Sistem Monitoring Inventaris Logistik Kesehatan secara Elektronik (SMILE)

A person in a beige hijab checks a phone while holding vaccination vials above a blue cooler.

Sistem Monitoring Inventaris Logistik Kesehatan secara Elektronik (SMILE) is an innovative technological solution that aims to strengthen the medicine, immunization and laboratory supply chain system in Indonesia –home to a birth cohort of nearly 5 million. It ensures that safe and effective medicines and vaccines are available to all population especially children,
mothers, marginalised groups at all times. SMILE enables real-time visibility of vaccine cold chain logistics by digitizing stock supplies and storage temperature across vaccine cold chain points and medicine warehouses.

The mobile and web-based application is being implemented by the Ministry of Health and supported by the United Nations Development Programme (UNDP). Since COVID-19 pandemic, SMILE has been rapidly scaled up to cover more than 10,200 Puskesmas across Indonesia.

The goal is to strengthen the public health system and acting as a catalyst to achieve the health-related targets of the 2030 Agenda for Sustainable Development –namely those under Sustainable Development Goal 3: Good health and well-being for all at all ages.

What does SMILE do?

Flowchart illustrating the SMILE Information System with various connected components and functions.

SMILE digital innovation consists of a mobile app for the health workers, a web interface the app feeds data into, a temperature logger that monitors storage temperature of vaccines and medicine warehouses, and health logistic managers who ensure that the product and processes work seamlessly. Through the analytics on the SMILE web interface health officials can check if medicines, vaccines, and laboratory supplies are overstocked, falling short of the prescribed levels or completely stocked out, easing governance and programme management by making data available from even the most remote locations.

SMILE boosts operational efficiencies, brings cost savings for government health providers and addresses inequities in medicines and vaccine coverage, as well as tracking the health care waste. It combines state-of-the-art technology, systematic record-keeping practices and a network of trained personnel to support health officials in addressing widespread inequities in medicines and vaccine coverage by overcoming constraints of infrastructure, monitoring and management information systems, and human resources, which often result in overstocking and stock-outs of medicines and vaccines in storage centers. By making data readily available to policy and decision-makers, it facilitates evidence-based decisions on public health.

Key results

All vaccine inventories digitized at more than 21,000 cold chain points in all 514 districts/cities across 38 provinces, linking to 56,370 Posyandu and private practices.
Since 2020, over 1 billion doses vaccines have been recorded in SMILE. Additionally, 146 million amounts of ARV for HIV/AIDS, 48 million of anti-Tuberculosis drugs, 22.6 million of anti-Malaria drugs, including 29 million testing kits and 20,000 bed nets have also distributed and recorded in SMILE since 2024, and these numbers are growing.
SMILE for healthcare waste management (ME-SMILE) has been implemented in 60+ hospitals across 14 provinces with average 10,000+ tons per year of infectious waste being recorded and responsibly managed through the system.
Over 1.7 million transactions per month on SMILE, showing high levels of usage and adoption by Pukesmas staff. Data entry errors have also been reduced by 67%.
Medicines and vaccine stock-outs have been reduced by 27% and over-stocking by 31%.
Over 60,000 logistics handlers and health care workers have been trained on SMILE.
More than 6,000 temperature loggers installed for remote temperature monitoring of vaccine cold chain equipment.
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