IMPLEMENTATIONINTEGRATED CHILD HEALTH EXAMINATION (PKAT)AT THE PUBLIC HEALTH CENTER IN DENPASAR

Abstract

Background: Integrated Child Health Check-up (ICHC) is a comprehensive and preventive health screening service. The first six months of a child's life are the most critical in terms of health and development in Indonesia. This study aims to describe the implementation of ICHC in Primary Health Care (PHC). Implementing ICHC involves early detection of growth and development, nutrition, immunization, parenting, environmental, physical, and mental health,and medical problems. This study also assesses parents' background and health status and the utilization of the MCH handbook. 

Methods: The cross-sectional study was conducted at PHC 1 Denpasar Selatan and PHC 3 Denpasar Utara in early April 2023 in healthy infants aged 6.0 months to 6 months 29 days. The growth status was evaluated by the WHO Child Growth Standards. The developmental status was measured using the Developmental Pre-Screening Questionnaire for six months. 

Result: Of the 36 infants examined, 33 infants (91.67%) were in the good nutrition status, 30 infants (83.33%) with complete immunization status, 18 infants (50%) received mixed food intake (breastmilk and infant formula), 33 infants (91.67%) had normal development status, 36 infants (100%) had no clinical and mental health problems, 36 infants (100%) had incomplete filled of MCH handbooks, 31 infants (86.11%) were cared for by parents, and 36 infants (100%) have good sanitation. 

Conclusions: Implementation of the ICHC has been quite good. These programs should continue to do for optimized growth and development and to improve the health status.