for surveillance and response activities in local settings, consistent with national guidelines. District surveillance officers (DSOs) and rapid-response-team members underwent training to improve surveillance and response skills. A network-based early warning and response system for weekly reports and a short message service (SMS) gateway for outbreak reports, both encompassing more than 20 probable outbreak diseases, were introduced to support existing paper-based systems. Two further strategies were implemented to optimize project outputs: a simulation exercise and a DSO-centered model. As a result, the timeliness of weekly reports improved from 33% in 2009 to 82% in 2011. In 2011, 65 outbreaks were reported using the SMS, with 64 subsequent paper-based reports. All suspected human avian influenza outbreaks up to September 2011 were reported in the stipulated format. A crosscutting approach using human avian influenza as the core disease for coordinating surveillance activities improved the overall surveillance system for communicable diseases.

Objectives: The purpose of this study was to develop a model of acceptance of the Mother and Child Health Information System in the Ngawi Regency Health Office, Indonesia based on the technology acceptance model, by integrating organizational support and personal characteristics as external variables and enjoyment as an intervening variable. Methods: The design of this study was cross-sectional. The subjects of this study were 217 village midwives who had operated the Maternal and Child Health Information System in the Ngawi Regency Health Office, Indonesia. The variables studied were perceived organizational support, personal characteristics, perceived ease of use, perceived usefulness, perceived enjoyment, behavioral intention, and actual system use. Data were collected through questionnaires, and then analyzed using structural equation modeling. Results: In terms of the total effect, the most meaningful factor affecting actual system use was perceived organizational support (0.766), followed in descending order by behavioral intention to use (0.344), perceived enjoyment (0.238), personal characteristics (0.118), perceived usefulness (0.054), and perceived ease of use (0.048). Conclusions In the acceptance model of the Mother and Child Health Information System in Ngawi Regency, perceived organizational support was the main determinant of actual system use, while enjoyment was the main intermediate determinant of the indirect effects of perceived organizational support and personal characteristics on actual system use.

Objectives: The purpose of this study was to develop a model of acceptance of the Mother and Child Health Information System in the Ngawi Regency Health Office, Indonesia based on the technology acceptance model, by integrating organizational support and personal characteristics as external variables and enjoyment as an intervening variable. Methods: The design of this study was cross-sectional. The subjects of this study were 217 village midwives who had operated the Maternal and Child Health Information System in the Ngawi Regency Health Office, Indonesia. The variables studied were perceived organizational support, personal characteristics, perceived ease of use, perceived usefulness, perceived enjoyment, behavioral intention, and actual system use. Data were collected through questionnaires, and then analyzed using structural equation modeling. Results: In terms of the total effect, the most meaningful factor affecting actual system use was perceived organizational support (0.766), followed in descending order by behavioral intention to use (0.344), perceived enjoyment (0.238), personal characteristics (0.118), perceived usefulness (0.054), and perceived ease of use (0.048). Conclusions In the acceptance model of the Mother and Child Health Information System in Ngawi Regency, perceived organizational support was the main determinant of actual system use, while enjoyment was the main intermediate determinant of the indirect effects of perceived organizational support and personal characteristics on actual system use.