The Role of the Integrated Health Post in Health Care Provision for Children under Five


Mery Aderita Romaulina1, Masyitoh2, Afrina Sitohang1,

Febi Susanti1, Sari Hayuningtyas1, Yayah Fazriah1

 

1)Masters of Public Health, Universitas Indonesia

2)Department Health Policy Administration, Faculty of Public Health,

Universitas Indonesia

 

ABSTRACT

Background: Global evidence shows that building an integrated health system with a strong foun­dation in primary care can result in important pay offs. It can improve population health out­co­mes, ensure financial protection to citizens, enhance their expe­rience in accessing healthcare, and provide improved value for money to the system. The purpose of this study was to determine the role of the integrated health post in health care provision for children under five.

Subjects and Method: This was a qualitative study conducted at integrated health post (Posyandu), Jakarta. Key informants included mothers, health cadres, professional health workers, com­mu­nity members, and community leaders. The data were collected by in-depth interview, parti­ci­pant observation, and focus group discussion. Data ana­lysis consisted of data reduction and data display.

Results: The role of health services at the Posyandu has not been optimal, such as an­th­ro­pometric mea­surement. This factor is due to the lack of inputs (material, ma­chinery, policies, people and method), inadequate facilities, and less skilled health cadres. In providing health services cadres lack support from the communities. Most infor­mants did not know the health activities for infants and children under five health care services outside the Posyandu schedule.

Conclusion: Health services for infants and children under five have been routinely carried out, but not in accordance with the implementation guidelines. Community health center need to im­pro­­ve the competence of health cadres and collaborate with multi-sector to fix inputs also establish par­tnerships with private parties.

Keywords: integrated service posts, health cadre, children under five

Correspondence: Mery Aderita Romaulina. Masters of Public Health, Universitas Indonesia. Email: meryaderita14@gmail.com. Mobile: 081283692693.

DOI: https://doi.org/10.26911/theicph.2019.03.54

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