Evaluation of the Implementation of Integrated Management of Childhood Illness in Special Region of Yogyakarta Province, Indonesia
DOI:
https://doi.org/10.3889/oamjms.2022.8670Keywords:
Implementation, Integrated Management of Childhood Illness, COVID-19 Pandemic, IndonesiaAbstract
BACKGROUND: Child mortality rate in Indonesia is now fluctuating. The Province of the Special Region of Yogyakarta (DIY) had fluctuated infant mortality rate in the recent years. As a result, guidelines of Integrated Management of Childhood Illness (IMCI) are still required to improve the health of Indonesian children.
AIM: This study aimed to explore the implementation of IMCI in DIY Province in terms of input, process, and output components.
METHODS: A case study approach with a qualitative method was conducted among implementers of IMCI in the DIY Province. The data were obtained from secondary sources, such as the reports, attendance lists, and focus group discussion video recordings.
RESULTS: The results were differentiated by input, process, and output components. Most IMCI implementers have not received special training (input); there were no specific guidelines for sick children during the COVID-19 pandemic (process); and the IMCI implementation target has not been achieved with the percentage below 60–70% (output).
CONCLUSION: The implementation of IMCI in Yogyakarta Province is still required to improve the quality of services provided to sick children.Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Central Bureau of Statistics. Indonesian Demographic and Health Survey 2017 in Yogyakarta. Yogyakarta: Central Bureau of Statistics; 2018.
Indonesia Ministry of Health. Indonesia Health Profile in 2019. Indonesia: Indonesia Ministry of Health; 2020. Available from: https://www.pusdatin.kemkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/profil-kesehatan-indonesia-2019.pdf [Last accessed on 2021 May 14].
DIY Health Office. Yogyakarta Special Province Health Profile 2019. Indonesia: DIY Health Office; 2020. Available from: https://www.dinkes.jogjaprov.go.id/litkes [Last accessed on 2021 May 14].
WHO. The Analytic Review of the Integrated Management of Childhood Illness Strategy. Geneva: WHO; 2003. Available from: https://www.apps.who.int/iris/bitstream/handle/10665/42965/9241591730.pdf?sequence=1 [Last accessed on 2021 May 14].
Horwood C, Voce A, Vermaak K, Rollins N, Qazi S. Experiences of training and implementation of integrated management of childhood illness (IMCI) in South Africa: A qualitative evaluation of the IMCI case management training course. BMC Pediatr. 2009;9(1):62. Available from: https://www.bmcpediatr.biomedcentral.com/articles/10.1186/1471-2431-9-62 [Last accessed on 2022 Jan 11]. DOI: https://doi.org/10.1186/1471-2431-9-62
Boschi-Pinto C, Labadie G, Dilip TR, Oliphant N, Dalglish SL, Aboubaker S, et al. Global implementation survey of integrated management of childhood illness (IMCI): 20 years on. BMJ Open. 2018;8(7):e019079. Available from: https://www.bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2017-019079 [Last accessed on 2022 Jan 11]. DOI: https://doi.org/10.1136/bmjopen-2017-019079
Pradhan NA, Rizvi N, Sami N, Gul X. Insight into implementation of facility-based integrated management of childhood illness strategy in a rural district of Sindh, Pakistan. Glob Health Action. 2013;6(1):20086. https://doi.org/10.3402/gha.v6i0.20086 PMid:23830574 DOI: https://doi.org/10.3402/gha.v6i0.20086
Pandya H, Slemming W, Saloojee H. Health system factors affecting implementation of Integrated Management of Childhood Illness (IMCI): Qualitative insights from a South African province. Health Policy Plan. 2018;33(2):171-82. https://doi.org/10.1093/heapol/czx154 PMid:29161375 DOI: https://doi.org/10.1093/heapol/czx154
WHO. IMCI Monitoring and Evaluation. Geneva: WHO; 2013. Available from: https://www.iris.wpro.who.int/bitstream/handle/10665.1/5364/9789290615361_package8_eng.pdf [Last accessed on 2021 May 14].
