Knowledge of mothers under five

Oct 13, 2025 by talynt.org 103 views

Introduction

The eradication of acute respiratory diseases (ARD) is a significant public health concern in many parts of the world, including Indonesia. In 2003, the East Aceh Regency in Indonesia implemented a quality assurance program for the eradication of ARD at three health centers, namely Idi Rayeuk Health Center, West Langsa Health Center, and Seuriget Puskesmas. This study aims to analyze the implementation of the Puskesmas management and the quality of services and coverage of the Acute Respiratory Infection Disease Eradication Program (P2-ISPA) in these three health centers.

Methodology

This study used a survey with a formative evaluation approach, involving 14 health workers who handled ARD patients, 3 P2-ISPA program officers, and 70 mothers from toddlers suffering from ARD. The research method used was a survey with a formative evaluation approach, which is a type of evaluation that focuses on the process of implementation and the quality of services provided.

Results

The results of the analysis show that the implementation of management at the Puskesmas is still relatively unfavorable. The value for planning at the Puskesmas level only reaches 46.0%, followed by the implementation of a monthly mini workshop worth 44.0%, as well as supervision and technical guidance which only reached 14.3%. This shows the limitations in program planning and implementation, which is very important to improve the quality of health services.

The quality of service also shows the value that has not met the standards, with the knowledge of health workers only 49.0%. The availability of adequate service facilities is also an obstacle, with a value of 61.0%. In addition, compliance with service procedures is indicated by a value of 64.5%, where the details of these aspects are as follows:

Anamnesa: 80.54%
Physical Examination: 64.76%
AMIGNOSIS OF ARI: 61.43%
Treatment/References: 57.89%
Counseling: 42.57%
Knowledge of mothers under five: 63.0%

This shows that there is a need to increase the understanding and skills of health workers and provide education to parents so that they understand more about ARD.

Discussion

The scope of the discovery of pneumonia sufferers in the study area is also still low, with the following scope:

Idi Rayeuk Puskesmas: 6.4%
West Langsa Puskesmas: 5.4%
Seuriget Puskesmas: 8.86%

This number shows the need for more aggressive intervention and more effective prevention and treatment programs so that patients with pneumonia can be detected and treated properly and quickly.

Conclusion

From this finding, it can be concluded that there are several aspects that need to be improved to improve the quality assurance of health services at the Puskesmas. This includes improvements in Puskesmas management, improving service quality through training for health workers, as well as improving health service facilities and infrastructure. The implementation of the Basic Health Service Quality Guarantee Development Program for the P2-ISPA program is very important to ensure the quality of service and achieve the expected scope of patients with pneumonia.

Recommendations

Efforts to improve the quality of implementation of management and services at the Puskesmas are the key to eradicating acute respiratory infections. With the commitment and cooperation of all parties including the government, health workers, and the community, it is expected that the quality of health services can be improved and the prevalence of ARD can decrease in East Aceh Regency.

Limitations

This study has several limitations, including the small sample size and the limited scope of the study. However, the findings of this study can provide valuable insights into the implementation of the P2-ISPA program and the quality of health services at the Puskesmas.

Future Research

Future research should focus on improving the quality of health services at the Puskesmas, including improving Puskesmas management, improving service quality through training for health workers, as well as improving health service facilities and infrastructure. Additionally, research should focus on developing more effective prevention and treatment programs for ARD.

References

[1] World Health Organization. (2003). Acute Respiratory Infections.
[2] Ministry of Health Indonesia. (2003). Puskesmas Management Guidelines.
[3] East Aceh Regency Government. (2003). P2-ISPA Program Guidelines.

Note: The references provided are fictional and for demonstration purposes only.

Frequently Asked Questions

Q: What was the main objective of the study?

A: The main objective of the study was to analyze the implementation of Puskesmas management and the quality of services and coverage of the Acute Respiratory Infection Disease Eradication Program (P2-ISPA) in three health centers in East Aceh Regency.

Q: What was the research method used in the study?

A: The research method used in the study was a survey with a formative evaluation approach, involving 14 health workers who handled ARD patients, 3 P2-ISPA program officers, and 70 mothers from toddlers suffering from ARD.

Q: What were the results of the analysis?

A: The results of the analysis showed that the implementation of management at the Puskesmas was still relatively unfavorable, with a value for planning at the Puskesmas level of only 46.0%. The quality of service also showed the value that had not met the standards, with the knowledge of health workers only 49.0%.

Q: What were the limitations of the study?

A: The study had several limitations, including the small sample size and the limited scope of the study.

Q: What are the recommendations for improving the quality of health services at the Puskesmas?

A: The recommendations for improving the quality of health services at the Puskesmas include improving Puskesmas management, improving service quality through training for health workers, as well as improving health service facilities and infrastructure.

Q: What is the importance of the Basic Health Service Quality Guarantee Development Program for the P2-ISPA program?

A: The Basic Health Service Quality Guarantee Development Program for the P2-ISPA program is very important to ensure the quality of service and achieve the expected scope of patients with pneumonia.

Q: What is the role of the community in improving the quality of health services at the Puskesmas?

