scholarly journals Pelayanan Manajemen Terpadu Balita Sakit (MTBS) pada Puskesmas di Regional Timur Indonesia

2018 ◽  
Vol 28 (4) ◽  
pp. 271-278
Author(s):  
Suparmi Suparmi ◽  
Iram Barida Maisya ◽  
Anissa Rizkianti ◽  
Kencana Sari ◽  
Bunga Christitha Rosha ◽  
...  
Keyword(s):  
Health Workers ◽  
Integrated Management ◽  
Feeding Practice ◽  
Eastern Region ◽  
Check List ◽  
District Health ◽  
Oral Rehydration ◽  
Under Five ◽  
Under Five Children ◽  
Sick Children

The decline in under-five mortality remains target of health development in Indonesia. One effort that can be done, among others, is to improve the skills of health workers in dealing with sick children through the Integrated management of Chilhood Illness (IMCI). This study aims to evaluate the implementation of IMCI in 10 selected districts/cities in Eastern Region of Indonesia with a sample of 20 puskesmas selected randomly. In total 40 under-five children were observed when receiving IMCI services at the puskesmas. In addition, an assessment of the completeness of filling out of 200 forms of IMCI under-five children who had come to the puskesmas a week before the survey was conducted. Information related to the availability of equipment to support IMCI services is collected through direct observation in 20 selected puskesmas assisted by a check list form. The results showed that 80% of puskesmas in the eastern region have implemented IMCI, but only 25% of puskesmas reaching all the under-five children. As many as 90% of puskesmas have been trained for IMCI, however only 15% have been monitored post training. Only 25% of puskesmas received supervision from the District Health Office in implementing IMCI. The observation results at the IMCI service for children under five showed that, the lowest score for compliance with IMCI was counseling (25.8%) and the highest was diarrhea assessment (73.8%). The results of observing the IMCI forms showed that the lowest score was feeding practice (30.4%) and repeat visits (30.8%). Meanwhile, oral rehydration facilities for diarrhea are reported to be inadequate, because they are only available at 50% of puskesmas. There needs to be monitoring and supervision of officer compliance and increasing the availability of supporting equipment and facilities/insfrastructure in the implementation of IMCI.  Abstrak Penurunan angka kematian balita masih menjadi target pembangunan kesehatan di Indonesia. Salah satu upaya yang dapat dilakukan antara lain meningkatkan keterampilan tenaga kesehatan dalam menangani balita sakit, melalui pendekatan Manajemen Terpadu Balita Sakit (MTBS). Penelitian ini bertujuan untuk mengevaluasi pelaksanaan MTBS di 10 Kabupaten/Kota terpilih di regional timur, dengan jumlah sampel 20 puskesmas yang dipilih secara acak. Secara total, 40 pasien balita diobservasi pada saat mendapatkan pelayanan MTBS di puskesmas. Selain itu, dilakukan asesmen kelengkapan pengisian dari 200 formulir MTBS balita yang pernah datang ke puskesmas dalam kurun waktu seminggu sebelum survei. Infomasi terkait dengan ketersediaan peralatan untuk mendukung pelayanan MTBS dikumpulkan melalui observasi secara langsung di 20 puskesmas terpilih dibantu dengan formulir check list. Hasil analisis menunjukkan bahwa 80% puskesmas di regional timur telah melaksanakan MTBS, namun hanya 25% puskesmas yang menjangkau seluruh balita. Sebesar 90% puskesmas telah terlatih MTBS, namun hanya 15% yang dilakukan monitoring pasca pelatihan. Hanya 25% puskesmas yang mendapatkan supervisi dari Dinas Kesehatan Kabupaten/Kota dalam pelaksanaan MTBS. Hasil observasi pada saat pelayanan MTBS pada balita menunjukkan, skor kepatuhan pelaksanaan MTBS yang terendah adalah konseling (25,8%) dan tertinggi adalah asesmen diare (73,8%). Hasil observasi pengisian formulir MTBS menunjukkan, skor terendah pada pengisian pemberian makan (30,4%) dan kunjungan ulang (30,8%). Sementara itu, fasilitas rehidrasi oral untuk diare dilaporkan belum memadai, karena hanya tersedia di 50% puskesmas. Perlu adanya monitoring dan supervisi terhadap kepatuhan petugas serta peningkatan ketersediaan peralatan dan sarana/prasarana pendukung dalam pelaksanaan MTBS. 

scholarly journals Nutritional survey among under five children at Tamyia district in Fayoum, Egypt

