Faktor-Faktor yang Mempengaruhi Tidak Terlaksananya Manajemen Terpadu Balita Sakit di Puskesmas Sentani Kota Kabupaten Jayapura Tahun 2013
Year: 2014
Type: article
Abstract: Background: According to Riset Kesehatan Das ar (Riskesdas) year 2010, the infant mortality rate per 1,000 live births was 36-41 and under five mortality rate per 1,000 live births was amounted at 62-64 .Based on the profile of Jayapura District Health Office in 2009 , the infant mortality rate per 1,000 live births was 12.99 and the maternal mortality rate per 1,000 live births was 6 and the prevalence of malnutrition among children under five years was 3.20 % .Based on the data collected from the regular reports done by Provincial Health Offices throughout Indonesia in the National Summit of Child Health Programs in 2010 , the number of health centers implementing integrated management of childhood illness (IMCI) until the end of 2009 was amounted to 51.55 % , but not all health centers were able to implement IMCI approach for various reasons , among others : lack of health personnel having trained IMCI; the health personnel has been trained but the infrastructure was not yet ready; lack of commitment or policy of the leadership of the health center , and others .Objective: The objectives of the research were to analyze further the factors affecting the implementation failure of Integrated Management of Childhood Illness ( IMCI ) in Sentani Health Center, Jayapura.Method: The research was qualitative method.The research population were the DHO officers and health center staff who have been involved in IMCI service, while the samples taken were 5 informants .The sampling technique was nonrandom purposive sampling.Result: The results showed that IMCI was not implemented in Sentani health centers due to the unbalance number of officers who deal with infants / toddlers; due to double jobs done by IMCI-trained personnel, the trained personnel were moved to different health centers; or the trained personnel continued their education.IMCI failed to be implemented in the health center was also due to the termination of procuring IMCI supporting facilities at Sentani health center by Jayapura District Health Office, and lack of quality of the facilities for handling infants / toddlers provided by Jayapura District Health Office .IMCI was failed to be implemented in the health center which is also caused by the absence of Sentani policy (implementation guidance and technical advice) regarding the implementation of IMCI in health centers .Others factor for IMCI not being implemented in Sentani health center was due to the limited funds from the local budget which could not support all activities of the organization of IMCI such as training , supervision and evaluation to the officers .Conclusion: IMCI in health centers Sentani is not implemented due to the factors of human resources, infrastructure , policies , budgets , officers' habits, patient satisfaction towards the conventional methods (non IMCI), as well as the lack of supervision by District Health Office on the IMCI implementation in the health center.
DOI: 10.22146/jkki.36375
Author: Agus Zainuri
Institution: Cenderawasih University
Language: Indonesian
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W2901683057