Improving Access to Child Health Care in Indonesia Through Community Case Management

Setiawan, A; Dignam, D; Waters, C; Dawson, A

Improving Access to Child Health Care in Indonesia Through Community Case Management

Setiawan, A Dignam, D Waters, C Dawson, A

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Publication Type:: Journal Article
Citation:: Maternal and Child Health Journal, 2016, 20 (11), pp. 2254 - 2260
Issue Date:: 2016-11-01

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Field	Value	Language
dc.contributor.author	Setiawan, A	en_US
dc.contributor.author	Dignam, D	en_US
dc.contributor.author	Waters, C	en_US
dc.contributor.author	Dawson, A https://orcid.org/0000-0003-0926-2202	en_US
dc.date.available	2020-05-25T19:16:37Z
dc.date.issued	2016-11-01	en_US
dc.identifier.citation	Maternal and Child Health Journal, 2016, 20 (11), pp. 2254 - 2260	en_US
dc.identifier.issn	1092-7875	en_US
dc.identifier.uri	http://hdl.handle.net/10453/47558
dc.description.abstract	© 2016, Springer Science+Business Media New York. Objectives In order to reduce infant mortality in Indonesia, community case management (CCM) was introduced. CCM is a community-based service delivery model to improve children’s wellness and longevity, involving the delivery of lifesaving, curative interventions to address common childhood illnesses, particularly where there are limited facility-based services. This paper reports the findings of a qualitative study that investigated the implementation of CCM in the Kutai Timur district, East Kalimantan Indonesia from the perspective of mothers who received care. Methods Seven mothers and health workers were observed during a consultation and these mothers were interviewed in their home weeks after delivery. Field notes and the interview transcriptions were analysed thematically. Findings Mothers reported that their access to care had improved, along with an increase in their knowledge of infant danger signs and when to seek care. Family compliance with care plans was also found to have improved. Mothers expressed satisfaction with the care provided under the CCM model. The mothers expressed a need for a nurse or midwife to be posted in each village, preferably someone from that village. However two mothers did not wish their children to receive health interventions as they did not believe these to be culturally appropriate. Conclusion CCM is seen by rural Indonesian mothers to be a helpful model of care in terms of increasing access to health care and the uptake of lifesaving interventions for sick children. However there is a need to modify the program to demonstrate cultural sensitivity and meet cultural needs of the target population. While CCM is a potentially effective model of care, further integrative strategies are required to embed this model into maternal and child health service delivery.	en_US
dc.relation.ispartof	Maternal and Child Health Journal	en_US
dc.relation.isbasedon	10.1007/s10995-016-2149-z	en_US
dc.subject.classification	Public Health	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Infant Mortality	en_US
dc.subject.mesh	Mothers	en_US
dc.subject.mesh	Infant	en_US
dc.subject.mesh	Community Health Services	en_US
dc.subject.mesh	Child Health Services	en_US
dc.subject.mesh	Case Management	en_US
dc.subject.mesh	Health Services Accessibility	en_US
dc.subject.mesh	Disease Management	en_US
dc.subject.mesh	Patient Acceptance of Health Care	en_US
dc.subject.mesh	Indonesia	en_US
dc.subject.mesh	Community-Based Participatory Research	en_US
dc.subject.mesh	Child Health	en_US
dc.title	Improving Access to Child Health Care in Indonesia Through Community Case Management	en_US
dc.type	Journal Article
utslib.citation.volume	11	en_US
utslib.citation.volume	20	en_US
utslib.for	1608 Sociology	en_US
utslib.for	11 Medical and Health Sciences	en_US
utslib.for	16 Studies in Human Society	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 - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Strength - WHO CC
utslib.copyright.status	open_access
pubs.issue	11	en_US
pubs.publication-status	Published	en_US
pubs.volume	20	en_US

Abstract:

© 2016, Springer Science+Business Media New York. Objectives In order to reduce infant mortality in Indonesia, community case management (CCM) was introduced. CCM is a community-based service delivery model to improve children’s wellness and longevity, involving the delivery of lifesaving, curative interventions to address common childhood illnesses, particularly where there are limited facility-based services. This paper reports the findings of a qualitative study that investigated the implementation of CCM in the Kutai Timur district, East Kalimantan Indonesia from the perspective of mothers who received care. Methods Seven mothers and health workers were observed during a consultation and these mothers were interviewed in their home weeks after delivery. Field notes and the interview transcriptions were analysed thematically. Findings Mothers reported that their access to care had improved, along with an increase in their knowledge of infant danger signs and when to seek care. Family compliance with care plans was also found to have improved. Mothers expressed satisfaction with the care provided under the CCM model. The mothers expressed a need for a nurse or midwife to be posted in each village, preferably someone from that village. However two mothers did not wish their children to receive health interventions as they did not believe these to be culturally appropriate. Conclusion CCM is seen by rural Indonesian mothers to be a helpful model of care in terms of increasing access to health care and the uptake of lifesaving interventions for sick children. However there is a need to modify the program to demonstrate cultural sensitivity and meet cultural needs of the target population. While CCM is a potentially effective model of care, further integrative strategies are required to embed this model into maternal and child health service delivery.

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http://hdl.handle.net/10453/47558