Department of Community Health Nursing, Faculty of Nursing, Universitas Indonesia, Depok 16424, Indonesia.
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117597, Singapore.
Int J Environ Res Public Health. 2021 Jul 29;18(15):8047. doi: 10.3390/ijerph18158047.
Although Indonesia's child mortality rate has decreased in tandem with the global trend, healthcare services can be further improved for children. This study aims to explore the perceptions of healthcare providers and caregivers of children aged below five years to improve child health in urban Indonesia. A mixed-methods study design was adopted. Quantitative data were collected via questionnaires from the caregivers. Qualitative data were collected via semi-structured interviews from the healthcare providers. Analysis of 540 caregiver questionnaires regarding the care provided to their child revealed that the majority of them were very satisfied (46.1%) and satisfied (52.2%) with the care received. Analysis of 12 interviews with healthcare providers derived three major themes: (1) importance of one's role as a healthcare provider; (2) factors affecting the delivery of healthcare; and (3) the way forward in caring for young children. Although caregivers were very satisfied with the care received for their children, the perception of healthcare providers regarding their responsibility in delivering care to children under five years old provides insights into improving the quality of services for children in Indonesia. Our findings suggest that mortality and morbidity of children aged below five years can be best reduced by optimizing primary and secondary preventive measures.
尽管印度尼西亚的儿童死亡率与全球趋势同步下降，但医疗保健服务可以进一步为儿童提供。本研究旨在探讨医护人员和 5 岁以下儿童照顾者的看法，以改善印度尼西亚城市的儿童健康。采用混合方法研究设计。通过问卷收集照顾者的定量数据。通过半结构化访谈收集医护人员的定性数据。对 540 名照顾者关于其子女护理的问卷进行分析，结果显示，他们对所接受的护理非常满意（46.1%）和满意（52.2%）。对 12 名医护人员的访谈进行分析，得出三个主要主题：（1）作为医护人员的角色重要性；（2）影响医疗保健服务提供的因素；（3）照顾幼儿的前进方向。尽管照顾者对其子女接受的护理非常满意，但医护人员对其为 5 岁以下儿童提供护理的责任的看法，为改善印度尼西亚儿童的服务质量提供了启示。我们的研究结果表明，通过优化初级和二级预防措施，可以最大限度地降低 5 岁以下儿童的死亡率和发病率。
