Since the establishment of healthy Indonesia 2010 as a vision of health, Indonesia has established the policy reforms in health development, namely health paradigm is the core principle emphasizes the importance of health as human rights, health as an investment and the health of the nation as a central point of national development. To support the success of development policy reform has been drawn up the National Health System which is capable of answering new and respond to the challenges of health development for present and future. Organization of the health system are stated in various health programs through a cycle of planning, implementation, monitoring and control and accountability in a systematic, tiered and sustainable. In connection with this health system, the region needs to establish health systems as a sub system of local government system which operate according to the aspirations, potential, and local requirements with respect to health development priorities of each (Depkes, 2004).
Head of Data Center for Information, Communication and Telecommunication Department of the Interior Mr. Fauzie Rafei in his paper that’s titled “The Role of Institutional Communication and Information in the Region” in 2004 wrote that the current state of Indonesia recognizes that reform in the life of the nation today is intended to reach state the realization of a democratic system of government a better and responsible (good governance) in which the targets will be achieved through good governance is to get a strong bureaucracy, professional, efficient, productive and able to provide a quality service to the community. Realizing how important the sense to realize good governance, then the entire state apparatus needed to improve performance. One effort to realize good governance and answer the demands of society, need to develop management information systems and the acceleration of work processes within the government (central and local) by modernizing the administration through electronic data management, automation in government offices, the modernization of administrative services to the community, as realization of e-government that electronic-based government (information technology).
In order to control health care system that aims to monitor and evaluate the success of the implementation in stages and sustainable use measures or indicators of health development, national or regional level. In this connection it is necessary to develop national health information system and an integrated regional health care that can generate data / information is accurate, timely and complete, so as to be a major part of decision-making. Although the needs of data / information increasingly accurate, but it turns out that the information system is currently still not able to produce data accurate, complete and timely. Various problems were encountered in the implementation of health information systems, among others is the absence of the same perception among health providers, especially providers of health information systems. Organization of health information system itself still has not done efficiently. “Redundant” of data, duplication of activities, inefficient use of resources is still happening. This is because of the “overlapping” in the collection activities, data processing, each work unit both at the central and regional levels. Data management activities / information are not yet integrated and well coordinated (Depkes, 2004).