ILP Dialogue: Advancing Integrated Primary Health Care through a Digital Ecosystem

ILP Dialogue Webinar 14: Realizing Integrated Primary Health Services through an Ecosystem

Digital health transformation continues to evolve alongside the growing need for more integrated, connected, and data-driven primary health care. In this context, digital ecosystems play an important role in supporting the Integration of Primary Health Services (ILP), not only by connecting systems and data, but also by strengthening decision-making processes at the service delivery level.

Through the dialogue titled “DIALOG ILP #14: Mewujudkan Pelayanan Kesehatan Primer yang Terintegrasi melalui Ekosistem Digital”, held online on 17 September 2026, practitioners shared perspectives on policy directions, conceptual approaches, and experiences in implementing digital ecosystems at the district and Puskesmas levels.

The digital ecosystem will function effectively with the support of all parties.

In the session on policy and the direction of digital health transformation, Sigit Wibowo, S.Kom., M.K.M., highlighted the central government’s support through the Ministry of Health for the development of digital ecosystems. The digitalization of health data is being directed towards greater connectivity, ultimately enabling health services and outputs to be tailored to individual health profiles.

However, integrating primary health services goes beyond technology. Dewi Nur Aisyah, MSc., DIC., PhD., FRSPH., emphasized that integration needs to be understood more broadly. ILP is not simply about bringing services together, but also about developing a shared understanding of community needs, organizing services, connecting different actors, and using data to inform action.

The district-level implementation perspective was also shared by Apt. Yodi Sirodjudin, S.Si., M.H.Kes., from the Garut District Health Office. Experiences in implementing the Digitally Enabled District (DED) approach demonstrate that the development of a digital ecosystem needs to continuously evolve based on feedback from health workers in the field, review findings, and discussions with various stakeholders. Through this process, the digital ecosystem is expected to increasingly strengthen the connection between data and action.

At the Puskesmas level, Titin Sumarni, S.ST., SKM., BDN., M.Kes., shared experiences from implementing the digital ecosystem at Puskesmas Karangpawitan. Digitalization was seen as supporting frontline health workers, particularly in managing field data that had previously been handled manually.

The dialogue also reflected strong interest in the development of digital health ecosystems. A total of 10,381 participants received SKP through the Ministry of Health’s LMS, while 40 districts expressed interest in learning more about the implementation of the DED ecosystem. The discussion also generated 17 questions and reflections, particularly around how an integrated digital health ecosystem can be implemented at the district and primary health care facility levels.

The dialogue provided an opportunity to reflect on how data, technology, human resources, and governance can be connected to strengthen primary health care. Experiences from the district and Puskesmas levels demonstrate that digital transformation is an ongoing process that needs to be developed collaboratively—grounded in the needs of those working in the field and oriented towards generating data that can serve as a basis for action.