Pneumonia eradication program has been implemented, but the incidence rate remains high. This research aims to evaluate the Pneumonia finding program in Sleman district of Indonesia. A mixed-method using sequential explanatory design was conducted during July–August 2019. Input, Process and Output were used as the evaluated methods. Input component were human resource quality, facilities, infrastructure and funding. Process aspect was planning, implementation, monitoring and evaluation. Output was the Pneumonia finding coverage. The quantitative study that employed a survey was done among the Pneumonia officer in 25 primary health centres in the research area. Qualitative study used a semi-structured interview to explore the Pneumonia officer's opinion about the case finding program. Analysis was performed in two stages: 1) Quantitative analysis was started with input data to the spreadsheet, clean the data, and classify into the cut-off. 2) Qualitative analysis was done using a content analysis approach. Input and process found sufficient. But we found poor in the output (Pneumonia finding coverage). Pneumonia finding program has not executed as the expected. The coverage was inadequate since only one out 25 reaches the target of Pneumonia finding coverage. Pneumonia is considered not severe disease become a reason for the inadequate coverage.
Citation: Sulistyawati Sulistyawati, Liena Sofiana, Sholehatun Khairul Amala, Rokhmayanti Rokhmayanti, Fardhiasih Dwi Astuti, Desi Nurfita. Pneumonia a neglected disease: A mixed-method study on the case-finding program in Indonesia[J]. AIMS Public Health, 2020, 7(1): 81-91. doi: 10.3934/publichealth.2020008
Pneumonia eradication program has been implemented, but the incidence rate remains high. This research aims to evaluate the Pneumonia finding program in Sleman district of Indonesia. A mixed-method using sequential explanatory design was conducted during July–August 2019. Input, Process and Output were used as the evaluated methods. Input component were human resource quality, facilities, infrastructure and funding. Process aspect was planning, implementation, monitoring and evaluation. Output was the Pneumonia finding coverage. The quantitative study that employed a survey was done among the Pneumonia officer in 25 primary health centres in the research area. Qualitative study used a semi-structured interview to explore the Pneumonia officer's opinion about the case finding program. Analysis was performed in two stages: 1) Quantitative analysis was started with input data to the spreadsheet, clean the data, and classify into the cut-off. 2) Qualitative analysis was done using a content analysis approach. Input and process found sufficient. But we found poor in the output (Pneumonia finding coverage). Pneumonia finding program has not executed as the expected. The coverage was inadequate since only one out 25 reaches the target of Pneumonia finding coverage. Pneumonia is considered not severe disease become a reason for the inadequate coverage.
| [1] | WHO (2019) Pneumonia.Available from: https://www.who.int/news-room/fact-sheets/detail/pneumonia. |
| [2] | WHO and UNICEF (2013) Ending Preventable Child Deaths from Pneumonia and Diarrhoea by 2025. The Integrated Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea (GAPPD).Available from: https://www.who.int/maternal_child_adolescent/documents/global_action_plan_pneumonia_diarrhoea/en/. |
| [3] | UNICEFPneumonia in Children.Available from: https://data.unicef.org/topic/child-health/pneumonia/?__cf_chl_captcha_tk__=74944a4d2dc75cb500cf0135b47fa6aa4176541b-1578557133-0-Af8_YkDhOiM7_BdsZyzwe_5RQICgdLBIMSTsr-VPI7Lw9oyjyX4VzB-KD_qXsLL3YVZ0R9sY-TY2jsYCiW0959rgJlEydsCXstBCKrsBWZqUDPkpF6sqfabC_qQmu. |
