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Analysis of Handling of ARI in Toddlers with Integrated Management of Hospital Toddlers (MTBS) at the Stabat Puskesmas in Langkat Regency in 2019

Introduction

Acute respiratory tract infection (ARI) is a major public health concern in Indonesia, affecting millions of children every year. The government has launched various programs to combat this infection, including the Integrated Management Approach to the Sick Toddler (MTBS). This study aims to evaluate the handling of ARI in toddlers through MTBS at the Stabat Health Center in Langkat Regency in 2019.

Background

Acute respiratory tract infection (ARI) is an acute infection that affects the airway, ranging from the nose to the alveoli, including its parts. ARI is a leading cause of morbidity and mortality in children under the age of 5 years. In Indonesia, the government has launched a program to overcome this infection through the Integrated Management Approach to the Sick Toddler (MTBS). The MTBS program aims to provide a comprehensive approach to the management of sick toddlers, including diagnosis, treatment, and prevention.

Methodology

This study uses a qualitative method by conducting in-depth interviews with informants, including health workers and mothers of toddlers. The study aims to gain a better understanding of the implementation of ARI handling with MTBS Approach at Stabat Health Center.

Results

The results of this study showed that the implementation of MTBS at the Stabat Health Center had not been carried out optimally. In terms of human resources, there are only three health workers, where one person is a midwife who has been trained, and two other midwives have not received training. This condition is exacerbated by the unavailability of a special room for MTBS and the lack of equipment needed for the implementation of this program. In addition, the flow of MTBS implementation is not in accordance with the specified module, where there is no filling in the MTBS form, and the assessment and classification of toddlers who are sick are not carried out thoroughly. The level of compliance with mothers in the implementation of MTBS and Toddler care at home also still needs to be improved.

Discussion

The results of this study highlight the need for improvement in the implementation of MTBS at the Stabat Health Center. The lack of trained health workers, unavailability of a special room for MTBS, and lack of equipment needed for the implementation of this program are major challenges that need to be addressed. In addition, the flow of MTBS implementation is not in accordance with the specified module, which can lead to inadequate diagnosis and treatment of ARI in toddlers.

Conclusion

Based on the results of this study, it is hoped that the Stabat Puskesmas can increase the capacity of health workers who have not been trained to be able to carry out MTBS in accordance with the applicable modules. Increasing training and procurement of adequate facilities is very important to optimize the handling of ARI in toddlers. A good implementation of MTBS will not only improve the health of toddlers, but also has a positive impact on the decline in the number of ARI cases in the region.

Recommendations

Based on the results of this study, the following recommendations are made:

Increase training for health workers: The Stabat Puskesmas should provide training for health workers who have not been trained to be able to carry out MTBS in accordance with the applicable modules.
Procure adequate facilities: The Stabat Puskesmas should procure a special room for MTBS and the necessary equipment needed for the implementation of this program.
Improve the flow of MTBS implementation: The Stabat Puskesmas should ensure that the flow of MTBS implementation is in accordance with the specified module, including filling in the MTBS form and conducting thorough assessment and classification of toddlers who are sick.
Improve compliance with mothers: The Stabat Puskesmas should improve the level of compliance with mothers in the implementation of MTBS and Toddler care at home.

Limitations

This study has several limitations, including:

Small sample size: The study only included a small sample size of health workers and mothers of toddlers.
Qualitative method: The study used a qualitative method, which may not be generalizable to other settings.
Limited data: The study only collected data from the Stabat Health Center and may not be representative of other health centers in the region.

Future Research Directions

Future research should focus on:

Evaluating the effectiveness of MTBS: Future research should evaluate the effectiveness of MTBS in reducing the incidence of ARI in toddlers.
Improving the implementation of MTBS: Future research should focus on improving the implementation of MTBS, including increasing training for health workers and procuring adequate facilities.
Increasing community awareness: Future research should focus on increasing community awareness about the importance of health supervision and compliance with the MTBS program.

