Factors Influencing Officer Compliance in the Implementation of Integrated Management of Childhood Illness (IMCI) at Community Health Center in Banda Aceh City

Integrated Management of Sick Toddlers (IMCI) is an integrated approach to improving child health and well-being, which aims to reduce morbidity and mortality and promote growth and development of children under five. Despite its importance, challenges in the quality of IMCI implementation in PHC centers still exist. This research aimed to identify factors that influence staff compliance in implementing IMCI at health centers in Banda Aceh city. This research method used an analytic observational research with a cross-sectional design, involving 64 IMCI service providers from November 2023 to June 2024. Data were collected using questionnaires and analyzed using the chi-square test and multivariate logistic regression. The results showed that staff compliance in implementing IMCI was 39%. Internal factors that significantly influenced compliance were motivation (OR=14.3, 95% CI: 3.039-67.505) and knowledge (OR=8.63, 95% CI: 1.694-43.978). External factors included the availability of complete logistics facilities (OR=8.05, 95% CI: 1.706-38.04). This research identified Ulee Kareng Health Center as having the highest number of PIA service providers (17%), while Banda Raya Health Center had the lowest number (7%). Most of the PIA service providers were aged 19-44 years (68.8%), mostly female (96.9%), and had high educational qualifications (93.7%). The implications of this research underscore the important role of motivation, knowledge, and logistical support in improving staff adherence to IOP protocols. The results of this research have implications for strengthening health care systems and improving the quality of IYCF implementation to meet the health needs of children under five in Banda Aceh city.