Quality of Care for Children Under Five with Malaria Using IMCI Approach at Public Health Centre: Literature Review

Integrated Management of Childhood Illness is one of the strategies in health care services for infants and children under five at primary health care facilities. Children with fever in high malaria endemic areas must have a blood test done to check whether the children have malaria or not. IMCI is one of the interventions recommended by WHO to screen and also ensure that children receive proper initial treatment at first-level health facilities. This article aims to discuss the quality of care for children under five with malaria using IMCI approach. This is a systematic review by searching 4 databases including Scopus, Web of Science, SAGE and Proquest. Health care services for children under five with an integrated management of childhood illness are intended to provide immediate and appropriate treatment. The guideline for treating children under five with malaria using IMCI approach is very helpful for nurses both in assessing, classifying, treating/curing and making decisions for pre-referral measures for severe cases. Several factors to support quality of care are trained officers, supervision and procurement of essential medicines, RDT and malaria microscopy. Enforcement of the right diagnosis will improve the quality of life of children and prevent death in children under five. Keywords: IMCI, Malaria, Children under five

Trends and Determinants of Underweight among Children under Five Years in Ethiopia: Further Analysis with Ethiopian Demographic and Health Survey 2005–2016—Multivariate Decomposition Analysis

Background. Underweight is one of the paramount major worldwide health problems, and it traces a big number of populations from infancy to old age. This study aimed to analyze the trends and predictors of change in underweight among children under five years in Ethiopia. Method. The data for this study were accessed from three Ethiopian Demographic and Health Survey data sets 2005, 2011, and 2016. The trend was examined separately for the periods 2005–2011, 2005–2016, and 2011–2016. Multivariate decomposition analysis of change in underweight was employed to answer the major research question of this study. The technique employed the output from the logistic regression model to parcel out the observed difference in underweight into components, and STATA 14 was utilized for data management and analysis. Result. Perceiving the overall trend, the rate of underweight was decreased from 38% in 2005 to 24% in 2016. The decomposition analysis results revealed that, about 12.60% of declines in underweight have been explained by the difference in population characteristics or endowments (E) over the study period. The size of the child at birth, husband’s education, women’s education, and household wealth index contributed significantly to the compositional decline in underweight. Conclusion. The magnitude of underweight among children under five years indicates a remarkable decline over the last ten years in Ethiopia. In this study, two-twelfth of the overall decrease in underweight among children under five years over the decade was due to the difference in characteristics between 2005 and 2016. Continuing to educate the population and boost the population’s economy is needed on the government side in Ethiopia.

Assessment of Undernutrition Using Composite Index of Anthropometric Failure (CIAF) and its Determinants: A Cross-Sectional Study in the Rural Area of Bogor District in Indonesia

Background: Composite Index of Anthropometric Failure (CIAF) can assess anthropometric failure by combining the three conventional index measurements of weight-for-age, length/height-for-age, and weight-for-length/height to determine the nutritional status of children under five years. This study aims to assess undernutrition using the CIAF and its determinants on children under five years in the rural area of ​​Bogor District, in Indonesia.Methods: A cross-sectional study was conducted during February-May 2019 among 330 pairs of mother-children (under five years). Sample selected by systematic random sampling from four villages as undernutrition pockets in the rural area of ​​Bogor District, Indonesia. The nutritional status of children was assessed by measuring weight and length/height. Then, Z-score was calculated using WHO Anthro software and categorized based on conventional indices that included weight-for-age (WAZ), length/height-for-age (HAZ), weight-for-length/height (WHZ). CIAF is measured based on a combination of conventional index measurements. In addition, the characteristics of mother’s and child, and clean living behavior measured by structured questionnaires. Meanwhile, environmental sanitation is assessed by the environment meter. Binary logistic regression analysis with SPSS version 22.0 was used to analyze the dominant factors associated with undernutrition.Results: The prevalence underweight, stunted, and wasted was 27.8%, 29.7%, and 10.6% respectively. Children who are undernutrition are 42.1% according to the CIAF of which about a quarter (17.8%) of undernutrition children experience a single anthropometric failure, about half (22.2%) had dual failure, and 2.1% had multiple failures. The most dominant factor associated with underweight, stunted, and wasted is family income [p-value=0.018; AOR=5.44; 95% CI: 1.34-22.11], mother's height [p-value=<0.001; AOR=3.29; 95% CI:1.83-5.91], and child's age [p-value=0.013; AOR=2.59; 95% CI: 1.22-5.47] respectively. Mother's height is the most dominant factor associated with anthropometric failure (CIAF) [p-value=0.008; AOR=1.95; 95% CI: 2.19-3.19].Conclusion: CIAF is worthwhile in preventing undernutrition in children under five years. The CIAF can identify more malnourished children than the conventional index. CIAF can use more widely in various regions in Indonesia and other developing countries. Furthermore, improvements in improving nutrition for mother’s in the child since the First 1000 days of life period are needed to determine optimal nutritional status as an indicator of growth success.

