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All Journal Journal of Health and Nutrition Research Berita Kedokteran Masyarakat
Dwi Octa Amalia, Dwi Octa
Direktorat Bina Kesehatan Ibu, Kementerian Kesehatan RI
Medicine & Pharmacology Nursing Public Health

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Determinants of an integrated management of childhood illness program implementation in Indonesia Amalia, Dwi Octa; Hadi, Ella Nurlaella
BKM Public Health and Community Medicine Vol 39 No 03 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i03.6974

Abstract

Purpose: This study aims to identify the factors related to health system support that influence the implementation of Integrated Management of Childhood Illness (IMCI) in primary health care facilities in Indonesia, specifically in relation to leadership. Methods: The research method used is a literature review. Database searches of Garuda, Google Scholar, Proquest, Science Direct, Biomed, and Pubmed were performed from 2012 to 2022 using the keywords “manajemen terpadu balita sakit”, “IMCI Indonesia”. Results: A total of 1,238 articles were screened for eligibility and five published articles met the inclusion criteria and objectives of this literature review. Based on five articles reviewed, nine variables associated with IMCI implementation were analyzed in this study, including leadership support, supervision, completeness of medicine and medical equipment, presence of consultation room, motivation, attitudes, knowledge, and completeness of filling out forms. Conclusion: The support of the health system is a key challenge in implementing IMCI. Therefore, strengthening health system support is needed to optimize the implementation of IMCI. In addition, there is a need to strengthen leadership and provide regular supervision and feedback to ensure that IMCI implementation is in accordance with standards and to increase health worker motivation to improve their performance in providing health services.
Strengthening Nutrition Interventions through Academic Collaboration in Pasaman Barat, Indonesia Gusnedi, Gusnedi; Habibi, Nur Ahmad; Renidayati, Renidayati; Irmawartini, Irmawartini; Sasmita, Heppi; Delima, Delima; Bebasari, Mardiani; Afriza, Renita; Amalia, Dwi Octa; Hamdani, Hamdani; Utami , Citra Tristi
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.1087

Abstract

This study aims to strengthen evidence-based policymaking for stunting reduction in Pasaman Barat District, Indonesia, through a collaborative model linking academic institutions and with local government. A situation analysis was conducted to assess program coverage, implementation challenges, and multisectoral support related to stunting prevention. Quantitative data from 20 primary health centers showed that most specific nutrition intervention indicators below the national minimum target of 80%. A pilot strengthening program was then implemented, focusing on improving cadre capacity, service supervision, community engagement, and data management. Post-intervention results demonstrated statistically significant improvements in growth monitoring (54.49%±27.19 to 97.43%±5.26; p = 0.00), exclusive breastfeeding (19.04%±28.47 to 59.28%±37.38; p = 0.00), and iron–folic acid supplementation among pregnant women (22.28%±16.96 to 85.28%±24.62; p = 0.00). Other indicators, including complementary feeding practices, antenatal care visits, and adolescent anemia screening, showed numerical but non-significant changes. Qualitative findings further revealed challenges related to limited cadre skills, inadequate facilities, insufficient intersectoral coordination, low community participation, and inconsistent data quality. The developed collaboration model facilitated closer integration of research evidence into local decision-making and supported the formulation of strategic policy recommendations. Overall, the study highlights that institutionalized academic–government partnerships, combined with continuous monitoring and strengthened health system capacity, are essential to accelerate meaningful and sustained reductions in stunting in Pasaman Barat.
Co-Authors Bebasari, Mardiani Delima Delima Ella Nurlaella Hadi Gusnedi Gusnedi Hamdani Hamdani Heppi Sasmita Irmawartini, Irmawartini Nur Ahmad Habibi Renidayati, Renidayati Renita Afriza Utami , Citra Tristi