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The success of a program related to the performance of its officers Thisstudy aims to determine the performance of Integrated Management of ChildhoodIllness (IMCI) officers and determine the relationship between the independentvariables consisting of individual factors (age,length of work, knowledge andmotivation) and organizational factors (training, facilities, leadership) with thedependent variable which is the performance of IMCI officer.This type of research is quantitative with cross sectional study design. Thesample of 50 respondents IMCI officer.Collecting data by filling the questionnaireand interviewing and observation.Processing data using computer software, dataanalysis with univariate, bivariate statistical test chi-square and multivariatemultiple logistic regression statistical test.The results of this study showed that 62% good performance of IMCIofficer. There was correlation between age, length of work,knowledge,motivation, training and leadership with performance of IMCI officer. Thedominant factor affecting performance is the IMCI officers working life andleadership.References : 30 (1997-2015)Keywords : performance, IMCI, working period, leadership.
Berdasarkan laporan Poli Anak Manajemen Terpadu Balita Sakit (MTBS) Puskesmas Kecamatan Kelapa Gading terdapat perbedaan mencolok antara jumlah balita yang disarankan kunjungan ulang ke Poli Anak MTBS sebanyak 3.197 jiwa dibanding kunjungan ulang balita sebanyak 660 jiwa. Padahal penerapan MTBS akan efektif jika ibu/keluarga segera membawa balita sakit ke petugas kesehatan yang terlatih serta mendapatkan pengobatan yang tepat. Pesan mengenai kapan ibu perlu mencari pertolongan bila anak sakit merupakan bagian yang penting dalam MTBS. Pada tiap akhir kunjungan, petugas akan menjelaskan kapan harus kunjungan ulang. Penelitian dilakukan untuk mengetahui faktor-faktor yang berhubungan dengan rencana kunjungan ulang pelayanan MTBS di Puskesmas Kecamatan Kelapa Gading Propinsi DKI Jakarta. Disain penelitian ini adalah potong lintang dengan besar sampel 70 orang ibu. Hasil penelitian menunjukkan faktor-faktor yang berhubungan dengan rencana kunjungan ulang pelayanan MTBS adalah perceived need, waktu dan antri menunggu pemeriksaan, dan pengetahuan ibu.Perceived need merupakan faktor yang paling dominan mempengaruhi rencana kunjungan ulang pelayanan MTBS di Puskesmas Kecamatan Kelapa Gading Propinsi DKI Jakarta. Berdasarkan hasil penelitian disarankan petugas kesehatan perlu memperkuat konseling kepada ibu balita melalui kartu nasihat ibu/buku KIA/leaflet/brosur, manajemen waktu dan alur pelayanan MTBS, penambahan sarana (Poli MTBS) dan tenaga terlatih MTBS sehingga pasien tidak menunggu lama sebelum diperiksa, dan perlu penelitian lebih lanjut bersifat kualitatif untuk mengetahui akar masalah mengapa ibu balita tidak melakukan kunjungan ulang. Kata kunci : Pelayanan MTBS, Rencana kunjungan ulang, Puskesmas Kecamatan Kelapa Gading
Based on the Report on Integrated Management of Childhood Illness (IMCI) from Child Clinic Puskesmas Kecamatan Kelapa Gading there is difference between the number of children under five years old, who where recommended to revisit IMCI Child Clinic (3.197 children) compared to those who revisit the clinic (660 children). Whereas the implementation of IMCI will be effective if the mother / family bring the children to the trained health officials and get proper treatment. Messages about when mothers need to seek help for the sick children is tehe most important part in IMCI. At the end of each visit, the officer will explain when they should return for visit. The study was conducted to determine the factors associated with revisit plan for IMCI services in Puskesmas Kecamatan Kelapa Gading DKI Jakarta Province. This study used a cross-sectional design with total responden of 70 mothers. The results showed that factors associated with revisit plan IMCI service are perceived need, waiting time and examination time, and knowledge of mothers. Perceived need is the most dominant factor associated with revisit plan for IMCI services in Puskesmas Kecamatan Kelapa Gading DKI Jakarta Province. This research suggested health officials need to strengthen counseling program improve the mothers through mother's of advice cards / KIA books / leaflets / brochures, time management and workflow IMCI service, to add room facilities and trained health officials to cut patients waiting time, and further qualitative research needs to be conducted to find out the root cause of not revisiting the IMCI Child Clinic. Keywords : IMCI services, revisit plan, Puskesmas Kecamatan Kelapa Gading
