Implementation of Integrated Management of Sick Infant in the Stunting Prevalence Area, Kupang Regency, East Nusa Tenggara Province, Indonesia
Keywords:
health system management, healthcare workers competence, imci, prevalence stuntingAbstract
One of the strategies to reduce morbidity due to malnutrition and under-five mortality is the implementation of Integrated Management of Child Diseases (IMCI). Stunting is a form of pain due to acute malnutrition that occurs in the long term so that it has an impact on the growth and development of children. The province of East Nusa Tenggara is one of the regions that contributes to the high prevalence of stunting in Indonesia. This study aims to determine the effect of the competence of health workers and health system management on the implementation of IMCI. Data of the study were derived from a cross-sectional study conducted at Community Health Centers (CHC) of Kupang district from March to April 2021. Structured interviewed was applied to obtain information from 80 informants of IMCI healthcare workers. Quantitative datawere analyzed using Chi-square Analysis and Multiple Logistic Regression. Based on chi square testshowed thatthere wasa significant association between healthcare workers competence variables such as knowledge (pvalue=0.026), attitude (pvalue=0.045), skill (pvalue=0.043), training (pvalue=0.000), and health system management variable namely supervision (pvalue=0.045) against the implementation of IMCI. Health system management variables thathad no significant association with the implementation of IMCI were the availability oflogistic, record keeping and reporting system, and fund allocation. Competence of IMCI health workers and Health System Management are variables that have a statistically significant relationship with the implementation of IMCI. Simultaneously it is known that the variables of IMCI training and supervision of IMCI have a significant influence on the implementation of IMCI.
References
“WHO _ UN_ Global child deaths down by almost half since 1990.”
“Urgent action needed as acute malnutrition threatens the lives of millions of vulnerable children.”
WHO, “Children?: Improving Survival and Well-Being,” World Health Organization. pp. 1–4, 2020. [Online]. Available: https://www.who.int/news-room/fact-sheets/detail/children-reducing-mortality
World Health Organization, “Integrated Management of Childhood Illness (IMCI): Chart Booklet. Geneva, Switzerland: World Health Organization,” no. March, pp. 1–76, 2014.
Dinas Kesehatan Nusa Tenggara Timur, “Rencana strategis dinas kesehatan provinsi Nusa Tenggara Timur tahun 2019-2023,” RENSTRA Dinas Kesehat. Provinsi NTT, pp. i–208, 2019, [Online]. Available: https://e-renggar.kemkes.go.id/file2018/e-performance/1-249007-2tahunan-292.pdf
D. Kupang, “Profil Kesehatan Kabupaten Kupang 2018,” Dinas Kesehat. Kab. Kupang, 2019.
X. Nsabagasani, J. Ogwal-Okeng, E. H. Hansen, A. Mbonye, H. Muyinda, and F. Ssengooba, “‘Better medicines for children’ within the Integrated Management of Childhood Illness framework: A qualitative inquiry in Uganda,” J. Pharm. Policy Pract., vol. 9, no. 1, pp. 1–16, 2016, doi: 10.1186/s40545-016-0071-9.
A. A. Tazinya, G. E. Halle-Ekane, L. T. Mbuagbaw, M. Abanda, J. Atashili, and M. T. Obama, “Risk factors for acute respiratory infections in children under five years attending the Bamenda Regional Hospital in Cameroon,” BMC Pulm. Med., vol. 18, no. 1, pp. 1–8, 2018, doi: 10.1186/s12890-018-0579-7.
R. E. Black et al., “Maternal and child undernutrition: global and regional exposures and health consequences,” Lancet, vol. 371, no. 9608, pp. 243–260, 2008, doi: 10.1016/S0140-6736(07)61690-0.
T. Gera, D. Shah, P. Garner, M. Richardson, and H. S. Sachdev, “Integrated management of childhood illness (IMCI) strategy for children under five,” Cochrane Database Syst. Rev., vol. 2016, no. 6, 2016, doi: 10.1002/14651858.CD010123.pub2.
O. E. Adekanye, RN and T. D. Odetola, RN, “Awareness and Implementation of Integrated Management of Childhood Illness (IMCI) Among Nurses in Paediatric Settings of Selected Hospitals in Ibadan, Nigeria,” IOSR J. Nurs. Heal. Sci., vol. 3, no. 5, pp. 29–34, 2014, doi: 10.9790/1959-03532934.
S. Awasthi, D. Kumar, N. Mishra, M. Agarwal, and C. M. Pandey, “Effectiveness of various communication strategies for improving childhood pneumonia case management: A community based behavioral open labeled trial in rural Lucknow, Uttar Pradesh, India,” BMC Public Health, vol. 19, no. 1, pp. 1–11, 2019, doi: 10.1186/s12889-019-8050-0.
