scholarly journals An alternative maximum reach strategy for routine immunization during the pandemic in Indonesia

MEDISAINS ◽  
2021 ◽  
Vol 19 (1) ◽  
pp. 1
Author(s):  
Dedy Purwito
Keyword(s):  
Mortality Rate ◽  
Significant Role ◽  
Health Workers ◽  
Health Centers ◽  
Children Under Five ◽  
Under Five ◽  
Immunization Services ◽  
Private And Public ◽  
The Government ◽  
Coordination And Collaboration

Immunization plays a significant role in reducing the mortality rate for children under five. Immunization has been proven to be an efficient and effective health effort in preventing and reducing morbidity, disability, and death due to diseases that can be prevented by immunization. Increasing the coverage of immunization needs to be considered by the government by involving the community and health offices, and other stakeholders.  Health centers should provide immunization services considering the immunization guidelines during the Covid-19 pandemic, ensuring adequate health workers (vaccinators).  Provide information about safe immunization services and coordination and collaboration with stakeholders (private and public sectors).

scholarly journals The Quality of Child Health Care Services in Community Health Centers in Urban Indonesia: Health Workers’ Perspectives

2019 ◽  
Author(s):  
Agus Setiawan ◽  
Poppy Fitriyani ◽  
Rizkiyani Istifada
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Care Services ◽  
Community Health Centers ◽  
Health Workers ◽  
Health Centers ◽  
Children Under Five ◽  
Under Five ◽  
Care Services

Abstract BackgroundThe quality of health delivery in primary care is crucial to improve the health status of sick children. The purpose of this study is to explore the experience of health workers in providing health care services to children under five years old in community health centre in Depok, Indoneisa. The viewpoint of these professionals can provide the necessary information for improving the quality of these services at the community health centers. MethodThe study utilizes a qualitative study design with a phenomenological approach. Twelve health care professionals from the community health centers in the city of Depok were interviewed. The data were analyzed using the Colaizzi approach. ResultsThe result of the study covers three major themes, i.e. (1) the significance of health workers in delivering health care services to children under five years old, (2) factors affecting the delivery of health care services to children under five years old, (3) the continuing efforts in providing health care services to children under five years old.ConclusionThe perception of health care professional with regard to their responsibility in delivering health care services to children under five years old becomes an input for improving the quality of the services. The best efforts to reduce the mortality and morbidity of children under five is by optimizing the primary and secondary preventive measures.

scholarly journals Chronic Diarrhea in Children Under Five Years Old

2020 ◽  
Vol 2 (3) ◽  
pp. 128-134
Author(s):  
Grahana Ade Candra Wolayan ◽  
I Gusti Made Reza Gunadi Ranuh ◽  
Budiono Budiono ◽  
Alpha Fardah Athiyyah
Keyword(s):  
Mortality Rate ◽  
Nutritional Status ◽  
Chronic Diarrhea ◽  
Secondary Data ◽  
Descriptive Study ◽  
Age Group ◽  
Children Under Five ◽  
Under Five ◽  
The Government ◽  
Death Cases

Diarrhea is an endemic disease in Indonesia and has the potential to cause outbreaks that are often accompanied by death, even the mortality rate during outbreaks in 2017, amounting to 1.97%, had not yet reached the expected target by the government, which is less than 1%. This study aims to determine the distribution of sex, age, nutritional status based on weight/age, and how to leave the hospital for chronic diarrhea patients and to know the correlation between nutritional status based on weight/age and death cases of chronic diarrhea in children under five years old treated at RSUD Dr. Soetomo in the period 2015-2019. This research was a retrospective analytical and descriptive study using secondary data from a patient's electronic medical record. Results showed that out of 45 chronic diarrhea patients, 28 (62,2%) were male, 16 (35,6%) children were in the 0 - 5 months age group, 18 (40,0%) children had good nutritional status, 39 (86,7%) children were discharged from the hospital, and there was a significant correlation between nutritional status based on weight/age and death cases of chronic diarrhea in children (p = 0,017). It could be concluded that the majority of children with chronic diarrhea were male, were in the 0 - 5 months age group, had good nutritional status, and were discharged from the hospital which meant that their condition had improved or cured and there was a significant correlation between nutritional status based on weight/age with death cases of chronic diarrhea in children.

