Integrated management of childhood illness training needs on cadre for improve family and community capacity in simple handling of respiratory infection, diarrhoea, and less nutrition in children

Umi Solikhah, Hari Kusnanto, Fitri Haryanti, Yayi Suryo Prabandari


Background: Public awareness towards health services access required involvement of active community participation in health care neonatal, infant, and toddler through the efforts of Integrated Management of Childhood Illness (IMCI) at community. Cases of respiratory infections, diarrhoea and malnutrition is still a problem which needs to be resolved. The purpose to describe children health of the implementation of IMCI results and the possibility of involving the community through the ability of cadres in the management of sick children.

Methods: The method used is descriptive study, to describe the health of children and overview of the community needs through involvement of cadre in the success of IMCI. Data from the documentation Banyumas district health offices, health workers, and cadres. The sample size of cadre are 605.

Results: Results of the analysis showed that 54% of health centers has not been achieved coverage mortality rate of infants and toddlers. 5 of 10 cases patient who visit came after five days of fever, diarrhoea as endemic case (46.5%), pneumonia (21.4%), malnutrition (7.82%). Active cadre resource support for involvement in the community. Cadre weighing activities every month. IMCI coverage as low as 37%. It takes training a cadre of IMCI in the community as a step involving the community in the achievement of optimal health care, particularly focused on community issues. Furthermore, cadre as a companion of families and communities to resolve the health problems of children.

Conclusions: IMCI training to cadre priority to improve the ability of families and communities in simple handling for respiratory infection, diarrhoea, and malnutrition.


Child health, IMCI, Cadre

Full Text:



Wong DL, Hockenberry M, Wilson D, Winkelstein ML, Schwartz P. Buku Ajar Keperawatan Pediatrik. 6th ed, volume 1, Jakarta: EGC, 2009.

Bappenas. Sustainable developmental goals (SDG’s). Jakarta: Bappenas RI, 2015.

Dinas Kesehatan Kabupaten Banyumas. Profil Kesehatan, DKK Banyumas, 2014.

IDAI. Buku Ajar Pediatrik. Jakarta: Penerbit IDAI, 2008.

SDKI. Survey Data Kesehatan Indonesia. Jakarta, 2012

WHO. Integrated management of childhood illnesses, 2009.

Permenkes RI. Management terpadu balita sakit bagi masyarakat. Jakarta, 2013.

Agha A, White F, Younus M, Kadir MM, Ali S, Fatmi J. Eight Key Household Practices of Integrated Management of Childhood Illness (IMCI) Amongst Mothers of Children Aged 6 to 59 Months in Gambat Sindh, Pakistan, Literature Review, Journal Pak Med Assoc. 2007;57(6):288-93.

Dinas Kesehatan Kabupaten Banyumas: Profil Kesehatan, DKK Banyumas, 2014.

Kurniawan, Solikhah, Suparti, Hubungan MTBS dengan kinerja petugas kesehatan di puskesmas. Medisain Journal, 2012.

Basaleem HO, Amin RM. Qualitative Study on The Community Perception of The Integrated Management of Childhood Illness (IMCI) Implementation in Lahej, Yemen, Literature Review, SQU Medical Journal. 2009;9(1):42-52.

Dirjen Bina Gizi dan KIA Kemenkes RI, 2013, Pedoman Manajemen Terpadu Balita Sakit Berbasis Masyarakat (MTBS-M), Jakarta.

Arifeen SE, Blum LS, Hoque DME, Chowdhury EK, Khan R, Black RE, et al. Integrated Management of Childhood Illness (IMCI) in Bangladesh: Early Findings from A Cluster-Randomised Study, Literature Review. The Lancet. 2004;364(9445):1595-602.

Schellenberg AJR., Adam T, MShinda H, Masanja H; Kabadi, G, Mukasa O, et al. Effectiveness and Cost of Facility-based Integrated Management of Childhood Illness (IMCI) in Tazmania, Literature Review, The Lancet. 2004;364(9445):1583-94.

Arrive E, Perez F, Pierre LM. The Integrated Management of Childhood Illness: Haiti’s example, Literature Review, Sante. 2004;14(3):137-42.

