Penemuan kasus pneumonia secara pasif dengan pendekatan MTBS pada balita di Puskesmas

https://doi.org/10.22146/bkm.45642

Sri Maya Guswahyuni(1*), Djauhar Ismail(2), Sri Mujianto(3)

(1) Departemen Biostatistik, Epidemiologi, dan Kesehatan Populasi, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(2) Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada
(3) Pusat Kesehatan Reproduksi, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Case study of implementation pneumonia prevention and control program: case finding on the children under five years old at puskesmas by IMCI approach

Purpose: This study aims to evaluate the Prevention and Control program for ARI Pneumonia through pneumonia case finding activities for toddlers in Kerinci District health centers.

Methods: This study is evaluation research used qualitative methods with a case study program implementation plan, located at Sungai Tutung Health Center, Kerinci District, Jambi Province, using a logic model program theory with evaluation steps referring to the program evaluation framework recommended by the Center For Disease Control and Prevention. Interviews were conducted on 15 informants including triangular informants. Key informants are primary health care providers who are associated with ARI pneumonia.

Results: The results of the study, the case-findings of pneumonia cases passively was not optimal because it did not meet the standard of cough testing and IMCI approach. Lack of knowledge, low motivation, and weakness, monitoring, and evaluation from the health office are obstacles to ARI pneumonia programs in addition to budget or funding limitations.

Conclusions: The recommendation is to allocate a budget for the P2 ISPA program, facilitate the improvement of knowledge and skills for P2 ISPA Primary health care officers, establish cross-program and cross-sector cooperation in expanding the reach of P2 ISPA program in the finding of pneumonia cases in toddlers in health centers.


Keywords


case finding; pneumonia; ARI; primary health care

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References

1. Kemenkes RI. Profil Kesehatan Indonesia 2017. 2018.

2. Dinkes Provinsi Jambi. Profil Kesehatan Provinsi Jambi. 2016. Available: http://www.depkes.go.id/resources/download/profil/PROFIL_KES_PROVINSI_2015/05_JAMBI_2015.pdf

3. Chan M, Lake A. Integrated action for the prevention and control of pneumonia and diarrhoea. The Lancet. 2013. pp. 1436–1437. doi:10.1016/s0140-6736(13)60692-3

4. Bjornstad E, Preidis GA, Lufesi N, Olson D, Kamthunzi P, Hosseinipour MC, et al. Determining the quality of IMCI pneumonia care in Malawian children. Paediatrics and International Child Health. 2014. pp. 29–36. doi:10.1179/2046905513y.0000000070

5. Choiriyah S, Anggraini DN. Evaluasi input sistem surveilans penemuan penderita pneumonia balita di puskesmas. 1. 2015;4. doi:10.15294/ujph.v4i4.9689

6. Putriarti RT, Suparwati A, Wigati PA. Analisis sistem manajemen program P2 ISPA di Puskesmas Pegandan Kota. Jurnal Kesehatan Masyarakat (e-Journal). 2015;3: 85–94.

7. Sutherland J. Meningkatkan Produktifitas dua kali lipat dalam waktu setengahnya saja. Sleman Yogyakarta: PT Bentang Pustaka; 2018.

8. Kemenkes RI. Peraturan Menteri Kesehatan Indonesia Nomor 46 Tahun 2015 Tentang Akreditasi Puskesmas, Klinik Pratama, Tempat Praktik Mandiri Dokter dan Tempat Praktik Mandiri Dokter Gigi. 2015.

9. Diah Puspitarini, Lucia Yovita Hendrati. Evaluasi pelaksanaan mtbs pneumonia di puskesmas di Kabupaten Lumajang tahun 2013. Jurnal Berkala Epidemiologi. 2013;1: 291–301.

10. Sando W, Kiswanto K, Alamsyah A. The Implementation of Diseases Control for Acute Respiratory Infection (DC-ARI) Program’s at Sungai Pakning's Public Health Centre, Bengkalis Regency. Jurnal Kesehatan Komunitas. 2018;4: 102–111.