Why is the Coverage of Pneumonia Case Detection on Children under Five Years-Old Still Considered as Low in Sleman?

2017 ◽  
Vol 1 (1) ◽  
pp. 26
Author(s):  
Ade Kartikasari Sebba ◽  
Baning Rahayujati ◽  
Isa Dharmawidjaja
Keyword(s):  
Community Health ◽  
Community Health Centers ◽  
Sampling Technique ◽  
Health Centers ◽  
Case Detection ◽  
Upper Respiratory Infection ◽  
Children Under Five ◽  
Under Five ◽  
Pneumonia Case ◽  
Case Investigation

Pneumonia is one of the deadliest diseases for children under five years-old throughout the world. In Indonesia, pneumonia is the second deadliest disease after diarrhea. In 2015-2016, the Coverage of pneumonia case detection on children under five years-old increased from 22.33% to 36.06% but it had not achieved the detection target (-85%). A program evaluation needs to conduct, consequently. The evaluation aims to observe the implementation of pneumonia investigation program on children under five years-old in Sleman in 2016. The evaluation used a descriptive design performed in June-July 2017. The research subject was the program of Upper Respiratory Infection (ISPA, Infeksi Saluran Pernapasan Akut) implemented in community health centers (puskesmas, pusat kesehatan masyarakat). Twenty respondents as the sample were chosen by using the purposive sampling technique. The surveillance evaluation employed the input, activities, and output. The instruments were structural questionnaires and checklist sheets. The analysis result was presented in forms of tabulation and narration. From the input facet, 100% respondents have not had any special trainings related to pneumonia. 55% respondents have interlocking jobs with the longest service time of three years or more (75%). 70% respondents are able to show ARI Soundtimer. There are only 10% respondents holding the media of communication, information, and education (KIE, Komunikasi, Informasi, dan Edukasi) in forms of flipchart and leaflet; while 100% respondents admit that they have no stamp seal of URI. The proses facet displays that 100% respondents do not arrange any plan. The case investigation is only passive (100%). 80% respondents do socialization of case management and only 15% respondents perform a home visit. 100% respondents have not held trainings for responsible people, alert villages, and private midwives. From the output facet, the scope of case investigation is still low (36.06%).The implementation of pneumonia case investigation program on children under five years-old has been well executed but there are still weaknesses. Hence, public health offices (dinas kesehatan) should improve their human resources by arran ging a training program, equalize the use of breath counting tool and make MoU with all health services to report pneumonia cases. Community health centers are recommended to arrange plans, actively attempt to discover pneumonia cases, and train the responsible people, centers for pre-and postnatal health care (posyandu, pos pelayanan terpadu), or midwives related to the subject of pneumonia.

scholarly journals Availability and Utilization of WHO Lifesaving Medicines for Children under Five in Public Health Facilities of the Jimma Zone, South West Ethiopia: A Cross-Sectional Survey

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Tidenek Mulugeta Tujo ◽  
Tadesse Gudeta Gurmu
Keyword(s):  
Public Health ◽  
Health Centers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
The Past ◽  
Jimma Zone ◽  
Almost All ◽  
Medicines For Children

Background. The increased morbidity and mortality rates in children under five in developing countries are mostly attributed to poor availability and failure of prescribing lifesaving medicines. This study was aimed at evaluating the availability and utilization of the WHO-recommended priority lifesaving medicines for children under five in public health facilities. Method. A cross-sectional survey complemented with a qualitative method was conducted in 14 health centers and four hospitals in the Jimma Zone, Ethiopia. In the facilities, we assessed the availability within the last half year and on the day of the visit. Utilization of the medicines was assessed through a review of patient records of the last one year. Twelve in-depth interviews were carried out to collect the qualitative data, and the analysis was executed using thematic analysis. Results. For treatment of pneumonia, amoxicillin dispersible tablets and gentamycin injection were available in 94.4% of the facilities. For treatment of malaria, artemether/lumefantrine was available in 61.1% of the facilities. For pain management, paracetamol tablets were available in 94.4% of the facilities. AZT+3TC+NEV for HIV/AIDS management was available in all facilities. At least one essential medicine was out of stock in the past six months with the average duration of 33.6 days in health centers and 28.25 days in hospitals. Oral rehydration salt and zinc (84.7%) and AZT+3TC+NEV (100%) had better utilization. However, for almost all cases, other nonpriority medicines were highly prescribed. Lack of administrative commitment, supply of near expiry products, complexity of diseases, and lack of customized child formulations were among the challenges of availability and utilization of those medicines. Conclusions. The overall availability of lifesaving medicines on the day of the visit was fairly good but with poor utilization in almost all facilities. Some products were not available for considerable length of time in the past six months.

