Electronic Theses and Dissertation

Latar belakang. Manajemen Terpadu Balita Sakit (MTBS) merupakan suatu
pendekatan terpadu berfokus pada kesehatan dan kesejahteraan anak yang
bertujuan untuk mengurangi angka morbiditas, mortalitas, mendorong
pertumbuhan dan perkembangan anak di bawah usia lima tahun. Penerapan
MTBS di puskesmas dapat memperkuat sistem pelayanan kesehatan agar
penanganan balita sakit lebih efektif dan meningkatkan kualitas pelayanan anak,
namun masih terdapat masalah dalam kualitas pelayanan MTBS.
Tujuan. untuk mengetahui gambaran faktor-faktor yang memengaruhi kepatuhan
petugas dalam penerapan MTBS di Puskesmas wilayah kerja Kota Banda Aceh.
Metode. Penelitian ini merupakan studi observasional analitik dengan pendekatan
cross sectional terhadap 64 petugas pelaksana yang memberi pelayanan MTBS di
puskesmas sejak November 2023-Juni 2024, instrumen penelitian menggunakan
kuesioner. Data dianalisis dengan uji chi square, selanjutnya analisis multivariat
dengan regresi logistik.
Hasil. Jumlah petugas MTBS dari seluruh pegawai masing-masing puskesmas
paling banyak di Puskesmas Ulee Kareng yaitu 9 orang (17%) dan paling sedikit
dari Puskesmas Banda Raya 4 orang (7%). Kelompok usia mayoritas 19-44 tahun
(68,8%), perempuan (96,9%), dengan 93,7% berpendidikan tinggi (Diploma III
dan atau di atasnya). Petugas puskesmas yang patuh dalam penerapan MTBS
sebanyak 39%. Faktor internal yang memengaruhi kepatuhan petugas dalam
penerapan MTBS adalah motivasi dan pengetahuan petugas kesehatan. Faktor
eksternal yang memmengaruhi kepatuhan petugas dalam penerapan MTBS adalah
fasilitas logistik lengkap. Analisis multivariat didapatkan faktor yang paling
memengaruhi kepatuhan petugas dalam penerapan MTBS adalah motivasi
(OR=14,3 IK 95%: 3,039–67,505), pengetahuan (OR 8,63 IK 95%:1,694–43,978),
dan logistik (OR=8,05 IK 95%: 1,706–38,04).
Kesimpulan. Faktor yang paling memengaruhi kepatuhan petugas dalam
penerapan MTBS di puskesmas wilayah kerja Kota Banda Aceh adalah motivasi,
pengetahuan, dan logistik
Kata kunci: Manajemen terpadu balita sakit, kepatuhan, pengetahuan, motivasi,
logistik, petugas MTBS, puskesmas.

ABSTRACT Background. Integrated Management of Childhood Illness (IMCI) is an integrated approach to the health and welfare of children aimed at reducing morbidity and mortality and promoting growth and development in children under five years of age. The implementation of IMCI in PHC centers can strengthen the health system to handle sick children more effectively and improve the quality of pediatric services. However, there are still problems in the quality of IMCI services. Objective. To determine the factors influencing the compliance of health workers in the implementation of IMCI in primary health care facilities in the work area of Banda Aceh city. Methods. This study was an analytical observational study with a cross-section approach to 64 health worker who provided IMCI services at the primary health center from November 2023 to June 2024, the research instrument used a questionnaire. Data were analyzed using Chi-square test, then multivariate analysis was performed using logistic regression. Results. The number of IMCI officers among the total staff of each health center was highest at Ulee Kareng Health Center with 9 persons (17%) and lowest at Banda Raya Health Center with 4 persons (7%). The majority of the age group was between 19 and 44 years old (68.8%) and female (96.9%), with 93.7% having a higher level of education (Diploma III and above). The percentage of primary health officers that complied with the implementation of IMCI was 39%. Health workers' motivation and knowledge are internal factors that influence staff compliance in implementing IMCI. External factors that have an impact on staff compliance in the implementation of IMCI are complete logistics facilities. Multivariate analysis revealed that the factors that most influenced staff compliance in IMCI implementation were motivation (OR=14.3 95% CI: 3.039 - 67.505), knowledge (OR=8.63 95% CI: 1.694 - 43.978), and logistics (OR=8.05 95% CI: 1.706 - 38.04). Conclusions. Motivation, Knowledge and logistics are the factors most influencing health worker compliance with IMCI in Banda Aceh City primary health facilities. Keywords: Integrated management of childhood illness, compliance, knowledge, motivation, logistics, IMCI staff, puskesmas.