Faktor Faktor yang Berhubungan dengan Kejadian Penyakit Infeksi Saluran Pernafasan Akut (ISPA) Pada Anak Usia Balita di Puskesmas Semurup Kabupaten Kerinci

ABSTRACT FACTORS ASSOCIATED WITH THE INCIDENCE OF ACUTE RESPIRATORY INFECTION (ARI) IN TODDLERS IN SEMURUP PUBLIC HEALTH CENTER, KERINCI REGENCY Introduction: Acute Respiratory Tract Infection (ARI) is still a global health problem. In 2018, the highest number of ARI sufferers occurred in the United States as many as 48,325 children (WHO, 2018). ARI is an acute respiratory disease with various symptoms (syndrome). caused by various causes, although the organs of the upper and lower respiratory tract involved are the nose, larynx, throat, bronchi, trachea, and lungs, the focus is on the lungs, the causes of ARI are bacteria, viruses, fungi, and other aspiration. such as from environmental factors, the consequences of ARI are coughing, sneezing and nasal congestion, mucus discharge, headache, mild fever and can cause severe pneumonia.Objective: To determine the frequency distribution of the incidence of ARI in children under five and to determine whether there is a relationship between nutritional status, completeness of immunization, and level of knowledge with the incidence of ARI in children under five. five.Methods: The type of research used is descriptive-analytic using a cross-sectional approach, the sampling method in this study is accidental sampling with a total sample of 42 people. Then the data were analyzed by univariate and bivariate analysis and then tested by Chi-Square statistical test with 95% confidence level = 0.05.Results: The results showed that there was a relationship between nutritional status and the incidence of ARI with p-value = 0.028, there was a relationship between completeness of immunization and the incidence of ARI, p-value = 0.019, there was a relationship between the level of knowledge and the incidence of ARI, p-value = 0.000.Conclusion: Judging from the results of the study that the incidence of ARI is quite high at the Semurup Health Center, Kerinci Regency, the researchers hope that this research can be a reference for health services to carry out nursing care properly, especially regarding ARI diseases. Keywords: Nutritional Status, Completeness of Immunization, Knowledge Level and Incidence of ARI INTISARI : Faktor Faktor yang Berhubungan dengan Kejadian Penyakit Infeksi Saluran Pernafasan Akut (ISPA) Pada Anak Usia Balita di Puskesmas Semurup Kabupaten Kerinci Pendahuluan: Infeksi Saluran Pernafasan Akut saat ini masih menjadi masalah kesehatan dunia. Tahun 2018 jumlah penderita ISPA terbanyak yaitu terjadi di negara Amerika Serikat sebanyak 48.325 anak (WHO, 2018). ISPA adalah penyakit saluran pernafasan yang bersifat akut dengan berbagai macam gejala (Sindrom). disebabkan oleh berbagai sebab, meskipun organ saluran pernafasan yang terlibat bagian atas dan bawah adalah hidung, laring, tenggorok, bronkus, trakea, dan paru-paru, tetapi yang menjadi fokus adalah paru-paru, penyebab ISPA yaitu bakteri, virus, jamur, dan aspirasi lainya seperti dari faktor lingkungan kemudian akibat dari ISPA adalah batuk, bersin dan kongesti nasal, pengeluaran mukus, sakit kepala, demam derajat ringan dan bisa mengakibatkan pneumonia berat.Tujuan: Adapun tujuan untuk mengetahui distribusi frekuensi kejadian ISPA pada balita serta meneliti apakah ada hubungan status gizi, kelengkapan imunisasi, tingkat pengetahuan terhadap kejadian ISPA pada Balita.Metode: Jenis penelitian yang digunakan yaitu deskritif analitik menggunakan pendekatan crooss sectional, cara pengambilan sampel dalam penelitian ini dengan cara accidental sampling dengan jumlah sampel 42 orang. Kemudian data dianalisa dengan analisa univariat dan bivariat kemudian di uji dengan uji statistik Chi-Square dengan tingkat kepercayaan 95% = 0,05.Hasil: Hasil penelitian didapatkan ada hubungan status gizi dengan kejadian ispa dengan p value= 0,028, ada hubungan kelengkapan imunisasi dengan kejadian ISPA p value=0,019, ada hubungan tingkat pengetahuan dengan kejadian ISPA p value=0,000.Kesimpulan: Dilihat dari hasil penelitian bahwa kejadian ISPA cukup tinggi di Puskesmas Semurup Kabupaten Kerinci sehingga peneliti berharap penelitian ini bisa menjadi acuan bagi pelayanan kesehatan untuk menerapkan asuhan keperawatan dengan baik khususnya tentang penyakit ISPA. Kata Kunci: Status Gizi, Kelengkapan Imunisasi, Tingkat Pengetahuan dan Kejadian ISPA