S. Awasthi et al., “Revisiting community case management of childhood pneumonia: Perceptions of caregivers and grass root health providers in Uttar Pradesh and Bihar, Northern India,” PLoS One, vol. 10, no. 4, pp. 1–18, 2015, doi: 10.1371/journal.pone.0123135.
A. K. Patwari and N. Raina, “Integrated Management of Childhood Illness (IMCI)?: A robust strategy,” Indian J. Pediatr., vol. 69, no. 1, pp. 41–48, 2002, doi: 10.1007/BF02723776.
J. A. Schellenberg et al., “The effect of Integrated Management of Childhood Illness on observed quality of care of under-fives in rural Tanzania,” Health Policy Plan., vol. 19, no. 1, pp. 1–10, 2004, doi: 10.1093/heapol/czh001.
S. E. Arifeen et al., “Effect of the Integrated Management of Childhood Illness strategy on childhood mortality and nutrition in a rural area in Bangladesh: a cluster randomised trial,” Lancet, vol. 374, no. 9687, pp. 393–403, 2009, doi: 10.1016/S0140-6736(09)60828-X.
M. A. Rakha et al., “Does implementation of the IMCI strategy have an impact on child mortality? A retrospective analysis of routine data from Egypt,” BMJ Open, vol. 3, no. 1, pp. 1–9, 2013, doi: 10.1136/bmjopen-2012-001852.
BPS, “Persentase Rumah Tangga yang Memiliki Akses terhadap Layanan Sanitasi Layak,” 2018.
L. U. Mupara and J. C. Lubbe, “Implementation of the Integrated Management of Childhood Illnesses strategy: Challenges and recommendations in Botswana,” Glob. Health Action, vol. 9, no. 1, 2016, doi: 10.3402/gha.v9.29417.
Faradiba, “Penggunaan Aplikasi Spss Untuk Analisis Statistika Program,” SEJ (School Educ. J., vol. 10, no. 1, pp. 65–73, 2020, [Online]. Available: https://jurnal.unimed.ac.id/2012/index.php/school/article/view/18067
I. C. Negara and A. Prabowo, “Penggunaan Uji Chi–Square untuk Mengetahui Pengaruh Tingkat Pendidikan dan Umur terhadap Pengetahuan Penasun Mengenai HIV–AIDS di Provinsi DKI Jakarta,” Pros. Semin. Nas. Mat. dan Ter. 2018, vol. 1, no. 1, pp. 1–8, 2018.
K. Mittal, V. Gupta, P. Khanna, J. S. Kaushik, and A. Sharma, “Evaluation of Integrated Management of Neonatal and Childhood Illness (IMNCI) algorithm for diagnosis and referral in under-five children,” Indian J. Pediatr., vol. 81, no. 8, pp. 797–799, 2014, doi: 10.1007/s12098-013-1225-2.
M. Mayhew, P. Ickx, W. Newbrander, H. Stanekzai, and S. A. Alawi, “Long and short integrated management of childhood illness (IMCI) training courses in Afghanistan: A cross-sectional cohort comparison of post-course knowledge and performance,” Int. J. Heal. Policy Manag., vol. 4, no. 3, pp. 143–152, 2015, doi: 10.15171/ijhpm.2015.17.
A. Kiplagat, R. Musto, D. Mwizamholya, and D. Morona, “Factors influencing the implementation of integrated management of childhood illness (IMCI) by healthcare workers at public health centers & dispensaries in Mwanza, Tanzania,” BMC Public Health, vol. 14, no. 1, pp. 1–10, 2014, doi: 10.1186/1471-2458-14-277.
J. Amaral, A. J. M. Leite, A. J. L. A. Cunha, and C. G. Victora, “Impact of IMCI health worker training on routinely collected child health indicators in Northeast Brazil,” Health Policy Plan., vol. 20, no. SUPPL. 1, 2005, doi: 10.1093/heapol/czi058.
E. A. F. Simoes, T. Desta, T. Tessema, T. Gerbresellassie, M. Dagnew, and S. Gove, “Performance of health workers after training in integrated management of childhood illness in Gondar, Ethiopia,” Bull. World Health Organ., vol. 75, no. SUPPL. 1, pp. 43–53, 1998.
Q. Assessment and C. Study, “ASSURANCE PROJECT QUALITY ASSESSMENT CASE STUDY Assessing the Quality of Healthcare at the District Level in Rwanda”.
S. Abtew et al., “Poor Adherence to the Integrated Community Case Management of Newborn and Child Illness Protocol in Rural Ethiopia,” Am. J. Trop. Med. Hyg., vol. 107, no. 6, pp. 1337–1344, 2022, doi: 10.4269/ajtmh.21-1018.
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