Suparmi S, Maisya IB, Rizkianti A, Sari K, Rosha BC, Amaliah N, et al. Integrated management of children illness at health centers in Eastern Indonesia. MPK. 2018;28(4):271-8. Available from: https://www.ejournal2.litbang.kemkes.go.id/index.php/mpk/article/view/125 [Last accessed on 2022 Jan 11]. DOI: https://doi.org/10.22435/mpk.v28i4.125
Mansur H. Evaluation of the integrated management of children illness at health centers in North Jakarta district 2015. Midwives Sci J. 2017;2(2):7.
Rahmah R, Astuti Y. The implementation of integrated management of children illness in primary health community in Yogyakarta, Indonesia. Open Access Maced J Med Sci. 2021;9(T4):315-8. Available from: https://www.oamjms.eu/index.php/mjms/article/view/5808 [Last accessed on 2022 Jan 11]. DOI: https://doi.org/10.3889/oamjms.2021.5808
Zulaikha F, Triasih R, Purwanta P. Knowledge and implementation of integrated management of childhood illness at East Kalimantan. Kemas. 2018;14(2):163-71. Available from: https://www.journal.unnes.ac.id/nju/index.php/kemas/article/view/13707 [Last accessed on 2022 Jan 11]. DOI: https://doi.org/10.15294/kemas.v14i2.13707
Steinhardt LC, Onikpo F, Kouamé J, Piercefield E, Lama M, Deming MS, et al. Predictors of health worker performance after integrated management of childhood illness training in Benin: A cohort study. BMC Health Serv Res. 2015;15(1):276. https://doi.org/10.1186/s12913-015-0910-4 PMid:26194895 DOI: https://doi.org/10.1186/s12913-015-0910-4
Indonesia Ministry of Health, WHO, UNESCO. Tutor’s Guidelines, Distant Training of IMCI Computer Adaptation and Training Tool (ICATT). Jakarta, Indonesia: MOH; 2011.
Titaley C, Jusril H, Ariawan I, Soeharno N, Setiawan T, Weber M. Challenges to the implementation of the integrated management of childhood illness (IMCI) at community health Centres in West Java province, Indonesia. WHO South-East Asia J Public Health. 2014;3(2):161-70. https://doi.org/10.4103/2224-3151.206732 PMid:28607302 DOI: https://doi.org/10.4103/2224-3151.206732
Muhe LM, Iriya N, Bundala F, Azayo M, Bakari MJ, Hussein A, et al. Evaluation of distance learning IMCI training program: The case of Tanzania. BMC Health Serv Res. 2018;18(1):547. https://doi.org/10.1186/s12913-018-3336-y PMid:30001709 DOI: https://doi.org/10.1186/s12913-018-3336-y
Mupara LU, Lubbe JC. Implementation of the integrated management of childhood illnesses strategy: Challenges and recommendations in Botswana. Glob Health Action. 2016;9(1):29417. https://doi.org/10.3402/gha.v9.29417 PMid:26899774 DOI: https://doi.org/10.3402/gha.v9.29417
Rohayati, Sulastri, Purwati. Factor analytic of implementation integrated management of children illness in health centers. Nurs J. 2015;12(1):112-17.
Renosa MD, Dalglish S, Bärnighausen K, McMahon S. Key challenges of health care workers in implementing the Integrated Management of Childhood Illnesses (IMCI) program: A scoping review. Glob Health Action. 2020;13(1):1732669. https://doi.org/10.1080/16549716.2020.1732669 PMid:32114968 DOI: https://doi.org/10.1080/16549716.2020.1732669
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2022 Fitri Haryanti, Ida Safitri Laksanawati, Eggi Arguni, Suci Ardini Widyaningsih, Nurulita Alma Ainun, Nisa Rastiwi (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0