Bridging the Digital Divide: A Hybrid Community-Based Health Information System for Rural Empowerment

Authors

  • Umay Diana Universitas Negeri Malang
  • Annisa' Luthfiah Ali Universitas Negeri Malang
  • Selvy Dwi Anggraeni Universitas Negeri Malang
  • Rizka Syawalena Wahyu Putri Universitas Negeri Malang
  • Mika Vernicia Humairo Universitas Negeri Malang

DOI:

https://doi.org/10.62255/noval.v3i1.186

Abstract


A 6-month simulation of a community-based health information system in a rural area involving 500 participants (health workers, volunteers, community) demonstrated the potential for improved access to health services through technology collaboration and local participation. Active participation reached 80%, with a 20% decrease in infectious disease cases and a 35% increase in pregnant women's participation in ANC programs. The hybrid system (SMS gateway and web application) effectively overcame infrastructure limitations, although 30% of areas still experienced network constraints. Technology resistance in the elderly (15%) and interface complexity (30%) highlighted the need for inclusive design. participant feedback (85%) positive) emphasized the importance of educational and emergency features. This simulation confirmed that the success of CBHIS depends on multisectoral partnerships, continuous training, and policy adaptation. The study recommends integration of the system with government programs and long-term evaluation to ensure sustainability. The findings contribute to the literature on digital health innovations in remote areas, in line with WHO recommendations (2021) and studies on technological inclusion (Brown & Lee, 2021).

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Keywords:

community health system, digital health application, early disease detection, technology adoption challenges, scalability of health models

References

AARP. (2020). Bridging the digital divide for older adults: Designing inclusive technology. AARP Public Policy Institute. https://doi.org/10.26419/ppi.00105.001.

Brown, A., Davis, R., & Thompson, M. (2020). Healthcare professionals' perceptions of digital health tools: Challenges and opportunities. Journal of Medical Systems, 44(5), 1-12. https://doi.org/10.1007/s10916-0.

Brown, A., & Lee, K. (2021). Digital health adoption in rural settings: Challenges and opportunities. Journal of Rural Health Technology, 15(2), 123-135. https://doi.org/10.1016/j.jrht.2021.03.002.

Brown, A., & Lee, K. (2021). Inclusive design for community-based health information systems: Addressing barriers for vulnerable populations. Journal of Health Informatics in Developing Countries, 15(3), 1-18. https://doi.org/10.1016/j.jhidc.2021.100234.

Chambers, R. (2020). Participatory approaches in health systems: Building community ownership and sustainability. Social Science & Medicine, 250, 1-12. https://doi.org/10.1016/j.socscimed.2020.112836.

Chen, L., & Lee, K. (2019). Motivational factors influencing volunteer participation in community health programs. Social Science & Medicine, 228, 123-131. https://doi.org/10.1016/j.socscimed.2019.03.012.

Garcia, P., Martinez, J., & Rodriguez, S. (2022). Digital literacy barriers among elderly populations: Implications for health equity. Digital Health, 8, 1-10. https://doi.org/10.1177/20552076221089123.

GSMA. (2021). Mobile health solutions for rural connectivity challenges: Insights from global case studies. GSMA Mobile for Development Report. https://www.gsma.com/mobilefordevelopment/wp-content/uploads/2021/03/MHealth-Report-2021.pdf.

Indonesian Ministry of Health. (2022). Digital transformation strategy in the health sector: Strengthening primary healthcare through technology. Ministry of Health Republic of Indonesia. https://www.kemkes.go.id/digital-strategy-2022.

Johnson, T., Williams, R., & Anderson, M. (2019). Mobile health (mHealth) interventions in rural healthcare: Opportunities and challenges. International Journal of Medical Informatics, 125, 78-89. https://doi.org/10.1016/j.ijmedinf.2019.02.005.

