Background Management of child health care can be negatively affected by incomplete recording, low data quality, and lack of data integration of health management information systems to support decision making and public health program needs. Given the importance of identifying key determinants of child health via capturing and integrating accurate and high-quality information, we aim to address this gap through the development and testing requirements for an integrated child health information system.

Subjects and Methods A five-phase design thinking approach including empathizing, defining, ideation, prototyping, and testing was applied. We employed observations and interviews with the health workers at the primary health care network to identify end-users' challenges and needs using tools in human-centered design and focus group discussion. Then, a potential solution to the identified problems was developed as an integrated maternal and child health information system (IMCHIS) prototype and tested using Software Quality Requirements and Evaluation Model (SQuaRE) ISO/IEC 25000.

Results IMCHIS was developed as a web-based system with 74 data elements and seven maternal and child health care requirements. The requirements of “child disease” with weight (0.26), “child nutrition” with weight (0.20), and “prenatal care” with weight (0.16) acquired the maximum weight coefficient. In the testing phase, the highest score with the weight coefficient of 0.48 and 0.73 was attributed to efficiency and functionality characteristics, focusing on software capability to fulfill the tasks that meet users' needs.

Conclusion Implementing a successful child health care system integrates both maternal and child health care information systems to track the effect of maternal conditions on child health and support managing performance and optimizing service delivery. The highest quality score of IMCHIS in efficiency and functionality characteristics confirms that it owns the capability to identify key determinants of child health.

背景 记录不完整、数据质量低以及缺乏健康管理信息系统的数据集成来支持决策制定和公共卫生计划需求可能会对儿童保健管理产生负面影响。鉴于通过捕获和整合准确和高质量的信息来确定儿童健康的关键决定因素的重要性，我们旨在通过开发和测试综合儿童健康信息系统的要求来弥补这一差距。

主题和方法 应用了五阶段设计思维方法，包括同理心、定义、构思、原型设计和测试。我们对初级卫生保健网络的卫生工作者进行了观察和访谈，以使用以人为本的设计和焦点小组讨论中的工具来确定最终用户的挑战和需求。然后，针对已确定的问题开发了一个潜在的解决方案作为综合母婴健康信息系统 (IMCHIS) 原型，并使用软件质量要求和评估模型 (SQuaRE) ISO/IEC 25000 进行了测试。

结果 IMCHIS 被开发为一个基于网络的系统，具有 74 个数据元素和 7 个妇幼保健要求。权重为0.26的“儿童疾病”、权重为0.20的“儿童营养”、权重为0.16的“产前保健”要求获得了最大的权重系数。在测试阶段，权重系数为0.48和0.73的最高分归因于效率和功能特性，侧重于软件完成满足用户需求的任务的能力。

结论 实施成功的儿童保健系统需要整合母婴保健信息系统，以跟踪孕产妇状况对儿童健康的影响，并支持管理绩效和优化服务提供。IMCHIS 在效率和功能特征方面的最高质量得分证实它拥有识别儿童健康关键决定因素的能力。