scholarly journals IMPLEMENTASI PROGRAM PERBIKAN GIZI MASYARAKAT KATEGORI BALITA BERSTATUS GIZI KURANG DI KELURAHAN SUNGAI MALANG KABUPATEN HULU SUNGAI UTARA

2019 ◽  
Vol 3 (1) ◽  
pp. 15
Author(s):  
Reno Affrian
Keyword(s):  
Family Care ◽  
Improvement Program ◽  
Environmental Aspect ◽  
Factors Affecting ◽  
Children Under Five ◽  
Under Five ◽  
Urban Village ◽  
Postal Services ◽  
Care Pattern ◽  
The Government

Based on Basic Health Research (RKD) and Toddler Operations in North Hulu Sungai Utara, nutritional problems are less increasing in the last three years, 2015 less than 17.32% malnutrition, 2016 less than 20.54% and nutrition prevalence less by 24%. Less nutritional problems in Hulu Sungai Utara Regency are included in the categorization of serious public health problems due to nutritional prevalence above 20%. mapping of the poor urban village region donated the most under-five children under five, namely 537 children under five. Based on the results of the research that the implementation of nutrition improvement program for under-fives under-nutrition category in urang sub-district in the northern river upstream district has not run well enough, it is known from: 1. Environmental aspect in the form of community economic environment and family care pattern, 2. Target group, some program implementers are not yet fully aware of the targets set by the government nationally, 3. Program activities, activities carried out only as routine activities ie immunization activities and postal services yando, 4.Pengelolaan Management and Pengawasa, not fully run well it diliat still lack inter-sectoral coordination, factors affecting nutrition improvement program for under-fives under-fives category in poor urban village influenced by several factors 1. Policy Size and Objectives 2. Resources, 3. Characteristics of implementing agents, 4. Attitudes / implementers, 5. Intercommunications organization and activities of the implementer, 6. Economic, social and political environment.

scholarly journals Pengaruh integrasi intervensi gizi dan stimulasi tumbuh kembang terhadap peningkatan berat badan dan perkembangan balita kurus

2018 ◽  
Vol 15 (1) ◽  
pp. 16 ◽  
Author(s):  
Bunga Paramashanti ◽  
Sulistyawati Sulistyawati
Keyword(s):  
Health Workers ◽  
Nutrition Intervention ◽  
Food Supplementation ◽  
Control Group ◽  
Intervention Package ◽  
Education Development ◽  
Double Burden ◽  
Children Under Five ◽  
Under Five ◽  
Feeding Center

Background: Indonesia has faced the problem where double burden malnutrition increasing. On the other hand, malnutrition in children may affect the development both in early childhood and the quality of human capital in later life.Objective: This study aimed to examine the effect of integration of nutrition intervention and development stimulation on weight gain and development of wasted children.Method: Design used in this study was quasi-experimental with pre- and post-test control group. Subjects were 38 children under-five resided in Sedayu Subdistrict. Sampels were selected by using total sampling of children under-five in community feeding center, meanwhile controls were children under-five selected from integrated health posts in another villages with the ratio of 1:1. Interventions given were education, development stimulation and food supplementation package distributed by the community health workers whom were given capacity building. Analysis used were Mann-Whitney U and Wilcoxon Signed Rank tests at the level of significance 0,05.Results: Children in intervention groups gained their weight significantly from before (9.17±1.89) and after (9.27±1.79) intervention (p=0.04). Meanwhile, development impairment score decreased from 1.32±0.75 to 0.42±0.61 significantly (p=0.00).Conclusion: Intervention package containing nutrition and development education, development stimulation and supplementary food through community feeding center (CFC) sucessfully increased body weight and development of wasted children significantly.