Ko K.Y.H., et.al. (2023). Real-Time Remote Patient Monitoring and Alarming System for Noncommunicable Lifestyle Diseases. HindawiI Journal of Telemedicine and Applications. https://doi.org/10.1155/2023/9965226.

Marmot, M., & Allen, J. (2014). Social determinants of health equity. American Journal of Public Health, 104(Suppl 4), S517-S519. https://doi.org/10.2105/AJPH.2014.302200.

Martinez, R., & Silva, A. (2023). The role of local leaders in shaping community health initiatives: A case study approach. International Journal of Public Health, 68, 1-15. https://doi.org/10.3389/ijph.2023.100123.

Mechael, P., Batavia, H., Kaonga, N., Searle, S., & Goldberg, A. (2010). The role of mHealth in improving health outcomes in developing countries. Journal of Health Communication, 15(Suppl 1), 1-17. https://doi.org/10.1080/10810730.2010.522686.

Mohammed I.K. et.al. (2019). Real-Time Remote-Health Monitoring Systems: a Review on Patients Prioritisation for Multiple-Chronic Diseases, Taxonomy Analysis, Concerns and Solution Procedure. Journal of Medical Systems 43: 223h. https://doi.org/10.1007/s10916-019-1362-x.

Patel, N., & Kumar, S. (2021). Addressing the digital divide in healthcare: Strategies for equitable access. Journal of Global Health Technology, 7(4), 45-62. https://doi.org/10.1016/j.jght.2021.08.003.

Procter, R., Wherton, J., Sugarhood, P., & Greenhalgh, T. (2021). Technology integration in healthcare: Challenges and opportunities. Journal of Medical Internet Research, 23(5), e23456. https://doi.org/10.2196/23456.

Rifkin, S. B. (2014). Examining the role of community participation in health programs. Health Policy and Planning, 29(Suppl 1), i1-i5. https://doi.org/10.1093/heapol/czu007.

Smith, J., & Johnson, T. (2021). Commercial interests in digital health innovation: Balancing profit and public good. Health Policy and Technology, 10(3), 100-112. https://doi.org/10.1016/j.hlpt.2021.05.002.

Smith, J., Taylor, L., & Roberts, P. (2020). Barriers to digital health adoption in low-resource settings: A systematic review. Global Health Action, 13(1), 1-14. https://doi.org/10.1080/16549716.2020.1824567.

Taylor, S., & Roberts, L. (2020). Researcher bias in health program evaluations: A systematic review. Evaluation and Program Planning, 80, 101-115. https://doi.org/10.1016/j.evalprogplan.2020.101812.

UNDP. (2019). Strengthening multi-stakeholder collaboration for sustainable health programs. United Nations Development Programme. https://www.undp.org/publications/multi-stakeholder-health-collaboration.

Wang, X., & Zhang, Y. (2021). Local government priorities in healthcare funding: A political economy perspective. Health Economics Review, 11(1), 1-14. https://doi.org/10.1186/s13561-021-00321-5.

WHO. (2018). Community health workers: Bridging the gap between formal health systems and marginalized communities World Health Organization. https://www.who.int/publications/i/item/9789241513672.

WHO. (2020). Digital health interventions in low-resource settings: Challenges and opportunities. World Health Organization. https://www.who.int/publications/i/item/9789240012345.

WHO. (2021). Strengthening health systems through digital innovation: Lessons from global case studies. World Health Organization. https://www.who.int/publications/i/item/9789240035825.

WHO. (2022). Integrating digital health into national health systems: A guide for policymakers. World Health Organization. https://www.who.int/publications/i/item/9789240056789.

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Published

2025-07-23

How to Cite

Diyana, U., Ali , A. L. ., Anggraeni, S. D., Putri, R. S. W., & Humairo, M. V. (2025). Bridging the Digital Divide: A Hybrid Community-Based Health Information System for Rural Empowerment. Inovasi Lokal, 3(1), 39–48. https://doi.org/10.62255/noval.v3i1.186

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