More Than a Competition: Tracing Digital Transformation in Puskesmas through Puskesmas Digital and Digital Villages
Behind every dashboard screen lies a range of activities that often go unseen. There are community health workers recording services, health workers monitoring data, tasks being assigned through digital systems, and communities being reached through these efforts. When all of these activities are digitally recorded, data begins to tell the story of how health services are actually being delivered.
This is what the Digitally Enabled District (DED) 2.0 Competition seeks to capture through Puskesmas Digital (PUSDI) and DEDI (Digital Village). Digital transformation cannot be measured simply by the presence of applications or devices. More importantly, it is about whether these technologies are genuinely being used in day-to-day work and whether they support service delivery at the Puskesmas level.
During the July–August assessment period, the utilization of the digital ecosystem was evaluated across four key domains: KuApps, Dashboard, Dynamic Worker Support (DWS), and contributions to product knowledge at the Leimena Conference. The methodology used actual utilization data, assessed against seven key principles: reach, activity, distribution, completeness, access, activation, and completion.
In KuApps, for example, the assessment looked beyond the number of patients recorded. It also examined whether service targets were consistently reached each month and whether coverage was distributed across different villages. Meanwhile, for the Dashboard, frequency of access was one of the indicators used to understand how actively Puskesmas teams were using data for monitoring.
A similar approach was applied to DWS. The number of accounts available alone was not enough to demonstrate utilization. The assessment also looked at how many accounts were actively used and how many tasks delegated through the system were successfully completed.
Based on these indicators, each Puskesmas received a Domain Score, which was then calculated into a Composite Score to determine the final ranking. The results tell an interesting story. Karangpawitan Puskesmas achieved the highest Composite Score of 53.6, earning the title of Overall Utilization Champion. At the village level, Sukaluyu, within the Maripari Puskesmas area, was named Most Active Village, with an average reach of 34.40% from June to August. Sindanglaya and Situsaeur, both within the Karangpawitan Puskesmas area, followed in the rankings.
Yet, the DED story is not simply about who achieved the highest score. Behind every number are processes of adaptation, new habits, and the efforts of health workers to make technology part of everyday service delivery.
Digital transformation is not about how many systems an organization has. Transformation happens when systems are used, data is understood, and the information generated helps make health services more targeted and responsive.
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