Evidence map›Paper›PMID 40953366›Full record

ArticleJMIR medical informatics2025

Assessing Internet Quality Across Public Health Centers in Indonesia: Cross-Sectional Evaluation Study.

Dewi Nur Aisyah, Agus Heri Setiawan, Alfiano Fawwaz Lokopessy, Chyntia Aryanti Mayadewi, M Thoriqul Aziz Endryantoro, Viktor Wibowo, Sarah Disviana, Indra Laksana, Mohammad Aviandito, Zisis Kozlakidis and 1 more

Abstract read
In one paragraph

Article in JMIR medical informatics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Dewi Nur AisyahDepartment of Epidemiology and Public Health, Institute of Epidemiology and Health Care, University College London, 1-19 Torrington Place, London, WC1E 7HB, United Kingdom, 44 02076792000.ORCID 0000-0003-2247-0612
Agus Heri SetiawanDigital Transformation Office, Ministry of Health Republic of Indonesia, Jakarta, Indonesia.ORCID 0009-0002-0550-6548
Alfiano Fawwaz LokopessyDigital Transformation Office, Ministry of Health Republic of Indonesia, Jakarta, Indonesia.ORCID 0000-0001-7001-4094
Chyntia Aryanti MayadewiDigital Transformation Office, Ministry of Health Republic of Indonesia, Jakarta, Indonesia.ORCID 0000-0002-3852-3910
M Thoriqul Aziz EndryantoroDigital Transformation Office, Ministry of Health Republic of Indonesia, Jakarta, Indonesia.ORCID 0009-0001-8685-2145
Viktor WibowoDigital Transformation Office, Ministry of Health Republic of Indonesia, Jakarta, Indonesia.ORCID 0009-0005-9892-2787
Sarah DisvianaDigital Transformation Office, Ministry of Health Republic of Indonesia, Jakarta, Indonesia.ORCID 0009-0004-8008-6496
Indra LaksanaDigital Transformation Office, Ministry of Health Republic of Indonesia, Jakarta, Indonesia.ORCID 0009-0002-8766-2092
Mohammad AvianditoDigital Transformation Office, Ministry of Health Republic of Indonesia, Jakarta, Indonesia.ORCID 0009-0003-2076-6134
Zisis KozlakidisInternational Agency for Research on Cancer, World Health Organization, Lyon, France.ORCID 0000-0002-3836-7209
Logan ManikamDepartment of Epidemiology and Public Health, Institute of Epidemiology and Health Care, University College London, 1-19 Torrington Place, London, WC1E 7HB, United Kingdom, 44 02076792000.ORCID 0000-0001-5288-3325

Funding

World Health Organization 001
6 · The paper itself

Abstract

Background: Primary health care centers (Puskesmas) serve as the cornerstone of Indonesia's health care system, providing integrated services aimed at improving individual health through prevention, treatment, and health promotion. To fulfill these roles effectively, robust technological infrastructure, particularly reliable internet connectivity, is increasingly essential. Assessing the availability and quality of internet access in Puskesmas is therefore a critical step in understanding their readiness to implement digital health initiatives and fulfill their responsibilities in delivering accessible and effective healthcare services. Objective: This study provides a national baseline assessment of internet quality and its relevant IT infrastructure in more than 10,000 Puskesmas across Indonesia. Methods: A cross-sectional survey was conducted throughout all Puskesmas (10,382) in 34 provinces in Indonesia, using an online questionnaire. Categorization was done to analyze internet quality level results. Results: A total of 10,378 out of 10,382 public health centers (99.96%) participated in this study. Overall, 745 of 10,382 (7.18%) did not have internet access, 1487 (14.33%) had limited internet access, 5567 (53.64%) had sufficient internet access, and 2579 (24.85%) had sufficient and fast internet access. Moreover, 832 of 10,382 Puskesmas (8.02%) did not have 24-hour electricity, 44,196 (43.7%) had a central processing unit (CPU) with i3 specifications, 43,044 (42.56%) had 512 GB hard disk capacity, and 67,272 (66.5%) used antivirus. Conclusions: Although 79% (8201/10,382) of Puskesmas in Indonesia already had sufficient internet access, 21% (2180/10,382) still have limited and insufficient access. To ensure universal internet availability, it is essential to build collaborative support among internet providers and government to foster the availability and use of internet satellites, high-quality computers, and electrical power to support internet connectivity.

Indexed as

InternetInternet AccessPrimary Health CarePublic HealthCross-Sectional StudiesHumansIndonesiaSurveys and Questionnairescommunity healthcaredigital healthevaluation studiesfamily physicianshealthcare technologyinfrastructureinternetinternet accessinternet connectioninternet connectivitymedical informaticsprimary careprimary care physiciansprimary health carepublic healthpublic health centresPuskesmastechnologyweb

Identifiers

PMID40953366
PMCPMC12435787

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.