MTBS

(Menejemen Terpadu Balita Sakit)

Integrated Management of Childhood

Illness
(IMCI)
ZUHROTUL EKA YULIS A

Indonesia
o
o
o
o
o
o
o

o
o
o
o
o

Population
: 246 million
Below 15
: 75 million
Under-fives
: 24 million
Real GDP growth
: 6.0
Per capita income US : 1,581
Life Expectancy Rate : 67.97
Below the poverty line : 17.75% (2006)
(increased from 15.97%, 2005)
No safe water access : 52%
No proper sanitation
: 44%
Infant Mortality Rate
: 35/ 1000
Under-Fives Mortality Rate : 46 / 1000
Maternal Mortality Rate : 307 / 100.000
Source: Nat. Socio-economic Survey 2002-2006
Inter Census Population Survey
2

Department of Health Systems and Community Health [CHS]

CHILD DEATH IN SEAR
9 out of 10 deaths occur in
six countries :
1.

Bangladesh

2.

Bhutan

3.

India

4.

Indonesia

5.

Myanmar

6.

Nepal

11.6 millian death

among children less
than 5 years old in all
developing countries

WHO / SEARO, New Delhi

The cause of Death Under fives

Millennium Development Goals 2010-2015

Goal
Goal
Goal
Goal
Goal
Goal
Goal
Goal

1:
2:
3:
4:
5:
6:
7:
8:

Eradicate Extreme Hunger and Poverty

Achieve Universal Primary Education
Promote Gender Equality and Empower Women
Reduce Child Mortality
Improve Maternal Health
Combat HIV/AIDS, Malaria and other diseases
Ensure Environmental Sustainability
Develop a Global Partnership for Development

United Nations in Indonesia

6

MDGs 2015
8 Tujuan

CAPAIAN
2007
--

RPJMN 2010
2014
PERPRES
No:
Meningkatn
5/2010
ya UHH

MDG 2015

menjadi
72,0 thn
Poverty & Hunger
Maternal Health

34 per
1000 KH

EDUCATION Comm. Diseases

GENDER

Menurunnya
AKB menjadi
24 per 1000
KH

228 per
100.000
KH

Menurunnya
AKI menjadi
118 per
100.000 kh

18,4%
pada
anak
balita

Menurunnya
prevalensi gizikurang pada
anak balita
menjadi 15%.

23 per
1000 KH

102 per
100.000
KH

ENVIRONMENT

CHLD HEALTH PARTNERSHIP

18,8%

Risiko kematian ibu & anak terjadi paling banyak pada periode
kelahiran

TUJUAN 4: KEMATIAN BAYI dan BALITA

MDG
2015

Target AKBA World Summit for Children (65 per 1.0000 kh) th
2000 telah tercapai dan Target MDG diperkirakan dapat
tercapai
Kesenjangan capaian antar propinsi masih tinggi

Dikutip dari Kirana P, 2010

Penyebab Kematian Bayi 0-11

bulan

Penyebab Kematian Balita 0-59 bulan

Meningtis, 4.5
Tidak diketahui
%
penyebabnya, 3.7
%
Kelainan
Kongenital,
5.7 %

Tidak diketahui
penyebabnya, 5.5 %

Tetanus, 1.7
%

Meningtis, 5.1
%

Kelainan Kongenital, 4.9 %

Pneumonia, 12.7 %

Masalah
Neonatal
46,2 %

Tetanus, 1.5 %

Masalah
Neonatal
36 %

Pneumonia,
13.2 %

Diare, 15 %

Masalah neonatal :
-Asfiksia

Diare, 17.2
%

-BBLR
-Infeksi, dll

Sumber : Riskesdas 2007

10

Pengobatan anak dengan Diare

Persen

*LGG: larutan gula garam

**Tdk termasuk apotek, toko obat,
dukun, posyandu, polindes dan kader
kesehatan

Dikutip dari Kirana P, 2010

11

Distribution of deaths of children less than 5

Years, by cause, the world, 1990 and
projected for 2020
The 5 main killers of
children:
ARI, diarrhoea,
measles, malaria
and malnutrition

1990

2020

55%

52%

Perinatal
conditions
Other
communicable
diseases
Non-communicable
diseases

19%

5%
9%
12%

7%

18%

11%
11%

Injuries

12

13

14

15

16

17

18

19

20

Fakultas Kesehatan Masyarakat KIA

Unair 2011

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

Fakultas Kesehatan Masyarakat KIA

Unair 2011

39

Fakultas Kesehatan Masyarakat KIA

Unair 2011

40

41

42

Terima kasih....