2017 ◽  
Vol 4 (6) ◽  
pp. 1813 ◽  
Author(s):  
Asmaa Younis Elsary ◽  
Ahmed Mahmoud Abd El-moktader ◽  
Alkassem Elgameel ◽  
Wael Sayed Mohammed ◽  
Mohamed Masoud ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Care Facilities ◽  
P Value ◽  
District Health ◽  
Community Based ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
High Prevalence ◽  
Sick Children

Background: Malnutrition is involved in half of the deaths of under-five children as in many developing countries. In Egypt, malnutrition remains an important issue as 5.5% of under-five children are underweight, 8.4% are wasted and 21.4% are stunted. The present study was carried out to assess the prevalence and risk factors of malnutrition among sick under five children seeking medical advice at Tamiya District health care facilities in Fayoum.Methods: This cross-sectional descriptive study included 400 under five children at Tamiya district in Fayoum. It was carried out over a period of 5 months from June to October 2014. All patients were subjected to the following: History taking, anthropometric measurements including weight and length/height.Results: Our study shows that 23.2%, 18.5% and 19.3% of children were underweight, stunted and wasted, respectively. Stunting was more common in females than males. Also, our results reveal that risk factors of malnutrition were 70.6% parasitic infestation and 15.7% for gastroenteritis with statistically significant high prevalence of positive parasitic, helminthic infestation, and gastroenteritis with p-value <0.05 among wasted, stunted, and underweighted children.Conclusions: Prevalence of malnutrition was high among under five sick children. These findings indicate the need for implementing hospital and community-based intervention nutritional program.

scholarly journals Stunting and Associated Factors among Under-Five-Age Children in West Guji Zone, Oromia, Ethiopia

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Eyob Afework ◽  
Selamawit Mengesha ◽  
Demelash Wachamo
Keyword(s):  
Low Income ◽  
Associated Factors ◽  
Sex Discrimination ◽  
Nutritional Deficiencies ◽  
Feeding Practice ◽  
Critical Periods ◽  
Wealth Status ◽  
Under Five ◽  
Under Five Children ◽  
Polygamous Marriage

Background. Stunting is one of the most important public health problems in Ethiopia. It remains a problem of greater magnitude particularly in rural and low-income areas. It reflects chronic nutritional deficiencies and illness that occur during the most critical periods for growth and development in early life. It needs proper intervention to save the future, unless it resulted in diminished cognitive and physical development for the rest of their lives. Therefore, this study aimed to assess the prevalence of stunting and associated factors among under-five children in West Guji Zone, Oromia, Ethiopia. Method. A community-based cross-sectional study was conducted among 767 under-five children who were included in this study by using a multistage sampling technique in 12 kebeles from 3 selected districts. Data were collected from a mother/caregiver of the child by using a structured pretested questionnaire. Standardized anthropometric measurements were used to measure length, weight, and height of a child. Data were entered into Epi Info software version 3.5.1 and exported to SPSS version 23 for analysis for descriptive and logistic regression models. Result. The prevalence of stunting was 244 (31.8%) with 95% CI (28.6–35.2) among under-five-age children. The under-five children whose fathers had a polygamous marriage (AOR = 4.92, 95% CI: 3.46, 7.00), being female sex (AOR = 1.74, 95% CI: 1.23, 2.47), having below 4 meal frequencies (AOR = 2.95, 95% CI: 1.56, 5.58), not vaccinated (AOR = 1.75, 95% CI: 1.15, 2.67), and from poor households’ wealth status (AOR = 3.03, 95% CI: 1.63, 5.63) and also from severely food insecure household (AOR = 2.92, 95% CI: 1.36, 6.24) were short for their age compared with their counterparts. Conclusion. Nearly one-third of the under-five children were stunted in the study area which needs intervention on child-feeding practice to avoid sex discrimination in the community. In addition to this health officials in collaboration with other sectors, it is needed to act together to improve enforcement of the law for polygamous marriage, the household’s wealth status, and food security for the better health of a child and future.

scholarly journals Evaluation Of Integrated Management Implementation In Hospital In The Health Center Of Sleman D.I Yogyakarta District

2020 ◽  
Vol 8 (2) ◽  
pp. 152
Author(s):  
Casnuri Casnuri ◽  
Puspito Panggih Rahayu
Keyword(s):  
Public Health ◽  
Health Center ◽  
Health Workers ◽  
Integrated Management ◽  
Research Result ◽  
Integrated Approach ◽  
Health Care Facilities ◽  
District Health ◽  
Public Health Center ◽  
Live Births