| [4] | Watkins K, Wright S, Le Nestour A, et al. (2016) Fighting for breath: a call to action on childhood pneumonia London: Save The Children. |
| [5] | WHO (2018) Top 10 global causes of deaths. Available from: https://www.who.int. |
| [6] | (2018) Ministry of Health of Republic IndonesiaManagements Pneumonia in Children at the First Level Health Care Facilities. Jakarta: Ministry of Health of Republic Indonesia. |
| [7] | Faizal EB (2019) Spread of pneumonia poses fatal threat to our children.Available from: https://www.thejakartapost.com/academia/2019/08/09/spread-of-pneumonia-poses-fatal-threat-to-our-children.html. |
| [8] | Wijaya AM (2006) Manajemen Terpadu Balita Sakit (MTBS) atau Integrated Management of Childhood Illness (IMCI).Available from: https://www.infodokterku.com/index.php/en/96-daftar-isi-content/info-kesehatan/helath-programs/189-manajemen-terpadu-balita-sakit-mtbs. |
| [9] | Ministry of Health of Republic Indonesia (2019) Indonesia Health Profile 2018.Available from: https://www.depkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/profil-kesehatan-indonesia-2018.pdf. |
| [10] | Green LW, Sim LJ, Breiner H (2014) Evaluating obesity prevention efforts: A plan for measuring progress National Academies Press. |
| [11] | WHO EMRO (2014) Child health and development.Available from: http://www.emro.who.int/child-health/research-and-evaluation/indicators/All-Pages.html. |
| [12] |
Fetters MD, Curry LA, Creswell JW (2013) Achieving integration in mixed methods designs- Principles and practices. Health Serv Res 48: 2134-2156. doi: 10.1111/1475-6773.12117
|
| [13] | Sleman District (2019) Pemerintah Kabupaten Sleman » Letak dan Luas Wilayah.Available from: http://www.slemankab.go.id/profil-kabupaten-sleman/geografi/letak-dan-luas-wilayah. |
| [14] | Sleman District (2018) Sleman District Health Profile 2018.Available from: https://dinkes.slemankab.go.id/wp-content/uploads/2018/09/PROFIL-KESEHATAN-2018-1.pdf. |
| [15] |
Erlingsson C, Brysiewicz P (2017) A hands-on guide to doing content analysis. African J Emerg Med 7: 93-99. doi: 10.1016/j.afjem.2017.08.001
|
| [16] | UNICEF (2019) One child dies of pneumonia every 39 seconds, agencies warn.Available from: https://www.unicef.org/press-releases/one-child-dies-pneumonia-every-39-seconds-agencies-warn?fbclid=IwAR2ips4pMJvXox8fjaHZWAqm_kNyA7WfX_MjChRrCw0nNTH3DuOVsuVcz1w. |
| [17] | The UN (2019) Forgotten' pneumonia epidemic kills more children than any other disease.Available from: https://news.un.org/en/story/2019/11/1051161. |
| [18] | Smith AP, Smith HN (2017) Workload, fatigue and performance in the rail industry.Cham: Springer, 251-263. |
| [19] | Picincu A (2019) The Effects of a Heavy Workload on Employees.Available from: https://bizfluent.com/info-8178431-effects-heavy-workload-employees.html. |
| [20] |
Kabene SM, Orchard C, Howard JM, et al. (2006) The importance of human resources management in health care: a global context. Hum Resour Health 4: 20. doi: 10.1186/1478-4491-4-20
|
| [21] |
Reynolds HW, Sutherland EG (2013) A systematic approach to the planning, implementation, monitoring, and evaluation of integrated health services. BMC Health Serv Res 13: 168. doi: 10.1186/1472-6963-13-168
|
| [22] | Stansfield SK, Walsh J, Prata N, et al. (2006) Chapter 54. Information to Improve Decision Making for Health. Disease Control Priorities in Developing Countries, 2Eds World Bank Publications, 1017-1030. |
Figures(2) / Tables(5)
Sulistyawati Sulistyawati, Liena Sofiana, Sholehatun Khairul Amala, Rokhmayanti Rokhmayanti, Fardhiasih Dwi Astuti, Desi Nurfita. Pneumonia a neglected disease: A mixed-method study on the case-finding program in Indonesia[J]. AIMS Public Health, 2020, 7(1): 81-91. doi: 10.3934/publichealth.2020008
DownLoad: