Strengthening the primary care workforce to deliver community case management for child health in rural Indonesia

Setiawan, A; Dawson, A

Strengthening the primary care workforce to deliver community case management for child health in rural Indonesia

Setiawan, A Dawson, A

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Publication Type:: Journal Article
Citation:: Australian Health Review, 2018, 42 (5), pp. 536 - 541
Issue Date:: 2018-01-01

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Field	Value	Language
dc.contributor.author	Setiawan, A	en_US
dc.contributor.author	Dawson, A https://orcid.org/0000-0003-0926-2202	en_US
dc.date.available	2017-09-04	en_US
dc.date.issued	2018-01-01	en_US
dc.identifier.citation	Australian Health Review, 2018, 42 (5), pp. 536 - 541	en_US
dc.identifier.issn	0156-5788	en_US
dc.identifier.uri	http://hdl.handle.net/10453/117990
dc.description.abstract	© 2018 AHHA. Objectives. The aim of the present study was to report on the implementation of community case management (CCM) to reduce infant mortality in a rural district, namely Kutai Timur, Kalimantan Indonesia. Methods. An interpretive qualitative methodology was used. In-depth interviews were conducted with 18 primary healthcare workers (PHCWs), and PHCWs were observed during a consultation with mothers to gain insight into the delivery of the new protocol and workforce issues. The field notes and interview transcripts were analysed thematically. Results. PHCWs reported that their performance had improved as a result of increased knowledge and confidence. The implementation of CCM had also reportedly enhanced the PHCWs' clinical reasoning. However, the participants noted confusion surrounding their role in prescribing medication. Conclusions. CCM is viewed as a useful model of care in terms of enhancing the capacity of rural PHCWs to provide child health care and improve the uptake of life-saving interventions. However, work is needed to strengthen the workforce and to fully integrate CCM into maternal and child health service delivery across Indonesia.	en_US
dc.relation.ispartof	Australian Health Review	en_US
dc.relation.isbasedon	10.1071/AH17092	en_US
dc.subject.classification	Health Policy & Services	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Infant Mortality	en_US
dc.subject.mesh	Qualitative Research	en_US
dc.subject.mesh	Adolescent	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Child	en_US
dc.subject.mesh	Child, Preschool	en_US
dc.subject.mesh	Infant	en_US
dc.subject.mesh	Infant, Newborn	en_US
dc.subject.mesh	Child Health Services	en_US
dc.subject.mesh	Rural Health Services	en_US
dc.subject.mesh	Case Management	en_US
dc.subject.mesh	Primary Health Care	en_US
dc.subject.mesh	Indonesia	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Interviews as Topic	en_US
dc.subject.mesh	Young Adult	en_US
dc.subject.mesh	Health Workforce	en_US
dc.title	Strengthening the primary care workforce to deliver community case management for child health in rural Indonesia	en_US
dc.type	Journal Article
utslib.citation.volume	5	en_US
utslib.citation.volume	42	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1605 Policy and Administration	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - WHO CC
utslib.copyright.status	open_access
pubs.issue	5	en_US
pubs.publication-status	Published	en_US
pubs.volume	42	en_US

Abstract:

© 2018 AHHA. Objectives. The aim of the present study was to report on the implementation of community case management (CCM) to reduce infant mortality in a rural district, namely Kutai Timur, Kalimantan Indonesia. Methods. An interpretive qualitative methodology was used. In-depth interviews were conducted with 18 primary healthcare workers (PHCWs), and PHCWs were observed during a consultation with mothers to gain insight into the delivery of the new protocol and workforce issues. The field notes and interview transcripts were analysed thematically. Results. PHCWs reported that their performance had improved as a result of increased knowledge and confidence. The implementation of CCM had also reportedly enhanced the PHCWs' clinical reasoning. However, the participants noted confusion surrounding their role in prescribing medication. Conclusions. CCM is viewed as a useful model of care in terms of enhancing the capacity of rural PHCWs to provide child health care and improve the uptake of life-saving interventions. However, work is needed to strengthen the workforce and to fully integrate CCM into maternal and child health service delivery across Indonesia.

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http://hdl.handle.net/10453/117990