scholarly journals FAKTOR-FAKTOR YANG MEMPENGARUHI KUNJUNGAN IBU BALITA KE POSYANDU: LITERATUR REVIEW

2021 ◽  
Vol 12 (2) ◽  
pp. 256
Author(s):  
Emilia Yunritati Rehing ◽  
Antono Suryoputro ◽  
Sakundarno Adi
Keyword(s):  
Health Workers ◽  
Active Role ◽  
Community Health Service ◽  
Children Under Five ◽  
Under Five ◽  
Factors Associated ◽  
Service Activity ◽  
Health Related ◽  
Improve Health

AbstrakPosyandu merupakan suatu kegiatan pelayanan kesehatan masyarakat yang dikelola bersama sebagai upaya dalam peningkatan kesehatan. Kegiatan posyandu salah satunya yakni untuk memantau pertumbuhan dan perkembangan balita. Posyandu balita dilakukan secara rutin sesuai dengan yang jadwalkan dan perlunya peran aktif ibu yang memiliki anak balita untuk melakukan kunjungan guna mendapat penyuluhan terkait kesehatan, pemantauan tumbuh kembang anak, pemberian vitamin, dan imunisasi. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kunjungan balita ke Posyandu. Hasil penelitian menunjukan factor kunjungan posyandu antara lain pengetahuan, pekerjaan ibu, peran kader dan petugas kesehatan, dukungan keluarga, jarak posyandu, pendidikan ibu, sikap, motivasi, kepemilikan KMS. Penelitian ini dilakukan dengan menggunakan literature riview yaitu sebanyak 10 artikel dan dipublikasikan 5 tahun terakhir yaitu tahun 2017-2021. Pencarian artikel dengan menggunakan google scolar dan science direct. Kata Kunci: Kunjungan Posyandu, Ibu, Balita Abstract Posyandu is a community health service activity that is jointly managed as an effort to improve health. One of the posyandu activities is for the growth and development of children under five. Posyandu for toddlers are carried out regularly as scheduled and the need for an active role for mothers with children under five to make visits to get health-related education, warnings on child development, offer vitamins, and immunization. This study aims to determine the factors associated with under-five visits to Posyandu. The results showed that the posyandu visit factors included knowledge, maternal occupation, the role of cadres and health workers, family support, distance of posyandu, mother's education, attitudes, motivation, ownership of KMS. This research was conducted using a literature review of 10 articles and published in the last 5 years, namely 2017-2021. Search for articles using google scolar and science direct. Keywords: Posyandu visits, mothers, toddlers

scholarly journals DETERMINAN KEJADIAN ISPA NON PNEUMONIA PADA ANAK BALITA DI KELURAHAN KEDUNG SARI KECAMATAN SUKAJADI KOTA PEKANBARU

2019 ◽  
Vol 1 (2) ◽  
pp. 90-97
Author(s):  
Christine Vita Gloria Purba ◽  
Okta Safryanni ◽  
Al Hidayati ◽  
Zulmeliza Rasyid
Keyword(s):  
Tract Infection ◽  
Respiratory Tract ◽  
Respiratory Tract Infection ◽  
Cigarette Smoke ◽  
Health Workers ◽  
Acute Respiratory Tract Infection ◽  
Primary Data ◽  
P Value ◽  
Children Under Five ◽  
Under Five

