Quality of Care for Children under Five with Malaria Using Integrated Management of Childhood Illness (IMCI) at Public Health Center: A Systematic Review

Background: Children under five who have a fever in areas where malaria is highly endemic must take a microscope test to ensure that the children have plasmodium malaria. The purpose of this article is to identify the quality of care for children under five with malaria using the Integrated Management of Childhood Illness approach. Method: A systematic review. The search strategy was conducted on data -based Scopus, Web of Science, Pubmed, Science Direct, Proquest and Ebscohost with the keywords "quality of care" AND "IMCI" AND "malaria" AND "children" AND "under five". Inclusion criteria were: children under five with fever or malaria. Intervention: treatment using IMCI, comparison: none, outcome: assessment, classification, and treatment according to the IMCI chart, study design: quasi experiment, cross-sectional. Results: 156 articles were found. Ten articles meet the inclusion criteria. The results show that IMCI strategies were promotive, preventive, curative, and rehabilitative activities. IMCI services were focused on case management by looking at clinical symptoms and empirical therapy carried out by doctors, nurses, and midwives. Assessment and accurate classification of sick children under five using IMCI guidelines have had a significant impact. Conclusion: Guidelines for managing children under five suffering from malaria using the IMCI approach are very helpful for nurses. This includes serious cases such as malaria with complications. It is highly recommended that healthcare facilities improve the quality of services by training, monitoring, and procuring essential medicines, and conducting microscope testing.