Nutritional deviations in children: comparative analysis of data from the food and nutrition surveillance system and those obtained by anthropometrists

ABSTRACT Objective: To compare the prevalence rates of nutritional deviations in children under five years of age according to data from the Food and Nutrition Surveillance System (Sistema de Vigilância Alimentar e Nutricional — SISVAN) and those obtained by trained anthropometrists. Methods: This is a descriptive cross-sectional study based on data from 10 municipalities and 2 sources: i) SISVAN Web (secondary database) and ii) an investigation that evaluated the implementation of food and nutrition actions in the Family Health Strategy in the state of Paraíba (primary database), with 24,137 and 897 individuals, respectively. Proportions of overweight — according to weight/age (W/A), weight/height (W/H), and body mass index/age (BMI/A) — and stunting — according to the height/age (H/A) index — based on classifications of SISVAN Web and those obtained by trained anthropometrists were compared using the two-proportion Z-test. Results: Frequencies of overweight, according to W/A (10.0 vs. 7.8%), W/H (17.2 vs. 14.3%), and BMI/A (18.1 vs. 14.4%), as well as stunting (12.3 vs. 8.6%), were higher on data from SISVAN Web than on those obtained by trained anthropometrists, and the differences were significant. Conclusions: The findings point to distortions in the nutritional classification of children under five years of age monitored by SISVAN Web.

Hubungan Sanitasi Lingkungan dengan Stunting pada Anak Balita di Daerah Pesisir Pantai Puskesmas Tumalehu Tahun 2020

Poor environmental sanitation will result in diarrheal disease which will later lead to infection and thus lead to malnutrition. In Indonesia, it is recorded that 7.8 million out of 23 million children under five are stunted or around 35.6%. Based on the Tumalehu Health Center report (November 2019), it shows that in 2019 the number of children under five was 1467 and those with poor nutritional status were 89 children (6.07%). The research objective was to analyze the relationship between environmental sanitation and stunting in children under five in the coastal area of Tumalehu Health Center. This research method is analytic observational with a cross-sectional approach, the number of samples is 313 toddlers. Data were analyzed using Chi Square Test. The results of the study using a bivariate test showed that there was a relationship between environmental sanitation, consisting of clean water facilities (p=0.014), SPAL (p=0.05) and waste disposal facilities (p=0.00) with the incidence of stunting (HAZ) in toddler. The conclusion from the research is that poor sanitation can contribute to nutritional problems, in this case a picture of past nutrition problems for children under five, which is indicated by stunting.

TERAPI AKTIVITAS KELOMPOK TERHADAP KUALITAS HIDUP PENGARUH LANSIA

Group therapy is a method of treatment that is carried out when a patient is met in a certain time frame with personnel who meet certain requirements. The quality of life is closely related to the environment where the elderly live. The elderly generally live with their families, but not a few elderly people live in nursing homes. There is a significant difference in the quality of life of the elderly in the UPT Social Services for the elderly and children under five in Binjai area between before and after giving group activity therapy in the intervention group with a p value of 0.008.There was no significant difference in the quality of life of the elderly in the UPT Social Services for the elderly and children under five in Binjai area between before and after giving group activity therapy to the control group with a p value of 0.317.There was a significant difference in the quality of life of the elderly in the UPT Social Services for the elderly and children under five in Binjai area between the intervention group and the control group with a p value of 0.043.