Locations
SMILE (Electronic Health Logistics Inventory Monitoring System)
Project Background
SMILE (Electronic Health Logistics Inventory Monitoring System) is Indonesia's national digital health logistics system and one of the core components of the Ministry of Health's SatuSehat Logistik. Built by the Ministry of Health together with UNDP since 2018, SMILE has transformed the country's health supply chain from manual, paper based tracking into a real time, end to end digital system covering vaccines, essential medicines, disease program logistics, and medical waste across all 38 provinces. Its status as a core component of SatuSehat Logistik is formalized under Ministry of Health Decree Number HK.01.07/MENKES/1568/2024. What began as a pilot in 54 health facilities in Bogor and South Tangerang has grown into a nationwide system spanning all 514 districts and cities in Indonesia, reaching over 10,000 primary health centres and 3,000 hospitals, and tracking more than one billion vaccine doses.
Project Detail Information
SMILE has delivered measurable impact across Indonesia's health system. To date, the system has tracked close to one billion vaccine and medicine doses, including 127 million units of ARV, 52 million anti-TB medicines, and 20 million anti-malaria medicines, reaching all 38 provinces and 514 districts and cities through more than 13,000 active health facilities. Nearly 30,000 active users rely on the system each month, generating around 1.1 million transactions monthly.
The system's real time inventory and cold chain monitoring, supported by over 6,000 IoT temperature loggers and QR based chain of custody tracking, has helped bring vaccine loss and inventory error down to just 0.1 percent for COVID-19 vaccines and 1.5 percent for routine immunization. Through its medical waste management module, SMILE has digitized the labelling, weighing, tracking, and reporting of medical waste, cutting documentation time from three hours to thirty minutes per facility while tracking more than 350,000 waste transactions and over 50,000 tons of medical waste, with estimated annual savings of USD 9.3 million.
An independent economic evaluation found a return on investment of 2.77 and a benefit cost ratio of 3.77, meaning every rupiah invested returns 3.77 times its value. IoT adoption alone has cut vaccine waste by more than 90 percent, reduced overstocking by 56 percent, and achieved up to 100 percent inventory compliance during the review period.
SMILE reflects Indonesia's commitment to building resilient, homegrown digital infrastructure, and continues to offer valuable lessons for strengthening health systems across the region
Commitment to GESI
The SMILE program is committed to advancing Gender Equality and Social Inclusion (GESI) by ensuring this digital health logistics system is equitably accessible to health workers across Indonesia, including in remote and underserved areas. Implemented in over 10,000 Puskesmas (community health centers) and 3,000 hospitals across all Indonesian provinces, SMILE reaches health facilities in areas that have historically been difficult for digital services to access.
With 80% of SMILE users being women, the program affirms the central role of women as the frontline of Indonesia's health system—from staff at primary care facilities (Puskesmas and hospitals) to health workers at District Health Offices who manage the supply chain of vaccines and medicines. Through the use of inclusive technology, SMILE ensures that digital health transformation is not only efficient, but also centers women as key drivers of equitable access to health services for all Indonesian communities, including those in remote areas.
