Implementation of Integrated Management of Sick Infant in the Stunting Prevalence Area, Kupang Regency, East Nusa Tenggara Province, Indonesia
Keywords:health system management, healthcare workers competence, imci, prevalence stunting
One of the strategies to reduce morbidity due to malnutrition and under-five mortality is the implementation of Integrated Management of Child Diseases (IMCI). Stunting is a form of pain due to acute malnutrition that occurs in the long term so that it has an impact on the growth and development of children. The province of East Nusa Tenggara is one of the regions that contributes to the high prevalence of stunting in Indonesia. This study aims to determine the effect of the competence of health workers and health system management on the implementation of IMCI. Data of the study were derived from a cross-sectional study conducted at Community Health Centers (CHC) of Kupang district from March to April 2021. Structured interviewed was applied to obtain information from 80 informants of IMCI healthcare workers. Quantitative datawere analyzed using Chi-square Analysis and Multiple Logistic Regression. Based on chi square testshowed thatthere wasa significant association between healthcare workers competence variables such as knowledge (pvalue=0.026), attitude (pvalue=0.045), skill (pvalue=0.043), training (pvalue=0.000), and health system management variable namely supervision (pvalue=0.045) against the implementation of IMCI. Health system management variables thathad no significant association with the implementation of IMCI were the availability oflogistic, record keeping and reporting system, and fund allocation. Competence of IMCI health workers and Health System Management are variables that have a statistically significant relationship with the implementation of IMCI. Simultaneously it is known that the variables of IMCI training and supervision of IMCI have a significant influence on the implementation of IMCI.
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