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EVALUASI MANAJEMEN TERPADU BALITA SAKIT DI KABUPATEN PEKALONGAN

Manajemen Pelayanan Kesehatan Vol. 08 No 01 Maret 2005
Journal from JTPTUMS / 2005-09-27 12:53:02
Oleh : Djoko Mardijanto dan Mubasyisyir Hasanbasri

, F KEDOKTERAN UGM (hillary@yahoo.com)
Dibuat : 2005-09-27, dengan 0 file

Keyword : Integrated Management of Childhood Illness, IMCI, management support, supervisor, government health centre


  



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Background: The Central Java Province introduced Integrated Management of Childhood Illness (IMCI) program since year 2000. Out study attempts to examine the performance of IMCI practice by puskesmas health workers during the last three years of implementation in Pekalongan district.


Data and Method: This study look place in four government health center of Pekalongan District. The study used the case study design with field work taking place in August to November 2004. The data sources were (1) the health center reports (2)  IMCI reporting forms, and (3) in-dept interview to the Head of CDC Section of DOH, IMCI program coordinator, health center managers, and midwives and nurses taking care of sick child.


Findings: Although, there is a tendency of improvement in treatment rationally in treating coughs, health workers have not been able to follow classification of child condition and keep record as expected. We also documented lack of continuing education and training for new health workers. The lack of socialization of the implementation of IMCI practice toward mothers have created misunderstanding among mothers in regard to the longer time needed for their child treatment to do a more comprehensive evaluation of the child.


Conclusion: The implementation of IMCI relies so much on health workers trained in the beginning of the program. Continuous management supports from the health center managers and district heath office for its implementation
and the IMCI continuing education are believed as the issues to further maintain this practice.


Deskripsi Alternatif :

Background: The Central Java Province introduced Integrated Management of Childhood Illness (IMCI) program since year 2000. Out study attempts to examine the performance of IMCI practice by puskesmas health workers during the last three years of implementation in Pekalongan district.


Data and Method: This study look place in four government health center of Pekalongan District. The study used the case study design with field work taking place in August to November 2004. The data sources were (1) the health center reports (2)  IMCI reporting forms, and (3) in-dept interview to the Head of CDC Section of DOH, IMCI program coordinator, health center managers, and midwives and nurses taking care of sick child.


Findings: Although, there is a tendency of improvement in treatment rationally in treating coughs, health workers have not been able to follow classification of child condition and keep record as expected. We also documented lack of continuing education and training for new health workers. The lack of socialization of the implementation of IMCI practice toward mothers have created misunderstanding among mothers in regard to the longer time needed for their child treatment to do a more comprehensive evaluation of the child.


Conclusion: The implementation of IMCI relies so much on health workers trained in the beginning of the program. Continuous management supports from the health center managers and district heath office for its implementation
and the IMCI continuing education are believed as the issues to further maintain this practice.



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PropertiNilai Properti
ID PublisherJTPTUMS
OrganisasiF KEDOKTERAN UGM
Nama KontakSuyadi
AlamatJl. A Yani Tromol Pos 1
KotaSurakarta
DaerahJawa Tengah
NegaraIndonesia
Telepon0271-717417
Fax0271-719483
E-mail Administratorperpus@ums.ac.id
E-mail CKOperpus@ums.ac.id

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