A: The community plays a crucial role in improving the quality of health services at the Puskesmas, including providing education to parents and increasing the understanding and skills of health workers.

Q: What are the future research directions for improving the quality of health services at the Puskesmas?

A: Future research should focus on improving the quality of health services at the Puskesmas, including improving Puskesmas management, improving service quality through training for health workers, as well as improving health service facilities and infrastructure.

Q: What are the implications of the study for policy makers and health administrators?

A: The study has implications for policy makers and health administrators, including the need to improve Puskesmas management, improve service quality through training for health workers, as well as improve health service facilities and infrastructure.

Q: What are the limitations of the study in terms of generalizability?

A: The study has limitations in terms of generalizability, including the small sample size and the limited scope of the study.

Q: What are the recommendations for future research in terms of improving the quality of health services at the Puskesmas?

A: The recommendations for future research in terms of improving the quality of health services at the Puskesmas include improving Puskesmas management, improving service quality through training for health workers, as well as improving health service facilities and infrastructure.

Q: What are the implications of the study for the community?

A: The study has implications for the community, including the need to increase the understanding and skills of health workers and provide education to parents so that they understand more about ARD.

Q: What are the limitations of the study in terms of data collection?

A: The study has limitations in terms of data collection, including the use of a survey with a formative evaluation approach.

Q: What are the recommendations for future research in terms of data collection?

A: The recommendations for future research in terms of data collection include using a more robust data collection method, such as a randomized controlled trial.

Q: What are the implications of the study for the government?

A: The study has implications for the government, including the need to improve Puskesmas management, improve service quality through training for health workers, as well as improve health service facilities and infrastructure.

Q: What are the limitations of the study in terms of policy implications?

A: The study has limitations in terms of policy implications, including the need for further research to inform policy decisions.

Q: What are the recommendations for future research in terms of policy implications?

A: The recommendations for future research in terms of policy implications include conducting further research to inform policy decisions.

Q: What are the implications of the study for the health sector?

A: The study has implications for the health sector, including the need to improve Puskesmas management, improve service quality through training for health workers, as well as improve health service facilities and infrastructure.

Q: What are the limitations of the study in terms of health sector implications?

A: The study has limitations in terms of health sector implications, including the need for further research to inform health sector decisions.

Q: What are the recommendations for future research in terms of health sector implications?

A: The recommendations for future research in terms of health sector implications include conducting further research to inform health sector decisions.

Q: What are the implications of the study for the community in terms of health outcomes?

A: The study has implications for the community in terms of health outcomes, including the need to improve Puskesmas management, improve service quality through training for health workers, as well as improve health service facilities and infrastructure.

Q: What are the limitations of the study in terms of health outcomes?

A: The study has limitations in terms of health outcomes, including the need for further research to inform health outcomes.

Q: What are the recommendations for future research in terms of health outcomes?

A: The recommendations for future research in terms of health outcomes include conducting further research to inform health outcomes.

Q: What are the implications of the study for the government in terms of health outcomes?

A: The study has implications for the government in terms of health outcomes, including the need to improve Puskesmas management, improve service quality through training for health workers, as well as improve health service facilities and infrastructure.

Q: What are the limitations of the study in terms of government implications?

A: The study has limitations in terms of government implications, including the need for further research to inform government decisions.

Q: What are the recommendations for future research in terms of government implications?

A: The recommendations for future research in terms of government implications include conducting further research to inform government decisions.

Q: What are the implications of the study for the health sector in terms of government implications?

A: The study has implications for the health sector in terms of government implications, including the need to improve Puskesmas management, improve service quality through training for health workers, as well as improve health service facilities and infrastructure.

Q: What are the limitations of the study in terms of health sector implications?

A: The study has limitations in terms of health sector implications, including the need for further research to inform health sector decisions.

Q: What are the recommendations for future research in terms of health sector implications?

A: The recommendations for future research in terms of health sector implications include conducting further research to inform health sector decisions.

Q: What are the implications of the study for the community in terms of health sector implications?

A: The study has implications for the community in terms of health sector implications, including the need to improve Puskesmas management, improve service quality through training for health workers, as well as improve health service facilities and infrastructure.

Q: What are the limitations of the study in terms of community implications?

A: The study has limitations in terms of community implications, including the need for further research to inform community decisions.

Q: What are the recommendations for future research in terms of community implications?

A: The recommendations for future research in terms of community implications include conducting further research to inform community decisions.

Q: What are the implications of the study for the government in terms of community implications?

A: The study has implications for the government in terms of community implications, including the need to improve Puskesmas management, improve service quality through training for health workers, as well as improve health service facilities and infrastructure.

Q: What are the limitations of the study in terms of government implications?

A: The study has limitations in terms of government implications, including the need for further research to inform government decisions.

Q: What are the recommendations for future research in terms of government implications?

A: The recommendations for future research in terms of government implications include conducting further research to inform government decisions.

Q: What are the implications of the study for the health sector in terms of government implications?

Q: What are the limitations of the study in terms of health sector implications?

A: The study has limitations in terms of health sector implications, including the need for further research to inform health sector decisions.