<p>Integrated Management of Sick Toddler (MTBS) is an integrated approach whose governance is carried out on sick toddlers with outpatient facilities. MTBS is used as a service standard for sick infants and toddlers as well as a guideline for nursing staff (midwives and nurses) especially in primary health care facilities. In 2006 the MTBS program socialization and training for puskesmas staff were conducted, where each puskesmas was represented by 1 medical staff and 2 paramedics. MTBS aims to reduce morbidity and mortality due to diarrhea, pneumonia, DHF and infections. IMR in Sleman Regency is better than the national target. In 2015 there were 14,134 live births and 51 (3.61%) stillbirths. This tends to decrease from 2014 when the number of live births was 14,406 with 67 infant deaths (4.65%). The death was caused by diarrhea, pneumonia, DHF and infections. This shows that there is still a need to increase the role of cross-program and cross-sectoral efforts to reduce infant mortality, which is to evaluate the implementation of IMCI or MTBM in the Sleman D.I Yogyakarta Public Health Center.</p><p><strong>Research Purpose </strong>investigate the factors in the implementation of IMCI at the Sleman D.I Yogyakarta Public Health Center.</p><p><strong>Research Methods </strong>is descriptive qualitative. The main Informantts were 25 MTBS officers, 25 Puskesmas heads, and 1 Kasie Kesga District Health Office, Sleman D.I Yogyakarta with in-depth interviews.</p><p><strong>Research result: </strong>All puskesmas in Sleman Regency have implemented MTBS services according to service procedures with different achievements in each puskesmas. This is due to the disorderly officers in conducting data recapitulation. The achievement of the MTBS program in Sleman Regency was 65.39%.<strong></strong></p><p><strong>Conclusion</strong>: The MTBS program at the Sleman district health center has been implemented well due to several factors, namely Human Resources, both the number of trained health workers and the quality of the competencies of health workers, leadership support in the form of facilities and infrastructure, as well as funding support in increasing competence.</p><p> </p><p> </p>

scholarly journals Analisis Faktor Keteraturan Ibu dalam Menimbang Balita di Posyandu

2019 ◽  
Vol 1 (3) ◽  
Author(s):  
Florani Asanab ◽  
Ribka Limbu ◽  
Enjelita M. Ndoen
Keyword(s):  
Health Workers ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Under Five ◽  
Under Five Children ◽  
Chi Square Test

Mothers’ regularity of weighing their children aged <5 yo at Posyandu is crucial to monitor the growth, nutritional status, and health of the children. Several factors could affect mothers’ regularity in weighing their children at Posyandu. This study aimed to identify factors affecting mothers to regularly measure the weight of their children <5 yo at Posyandu in Toobaun Village Kupang District. The study used an analytical survey with a cross-sectional study design. The sample was 57 mothers who had under-five children obtained by simple random sampling technique. Data were collected through interviews using questionnaires and analyzed using the chi-square test. The result showed that knowledge (p= 0,002) and distance home-posyandu (p=0,000) associated with mothers’ regularity of weighing their under-five children, while mother’s occupation had no association with mothers’ regularity of weighing their children( p=0,091). Health workers should encourage mothers to measure regularly the weight of their under-five children at Posyandu.

scholarly journals Spatial Distribution and Modeling of malnutrition among under-five Children in Ethiopia

2020 ◽  
Author(s):  
Reta Lemessa ◽  
Ararso Tafese ◽  
Gudeta Aga
Keyword(s):  
Socioeconomic Factors ◽  
Multilevel Model ◽  
Health Workers ◽  
National Level ◽  
Spatial Variations ◽  
P Value ◽  
African Countries ◽  
Under Five ◽  
Under Five Children ◽  
Regional Clusters

