Pengaruh program manajemen terpadu balita sehat terhadap kesembuhan ISPA dan diare balita pada Puskesmas di Kabupaten Purworejo Jawa Tengah

ARISNAWATI, Nelly, Prof.dr. Djauhar Ismail, MPH.,PhD.,SpAK

2002 | Tesis | S2 Ilmu Kesehatan Masyarakat

Latar belakang: Manajeinen terpadu balita sakit (MTBS) adalah suatu program yang dicanangkan WHO dalam upaya menurunkan angka kesakitan dan kematian balita di negara berkembang, termasuk Indonesia. Pelaksanaan program manajemen terpadu balita sakit sudah dilaksanakan di sebagian puskesmas yang ada di Kabupaten Purworejo, namun belum dilakukan evaluasi pengaruh program MTBS terhadap kesembuhan infeksi saluran pernafasan akut dan diare balita. Tujuan: Mengetahui adanya pengaruh program manajemen terpadu balita sakit terhadap kesembuhan ISPA dan diare pada puskesmas di Kabupaten Punvorejo. Metode: Jenis penelitian ini adalah observasional dengan rancangan koliorl retrospektg Subyek penelitian adalah balita sakit umur 2 bulan sampai dengan 5 tahun yang mendapatkan pelayanan di puskesmas pelaksana program MTBS dan non program. Jumlah subyek penelitian sebanyak 170 balita sakit, teknik pengambilan sampel adalah random sampling. Analisis data kuantitatif menggunakan uji chi-squure dan Zogrstrc regressron. Hasil: Hasil penelitian menunjukkan kesembuhan ISPA dan diare berdasarkan uji statistik tidak ada hubungan yang bermakna, baik menggunakan progrim MTBS maupun non program (p>0,05). Dari semua variabel pengganggu yang ikut diteliti, status imunisasi, status gizi balita, pqnddikan ibu, pekerjaan orang tua, tidak mempunyai hubmgan terhadap kesembuhan ISPA dan diare balita. Kesimpulan: Tidak ada pengaruh program MTBS terhadap kesembuhan ISPA dan tidak ada pengaruh program MTBS terhadap kesembuhan dia& balita.

Background: The Integrated Management of Childhood Illness is a program launched by WHO in its efforts to lower the number of illness and death in the developing countries, including Indonesia. The program has been done in some community health centers in Punvorejo regency. However, there has not been an evaluation of the effect of the Integrated Management of Childhood Illness Program on the recovery of acute respiratory infection and diarrhea among underfive- year-old children. Objectives: To find out of the effect of the integrated management of childhood illness program on the recovery of acute respiratory infection and diarrhea among under-five-year-old children in community health centers of Purworejo regency. Methods: This was an observational study using Cohort's retrospective approach. The subjects were under-five-year-old children aged 2 months to 5 years old receiving services in the community health centers holding the Integrated Management of Childhood Illness Program and non program. The subjects were 170 under-five-year-old children. The samples were taken using Random Sampling technique. The quantitative data were analyzed using chi-square test. Results: The results showed that based on the statistical test, the recove& of acute respiratory infection and diarrhea showed no significant relationship, either using the Integrated Management of Childhood, Illness program or non program (p>0.05). from all control variables observed, the immunization status, nutritional status, mothers' educational level, and parents' occupation showed no relationship with the recovery of acute respiratory infection and c diarrhea among infants and children (pBO.05). Conclusion: It can be concluded'that there was no effect of the integrated management of childhood illness prbgram on the recovery of acute respiratory infection and diarrhea among under-five-year-old children.

Kata Kunci : program MTBS, ISPA, diare, balita, integrated management of childhood illness, acute respiratory infection, diarrhea, under-five-year-old children