INWROUGHT MANAGEMENT [of] ILL BALITA AS A(N) SYSTEM

INWROUGHT MANAGEMENT [of] ILL BALITA AS A(N) SYSTEM
By : Mahyuliansyah

Inwrought Management [of] Ill Balita ( MTBS) [is] a[n approach which by WHO and UNICEF to prepare health worker [do/conduct] assessment, making klasifikasi and also give action to child to disease which generally menace soul. MTBS aim to to increase the worker skill, strengthening health system and also improve treatment ability by society and family introduced first time in the year 1999.
MTBS in activity [in] field specially [in] Puskesmas represent a[n system watering down service and also upgrade service. Visible tables hereunder clarification MTBS represent a[n system.

No System Component of[is Breakdown of Worker and Location
• Input
Balita come with kelaurga given [by] a form MTBS Counter and medication status, card worker
• Process
- brought [by] Ill Balita [of] form MTBS and status card
- Checking body temperature and weight - If coughing always mengitung napas, see chest wall attraction and hear stridor
- If diarrhoea always check awareness balita, concave eye, giving to drink child to see whether/what [do] not deflect to drink or lazy and pinch stomach husk to check turgor - Always memerisa status gizi, status immunize and the Vitamin A Column MTBS capsule gift, case manager ( Midwife which have been trained [by] MTBS
• Output
Klasifikasi converted become diagnosa, action in the form of and konseling therapy gift in the form of feeding advise, visit advise repeat, advise when have to return immediately. Konseling [of] other;dissimilar for example environmental kesehatn, immunize, Konseling Cures at home. Reference needed [by] if ill circumstance balita require Column MTBS reference, case manager (Midwife which have been trained [by] MTBS). Worker [of] related to [done/conducted] effort konseling
Ill inspection Balita handled by team led by organizer MTBS functioning as case manager. election Case manager by head Puskesmas [of] pursuant to consideration have followed training and ready to to manage MTBS. In All day long the organizer hold responsible to coordinator KIA Puskesmas. Case Manager hold responsible to [do/conduct] inspection from assessment, making klasifikasi, bringing an action against and also [do/conduct] konseling with guided [by] a schema book and registered in [by] a inspection form.
Case Manager hold responsible to manage ill case balita if needing konseling gizi, environmental health, and also immunize, worker can ask pertinent worker [of] muntuk give konseling. Hereafter get konseling [is] hence [done/conducted] [by] a prescribing and also the introductory to clarification in order to obey comand given in medication at home. Procedural Konseling [of] drug gift, dose, old [of] gift, gift time, way of gift and others become routine matter [done/conducted]. Result of inspection activity registered in [by] register visit, [is] later;then summarized [by] each;every final [of] month;moon for report MTBS to Dinkes
Team existence very support praktik MTBS. Team led by a case manager [of] if finding problem hence konsultasi to coordinator KIA [is] later on consulted to head Puskesmas. In the case of konseling case manager distribute duty [of] [at] worker [of] which deal with [done/conducted] problem konseling. Duty clarity in division of labor cause case handling more effective. Others existence fleksibelitas in team enable other;dissimilar worker [is] also expected able to give konseling [of] other;dissimilar if pertinent worker [there] no so that praktik MTBS remain to walk
Gift of Konseling become to exeed and distinguishing at one blow with service of ill balita without [doing/conducting] praktik MTBS. With gift of konseling expected [by] deliverer or mother of patient understand disease suffered, way of handling at home, paying attention to growth disease of [his/its] child so that able to recognize when have to immediately bring [his/its] child to worker of health [is] and also expected to pay attention to to grow flower of child by giving food [of] according to [his/its] age. All the message [is] mirror in Card of Advice [of] Ms. ( KNI) which [is] generally given [by] after mother of introductory ayau [of] ill balita get this konseling to become memory of messages submitted/sent and also memory of cures at home.
Integrity of Service [done/conducted] [by] praktik MTBS [of] a[n job of flexible and compact team with guided [by] guide-book or form of MTBS depict that MTBS represent a[n system of health service.


Bibliography
1. Depkes RI, (2007) Modul PelatihanMTBS, Jakarta
2. Pratono, Hari. Dkk, (2008) Manajemen Terpadu Balita Sakit, Evaluasi Pelaksanaan MTBS di Puskesmas Tanah Laut.. Available from (Accesed 20 Pebruari 2009)