Abstract Background Majority of this world is concerned by malnutrition. Ethiopia is one of the Sub Saharan African countries known by poverty, childhood diseases, high mortality and poor infrastructures and technology. The study aimed to examine differences within individuals and between clusters in nutritional status of under-five children and to identify socioeconomic factors using adequate nutrition of children in Ethiopia. Method: Data was obtained from Ethiopian 2019 Mini Demographic and Health Survey surveyed by Ethiopian Public Health Institute. A weighted sub- sample of 8768 under-five children was drawn from the dataset. Spatial statistics was used to analysis spatial variations of malnutrition of children in clusters of regional areas of Ethiopia. Multilevel modeling was used to look at demographic, socioeconomic factors at individuals and clusters levels. Result At national level the proportion of stunting, underweight and wasting among under-five children were 39.5 percent, 29.8 percent and 15.4 percent respectively. The Global Moran Index’s value for children malnutrition result in Ethiopia was (for stunting I = 0.204, P-value = < 0.0001, for underweight I = 0.195, P-value = < 0.0001 and for wasting I = 0.152, P-value = < 0.0001). Spatial variability of malnutrition of under-five children across the clusters of Ethiopia observed. Result of heterogeneity between clusters obtained was {X}^{2}=147.25, {X}^{2}=211.43 and {X}^{2}=201.43 respectively for stunting, underweight and wasting with P = < 0.0001 providing evidences of variation among regional clusters with respect to the status of nutrition of under-five children. Multilevel model result revealed that high differences of malnutrition in individual households and regional clusters in the under-five children in Ethiopia. Conclusion The model showed that there were spatial variations in malnutrition among clusters in Ethiopia. Child age in month, breast feeding, family educational level, wealth index, place of residence, media access and region were highly significantly associated with childhood malnutrition. Inclusion of explanatory variables in multilevel model has shown that a significant impact on variation in malnutrition among individual households and regional clusters. Accessible resources, promoting education, use media to expand activities regarding nutritional and health services and through health workers and health institutions in Ethiopia is significant.

scholarly journals Use of oral rehydration solution by mothers of under-five children in a rural area of Kancheepuram district, Tamil Nadu: a KAP study

2017 ◽  
Vol 4 (11) ◽  
pp. 4326
Author(s):  
Muthulakshmi M. ◽  
Gopalakrishnan S.
Keyword(s):  
Tamil Nadu ◽  
Good Practice ◽  
Simple Random Sampling ◽  
Cross Sectional ◽  
Oral Rehydration ◽  
Under Five ◽  
Under Five Children ◽  
Adequate Knowledge ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Background: Diarrhoea is defined as the passage of loose, liquid or watery stools more than three times a day. Globally, diarrhoeal disease is the second leading cause of death in children under five years of age. Timely management of the children with ORS has substantially declined the morbidity and mortality from acute infectious diarrhoea. This study was planned with an objective to find out the knowledge, attitude and practice about the use of ORS among mothers of under five children.Methods: This is a cross sectional descriptive study carried out in the rural field practice area attached to a medical college in Kancheepuram district. Using simple random sampling method, the study group of 450 mothers of under-five children were identified. The data was collected using a pretested structured questionnaire containing 10 questions for assessing the knowledge and 8 for attitude and practice each. The answers were scored accordingly. Data was analysed using SPSS 17 software. Knowledge, attitude and practice were calculated using percentages.Results: It is observed that 72% had adequate knowledge, 92% had positive attitude and 94% had good practice regarding the use of ORS among mothers of under-five children.Conclusions: In this study, most of the mothers had adequate knowledge, attitude and practice about the use of ORS. However, knowledge, attitude and practice of mothers towards use of ORS for the treatment of diarrhoea need a little more improvement. This improvement can be achieved through effective health education strategies

scholarly journals Effectiveness of pamphlets on knowledge and practice regarding oral rehydration among mothers of under five children

2020 ◽  
Vol 7 (10) ◽  
pp. 3963
Author(s):  
Rina Kumari ◽  
Somesh Raju ◽  
Pragati Sharma ◽  
Raunak Verma ◽  
Prashant Pratap
Keyword(s):  
Test Score ◽  
Knowledge Score ◽  
Oral Rehydration Therapy ◽  
Oral Rehydration ◽  
Under Five ◽  
Under Five Children ◽  
Adequate Knowledge ◽  
Inadequate Knowledge ◽  
Post Test ◽  
Knowledge And Practice