Non pneumonia Acute Respiratory Tract Infection (ARI) is a respiratory tract disease that is acute with a cough that does not show symptoms of increased respiratory frequency and does not indicate the pull of the lower chest wall inward. The incidence of non pneumonia ARI  in children under five in Kedung Sari Village was recorded at 40.06%. This study aims to determine the description and determinant of the incidence of non-pneumonia ARI  in children under five in Kedung Sari Village, Sukajadi District, Pekanbaru City in 2019. This type of research is quantitative observational analytic with cross sectional design. The study population was all children under five who lived in Kedung Sari Village, Sukajadi District, Pekanbaru City, amounting to 312 people with a sample of 172 respondents. The sampling technique was done by consecutive sampling. The type of data used in this study are primary data and secondary data by means of retrieving data through measurements and questionnaires. Data analysis was done by univariate and bivariate with chi square test. The results showed that there was a correlation between exposure to cigarette smoke (p-value 0,000) and the incidence of non-pneumonia ARI in children under five. It is expected that health workers, especially in the health promotion section of the community health center in implementing control and eradication programs of Acute Respiratory Tract Infection can provide health education, especially regarding the dangers of cigarette smoke for children under five and recommend smokers to smoke in special places so children under five are not exposed cigarettes.

scholarly journals PEMBERDAYAAN IBU DALAM MENGENALI DIARE PADA ANAK DAN CARA PENCEGAHAN DIARE DI POSYANDU KALI KEJAMBON KECAMATAN TEMBELANG KABUPATEN JOMBANG

2019 ◽  
Vol 3 (1) ◽  
pp. 07
Author(s):  
Mamik Ratnawati ◽  
Monika Sawitri Prihatini ◽  
Rini Hayu Lestari
Keyword(s):  
Developing Countries ◽  
Community Service ◽  
Health Workers ◽  
Morbidity And Mortality ◽  
Children Under Five ◽  
Under Five ◽  
Global Problem ◽  
Child Morbidity ◽  
The World ◽  
Service Activities

Abstrak: Penyakit    diare    masih    menjadi    masalah  global      dengan      derajat      kesakitan      dan  kematian    yang    tinggi    di    berbagai    negara terutama   di   negara   berkembang,   dan   juga sebagai   salah  satu penyebab  utama  tingginya  angka    kesakitan    dan    kematian    anak    di  dunia. Tujuan dari kegiatan ini adalah untuk memberikan edukasi kepada ibu balita agar mengerti dan paham tentang diare dan pencegahannya di posyandu Desa Kali Kejambon Kecamatan Tembelang kabupaten Jombang. Kegiatan pengabdian masyarakat dengan Pemberdayaan Ibu Dalam Mengenali Diare Pada Anak Dan Cara Pencegahan Diare di Posyandu Kali Kejambon Kecamatan Tembelang Kabupaten Jombang berjalan dengan baik, sebanyak 50 orang ibu balita yang hadir dalam kegiatan ini dan terdapat 80% ibu balita paham dengan materi yang disampaikan oleh tim pelaksana pengabdian masyarakat serta terdapat umpan balik dengan memberikan pertanyaan kepada pelaksana kegiatan untuk pembahasan yang belum dimengerti. Bagi para ibu balita agar selalu waspada dengan kejadian diare pada balita karena diare merupakan bukan kasus yang bisa diremehkan dan bagi tenaga kesehatan agar selalu memberikan edukasi tentang penyakit-penyakit yang sering terjadi pada anak-anak agar tidak terjadi bahaya dan komplikasi.Abstract: Diarrhea is still a global problem with high degrees of illness and death in various countries, especially in developing countries, and also as one of the main causes of high child morbidity and mortality in the world. The purpose of this activity is to provide education to mothers of children under five to understand and understand diarrhea and its prevention at the Posyandu in Kali Kejambon Village, Tembelang District, Jombang Regency. Community service activities with the Empowerment of Mothers in Recognizing Diarrhea in Children and How to Prevent Diarrhea in the Kali Kejambon Posyandu in Tembelang District, Jombang Regency went well, as many as 50 under-five mothers attended this activity and 80% of toddlers understood the material delivered by the team implementing community service and providing feedback by giving questions to the implementers of activities for discussions that have not been understood. For mothers of toddlers to always be aware of the incidence of diarrhea in toddlers because diarrhea is not a case that can be underestimated and for health workers to always provide education about diseases that often occur in children so that there is no danger and complications.

Sign in / Sign up

Export Citation Format

Share Document