Conclusion

In conclusion, this study highlights the need for improvement in the implementation of MTBS at the Stabat Health Center. The lack of trained health workers, unavailability of a special room for MTBS, and lack of equipment needed for the implementation of this program are major challenges that need to be addressed. Increasing training and procurement of adequate facilities is very important to optimize the handling of ARI in toddlers. A good implementation of MTBS will not only improve the health of toddlers, but also has a positive impact on the decline in the number of ARI cases in the region.
Q&A: Analysis of Handling of ARI in Toddlers with Integrated Management of Hospital Toddlers (MTBS) at the Stabat Puskesmas in Langkat Regency in 2019

Q: What is Acute Respiratory Tract Infection (ARI)?

A: Acute Respiratory Tract Infection (ARI) is an acute infection that affects the airway, ranging from the nose to the alveoli, including its parts. ARI is a leading cause of morbidity and mortality in children under the age of 5 years.

Q: What is the Integrated Management Approach to the Sick Toddler (MTBS)?

A: The Integrated Management Approach to the Sick Toddler (MTBS) is a program launched by the government to combat Acute Respiratory Tract Infection (ARI) in toddlers. The program aims to provide a comprehensive approach to the management of sick toddlers, including diagnosis, treatment, and prevention.

Q: What are the challenges in implementing MTBS at the Stabat Health Center?

A: The challenges in implementing MTBS at the Stabat Health Center include:

Lack of trained health workers: There are only three health workers at the Stabat Health Center, where one person is a midwife who has been trained, and two other midwives have not received training.
Unavailability of a special room for MTBS: The Stabat Health Center does not have a special room for MTBS, which can lead to inadequate diagnosis and treatment of ARI in toddlers.
Lack of equipment needed for the implementation of MTBS: The Stabat Health Center lacks the necessary equipment needed for the implementation of MTBS, which can lead to inadequate diagnosis and treatment of ARI in toddlers.
Flow of MTBS implementation not in accordance with the specified module: The flow of MTBS implementation at the Stabat Health Center is not in accordance with the specified module, which can lead to inadequate diagnosis and treatment of ARI in toddlers.

Q: What are the recommendations for improving the implementation of MTBS at the Stabat Health Center?

A: The recommendations for improving the implementation of MTBS at the Stabat Health Center include:

Increase training for health workers: The Stabat Puskesmas should provide training for health workers who have not been trained to be able to carry out MTBS in accordance with the applicable modules.
Procure adequate facilities: The Stabat Puskesmas should procure a special room for MTBS and the necessary equipment needed for the implementation of this program.
Improve the flow of MTBS implementation: The Stabat Puskesmas should ensure that the flow of MTBS implementation is in accordance with the specified module, including filling in the MTBS form and conducting thorough assessment and classification of toddlers who are sick.
Improve compliance with mothers: The Stabat Puskesmas should improve the level of compliance with mothers in the implementation of MTBS and Toddler care at home.

Q: What are the limitations of this study?

A: The limitations of this study include:

Small sample size: The study only included a small sample size of health workers and mothers of toddlers.
Qualitative method: The study used a qualitative method, which may not be generalizable to other settings.
Limited data: The study only collected data from the Stabat Health Center and may not be representative of other health centers in the region.

Q: What are the future research directions?

A: The future research directions include:

Evaluating the effectiveness of MTBS: Future research should evaluate the effectiveness of MTBS in reducing the incidence of ARI in toddlers.
Improving the implementation of MTBS: Future research should focus on improving the implementation of MTBS, including increasing training for health workers and procuring adequate facilities.
Increasing community awareness: Future research should focus on increasing community awareness about the importance of health supervision and compliance with the MTBS program.

Q: What are the implications of this study for public health policy?

A: The implications of this study for public health policy include:

Need for increased funding for health care: The study highlights the need for increased funding for health care, particularly for the implementation of MTBS.
Need for improved training for health workers: The study highlights the need for improved training for health workers, particularly in the implementation of MTBS.
Need for increased community awareness: The study highlights the need for increased community awareness about the importance of health supervision and compliance with the MTBS program.