Sejak tahun 1997, Departemen Kesehatan bekerjasama dengan WHO telah mengembangkan suatu pendekatan dalam tatalaksana balita sakit di tingkat pelayanan kesehatan dasar yang selanjutnya disebut sebagai Manajemen Terpadu Balita Sakit (MTBS). Kabupaten Sidoarjo Jawa Timur dengan dana bantuan WHO pada tahun 1997 pula telah mulai menerapkan pendekatan MTBS di 6 puskesmas.Tujuan penelitian ini adalah untuk memperoleh gambaran tingkat kepatuhan petugas pelaksana MTBS dan kepuasan ibu balita yang mendapat pelayanan dengan menggunakan tatalaksana MTBS di Kabupaten Sidoarjo. Penelitian ini menggunakan disain cross sectional dengan pendekatan kuantitatif dan kualitatif dengan jumlah sample sebanyak 12 petugas pelaksana MTBS dan 120 ibu balita. Pengumpulan data dilakukan dengan pengamatan secara langsung pada saat petugas memeriksa balita sakit dengan menggunakan daftar tilik dan wawancara terhadap ibu balita setelah selesai pelayanan dengan menggunakan kuesioner, kemudian dilakukan wawancara mendalam kepada petugas dan diskusi kelompok terarah dengan ibu balita.Hasil penelitian memperlihatkan bahwa pada tingkat kepatuhan petugas dengan menggunakan cut off point 90 dalam niiai kisaran kepatuhan tertinggi 100 dan terendah 83,32 maka sebanyak 65,80% petugas patuh dalam melakukan penilaian dan klasifikasi, 9I,70% petugas patuh dalam menentukan tindakan dan 66,70% petugas patuh dalam memberikan konseling. Untuk tingkat kepuasan ibu balita, dengan cut off point 29 dari total score 40, maka secara umum ibu balita menyatakan puas mendapat pelayanan dengan tatalaksana MTBS, tetapi masih ada 8,34% ibu balita yang tidak puas dalam hal keinginannya untuk kembali. Dengan uji statistik, pada p~,43 terdapat hubungan yang bermakna antara kepatuhan petugas dalam penilaian dan klasifikasi penyakit dengan kepuasan ibu balita dalam hal keinginannya untuk kembali membawa anaknya berobat ke puskesmas.Kesimpulan secara umum, tingkat kepatuhan petugas daIam tatalaksana MTBS sudah cukup baik, demikian pula kepuasan ibu balita terhadap pelayanan kesehatan dengan menggunakan tatalaksana sudah cukup tinggi. Maka disarankan kepada Dinas Kesehatan Kabupaten Sidoarjo untuk tetap mempertahankan kualitas bimbingan dan supervisinya agar kelangsungan pendekatan ini tetap terjaga. Bagi puskesmas perlunya memberikan penghargaan tertentu bagi petugas yang patuh untuk mempertahankan tingkat kepatuhan petugas , dan untuk meningkatkan kepuasan ibu perlu dilakukan sosialisasi tentang MTBS. Bagi Departemen Kesehatan perlu mempertimbangkan cut off point tingkat kepatuhan, disesuaikan dengan telah berapa lama puskesmas menerapkan MTBS.
Relationship on the Compliance Rate of Health Workers and the Satisfaction Rate of Mothers on the Integrated Management of Childhood Illness at Distric Sidoarjo East Java year 2002Since 1997, the Ministry of Health Republic of Indonesia in collaboration with the World Health Organization has developed an approach in managing sick child underfive at the primary health services known as Integrated Management of Childhood Illness (LMCI). District of Sidoarjo, using WHO budget has started socializing the IMCI in 6 health centers on 1997.The objective of this study is to have a description of health worker's compliance and mother's satisfaction towards IMCI implementation in district Sidoarjo. The study will use cross sectional design with quantitative and qualitative approach with sum of sample to 12 IMCI-implement health workers and 120 mothers. Data collection is conducted by direct observation to health workers during sick child examination using a checklist and exit interviews to mothers using questionnaires then followed by an indepth interview to the health workers and focus group discussion to the mothers.The study showed that means of staff compliance score on IMCI procedures are 92,18; 96,56; 93,06 and 95,45 respectivety for patient assessment & classificatioiu; determine treatment; giving counseling; and average total compliance using cut-off 90, it is showed that compliance on treatment determination is highest with 91,70% respondent midwifes. Followed by giving counseling (66,70%) and assessment & classification (65,50%). Furthermore, this study showed level of satisfaction for IMCI service on high (by using cut-off score of 29 of total score 40), except that there are 8,30% of mothers who expreseed will not return for the IMCI services at the health center. Furthermore, using Chi Square statistic with exact p-value approach, it is showed that there is a significant relationship between compliance in assessment & classification and satisfaction in intention to return for the same services (p~,03).In conclusion, the compliance rate of health workers towards the IMCI achieve a higher level than Ministry of Health suggestion (80% comply)) similar results are shown for the mother satisfaction in health treatment. This study suggest the District Health Office of Sidoarjo to maintain its quality of IMCI services with adequate supervision and monitoring evaluation. Furthermore, Puskesmas manager should identify staff with excellent compliance and reward them adequately. For other staff, the manager may promote continuously the IMCI services. At last but not least, this study suggest the Ministry of Health recruits level of compliance based local experience on applying IMCI services.