11. Prabawa HE, Azinar M. Faktor - faktor yang berhubungan dengan praktik penemuan pneumonia balita oleh bidan. 1. 2017;6: 148–154.

12. Yarber L, Brownson CA, Jacob RR, Baker EA, Jones E, Baumann C, et al. Evaluating a train-the-trainer approach for improving capacity for evidence-based decision making in public health. BMC Health Services Research. 2015. doi:10.1186/s12913-015-1224-2

13. Franco LM, Bennett S, Kanfer R. Health sector reform and public sector health worker motivation: a conceptual framework. Social Science & Medicine. 2002. pp. 1255–1266. doi:10.1016/s0277-9536(01)00094-6

14. Dieleman M, Gerretsen B, van der Wilt GJ. Human resource management interventions to improve health workers’ performance in low and middle income countries: a realist review. Health Res Policy Syst. 2009;7: 1–13.

15. Mbindyo P, Gilson L, Blaauw D, English M. Contextual influences on health worker motivation in district hospitals in Kenya. Implementation Science. 2009. doi:10.1186/1748-5908-4-43

16. Wahyudi A, Salham M, Kadri A. Faktor yang berhubungan dengan kinerja petugas kesehatan pelayanan manajemen terpadu balita sakit di Puskesmas Kamonji Kota Palu. Jurnal Kolaboratif Sains. 2018;1. doi:10.31934/jom.v1i1.352

17. Yunari I. Pengaruh sarana prasarana dan kualitas pelayanan terhadap kepuasan pasien (studi pada pasien rawat jalan unit Poliklinik IPDN Jatinangor). 2017 [cited 31 Dec 2019]. Available: https://www.semanticscholar.org/paper/PENGARUH-SARANA-PRASARANA-DAN-KUALITAS-PELAYANAN-Yunari/dad880b332a72ab84717addf10aa950f8827363b

18. Ditjen P2P. Pedoman pencegahan dan pengendalian infeksi saluran pernapasan akut. 2016.

19. Ditjen P2PL. Pedoman Tatalaksana Pneumonia Pada Balita. 2015.

20. Aryani MP, Baroya N, Ariyanto Y. The Implementation of Acute Respiratory Infection (ARI) Controlling Programme and The Coverage of Pneumonia Findings among Under-Five Children. Unnes J Public Health. 2018;3: 1–10.

21. Arifada AY, Rochmah TN. Analisis Sistem Kemitraan dalam Program Imunisasi Berdasarkan Peran Perangkat Desa, Bidan Desa, dan Masyarakat. Jurnal Administrasi Kesehatan Indonesia. 2015;3: 139–150.

22. Ditjen Bina Gizi dan KIA. Manajemen Terpadu Balita Sakit Berbasis Masyarakat (MTBS-M). 2014.

23. Kurniawan A. Perilaku pencarian pengobatan oleh orang tua yang memiliki anak usia balita (studi fenomenologi perilaku pencarian pengobatan oleh orang tua dengan anak usia balita di Desa Karanggedang, Kecamatan Sumpiuh, Kabupaten Banyumas). masters, Universitas Sebelas Maret. 2017. Available: https://eprints.uns.ac.id/33731/

24. Napirah MR, Rahman A, Tony A. Faktor-faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan di wilayah kerja Puskesmas Tambarana Kecamatan Poso Pesisir Utara Kabupaten Poso. Jurnal Pengembangan Kota. 2016. p. 29. doi:10.14710/jpk.4.1.29-39

25. Noordam AC, Carvajal-Velez L, Sharkey AB, Young M, Cals JWL. Correction: Care Seeking Behaviour for Children with Suspected Pneumonia in Countries in Sub-Saharan Africa with High Pneumonia Mortality. PLOS ONE. 2015. p. e0126997. doi:10.1371/journal.pone.0126997



DOI: https://doi.org/10.22146/bkm.45642

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