Background: Diarrhoea is a major cause of morbidity and mortality among under-five children. Correct knowledge regarding oral rehydration therapy (ORT) helps prevent morbidity and mortality due to diarrhoea. Our objective was to assess the awareness, knowledge and practice of mothers of under-five children regarding ORT and home management of diarrhoea and effectiveness of pamphlets regarding knowledge and practices of oral rehydration therapy.Methods: A pre-experimental (one group pre-test & post-test) quantitative study conducted at King George’s Medical University, Lucknow, U.P. Subjects selected by purposive sampling technique and pre-test and post test conducted after explain nature of study and distribution of pamphlets containing information about diarrhoea and ORS.Results: Pre-test knowledge score of subjects regarding diarrhoea and oral rehydration showed that 64 percent of mothers having moderately adequate knowledge and 36 percent were having inadequate knowledge. Post-test knowledge score showed Significant improvements, 72.72 percent of subjects having adequate knowledge and 27.27 percent of subjects having moderately adequate knowledge and results were highly significant. Pre-test score of mothers regarding practice of oral rehydration therapy showed that majority (45.45%) of subjects having inadequate knowledge, 41.81% of subjects having moderately adequate knowledge and only 12.72% of mothers having adequate knowledge. Post-test score ct showed significant improvement in their practice regarding diarrhoea and ORS.Conclusion: Mothers were having moderately adequate knowledge about diarrhoea and dehydration. Although most of them could prepare commercially available packets of the O.R.S, but they could not prepare the O.R.S at home. Teaching of mothers about signs of dehydration and preparing and using O.R.S can help to reduce the mortality and morbidity of under five children.

scholarly journals Factors associated with adherence to the Integrated Management of Childhood Illness (IMCI) guidelines for under-five years’ old care in Burkina Faso primary health care facilities

2019 ◽  
Author(s):  
Sabere Anselme Traoré ◽  
Serge M.A. Somda ◽  
Joël Arthur Kiendrébéogo ◽  
Jean-Louis Kouldiati ◽  
Paul Jacob Robyn ◽  
...  
Keyword(s):  
Health Care ◽  
Health Workers ◽  
Integrated Management ◽  
Health Care Facilities ◽  
Childhood Illness ◽  
Under Five ◽  
Danger Signs ◽  
Primary Health ◽  
Primary Health Care Facilities

AbstractObjectiveTo assess the adherence to Integrated Management of Childhood Illness (IMCI) guidelines in primary health care facilities in Burkina Faso and to determine the factors associated.Materials and MethodsWe used data from a large survey on health facilities, held from October 2013 to April 2014. Primary health facilities were evaluated, health workers interviewed and consultations observed. The standard guideline for an under five year’s old child consultation was the Integrated Management of Childhood Illness (IMCI).Results1,571 consultations were observed, carried out by 522 different practitioners. The danger signs were usually not checked (13.9% only checking for at least three general danger signs). The adherence for cough (74.8%), diarrhoea (64.9%), fever (83.8%) and anaemia (70.3%) was higher. The principal factors found to be associated with poorer adherence to guidelines of consultation were female sex (Rate Ratio (RR) = 0.91; 95% CI 0.86 – 0.95), non-nurse practitioner (RR=0.93; 95% CI 0.88 – 0.97), IMCI training (RR=1.06; 95% CI 1.01 – 1.11), non-satisfaction of the salary (RR=0.95 95% CI 0.91 – 0.99).ConclusionThis study highlights a poor adherence to the IMCI guidelines and by then, revealing a poor quality of under-five care. Indeed, many characteristics of health workers including gender, type of profession, training satisfaction with salary were found to be associated with this adherence. Therefore, more initiatives aiming at improving the quality of care should be developed and implemented for improving the child health care.

Awareness of quantity of ORS and Zinc among mothers of under five children with diarrhoea at a tertiary care Centre Lahore

2021 ◽  
pp. 1-10
Author(s):  
Mubeen Nazar Duggal ◽  
Attia Bari ◽  
Ayesha Mansoor ◽  
Sara Saeed ◽  
Wajiha Rizwan ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Oral Rehydration Salt ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Oral Rehydration ◽  
Under Five ◽  
Under Five Children ◽  
Number Of Children

Abstract Objectives: To assess mothers’ knowledge about quantity of ORS and zinc in management of diarrhoea. Methods: Cross sectional study conducted over a period of 4 months from May 2019 to August 2019 among mothers accompanying under five children admitted in the diarrhoea ward of The Children’s hospital Lahore for rehydration and included 334 children age 2 months to 59 months. Data was collected regarding age, sex, residence, number of children in house hold, socioeconomic status, maternal literacy status, mother’s awareness of signs of dehydration in diarrhoea, familiarity with the term oral rehydration salt (ORS) as regards its correct preparation and administration and Zinc supplementation in diarrhoea. Conclusion: Majority mothers were aware of ORS and doctors were the main source of information. Many knew the correct role of ORS in diarrhoea and its method of preparation as sachet pack was the most commonly used type. Although ORS use rate was high, but most mothers were unaware of quantity of ORS to be given. Zinc use in diarrhoea was very low in our study. Keywords: Awareness, ORS, Zinc, Diarrhoea.

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