Basaleem HO, Amin RM, Integrated Management of Childhood Illness in Lahej, Yamen: A Qualitative Analysis from The Perspective of Helath Providers, Literature Review, East Mediter Health Journal. 2011;17(2):101-8.

Depkes RI. Mellinium development goals, Jakarta: Depkes RI, 2002.

Zulkifli. Posyandu dan Kader Kesehatan, USU: Fakultas Kesehatan Masyarakat, 2003.

Tomey AM, Alligood MR, Nursing Theory and Their Work, Missouri: Mosby, 2006.

Jatim DP. Dipa Program Perbaikan Gizi Masyarakat, 2006.

Jatim DP. Buku Pegangan Kader Posyandu; 2005.

Battrick C, Glasper EA. The View of Children and Their Families on being in Hospital. British Journal of Nursing. 2004;13(6):328-36.

Bryce J, Victora CG, Habicht JP, Black RE, Scherpbier RW. Programmatic Pathways to Child Survival: Result of a multy-country Evaluation of Integrated Management of Childhood Illness, Literature Review, Health Policy Plan. 2005;20(1):i15-7.

Cho SH, Kim HR. Family and Paid Caregivers of Hospitalized Patients in Korea. Journal of Clinical Nursing. 2006;15:946-53.

Chowdhury EK, Arifeen S, Rahman M, Hoque DE, Hossain MA, Begum K, et al. Care at First-level Facilities for Children with Severe Pneumonia in Bangladesh: A Cohort Study, Literature Review, The Lancet. 2008;372(9641):822-30.

Huicho L, Scherpbier RW, Nkowane AM, Victora C G. How Much does Quality of Child Care Vary Between Health Workers with Differing Durations of Training? An Observational Multicountry Study, Literature Review. The Lancet. 2008;372(9642):910-6.

Lulseged S. Integrated Management of Childhood Illness: A Review of The Ethiopian Experience and Prospects for Child Health, Literature Review, Ethiop Medical Journal. 2002;40(2):187-201.

Nguyen DT, Leung KK, Mclntyre L, Ghali WA Sauve R. Does Integrated Management of Childhood Illness (IMCI) Training Improve the Skills of Health Workers? A Systematic Review and meta-analysis, Plos One. 2012;8(6):e66030.

Pradan NA, Rizvi N, Sami N, Gul X. Insight to Implementation of Facility- Based Integrated Management of Childhood Illness Strategy in A Rural District of Sindh, Pakistan, Literature Review, E Pub Global Health Action. 2013;5(6):20086.

Rosales A, Weinhouer K. In: C-IMCI Handbook: Community-Integrated Management of Childhood Illness. USA: CRS, 2003.

Rowe AK, Rowe SY, Holloway KA, Ivanovska V, Muhe L, Lambrechts T. Does Shortening The Training on Integrated Management of Childhood Illness Guidelines Reduce Its Effectiveness? A Systematic Review. Helath Policy Plan. 2012;27(3):179-93.

Schellenberg AJ, Bryce J, Savigny D, Lambrechts T, Wilczynska K, Mgalula L, et al. The Effect of Integrated Management of Childhood Illness on Observed Quality of Care of Under-fives in Rural Tanzania, Literature Review, Health Policy Plan. 2004;19(1):1-10.

UNICEF. An Inventory of Tools to Support Household and Community based Programming for Child Survival,Growth and Development, USA: UNICEF, 1999.

Ball JW, Bindler RC. Pediatric Nursing: Caring for Children, New Jersey: Prentice Hall, 2003.

Hockenberry MJ, Wilson D. Essentials of Paediatric Nursing, St. Louis: Mosby, 2009.

Polit DF, Beck CT. Nursing Research. Philadelphia: Lippincot Williams& Walkins, 2004.

Polit DF, Beck CT. Essential of Nursing Research: Method, Appraisal and Utilization. 6th ed. Philadelphia: Lippincot Williams& Walkins, 2006.

Wong NT, Zimmerman MA. A typology of youth participation and empowerment for child and adolescent health promotion. 2010;46:100-14.

Wong DL. Pedoman klinis keperawatan pediatrik. Jakarta: EGC, 2004.

Lesley L, Fay V. Nursing care of children and young with chronic illness. UK: Blackwell Publishing, 2007.