scholarly journals RISK FACTORS OF STUNTING EVENTS IN TODDLERS AGED 24-59 MONTHS

2021 ◽  
Vol 4 (4) ◽  
pp. 374
Author(s):  
Mufidah Binti Eka ◽  
Ilya Krisnana ◽  
Dominicus Husada

AbstractBackground: Stunting is one priority problem in Indonesia. The incidence of stunting in toddlers at the Tambak Wedi Public Health Center Surabaya in 2015 and 2016 were 31.3% and 33%, respectively. This study aims to analyze the risk factors for stunting in toddlers aged 24-59 months in  Tambak Wedi Health Center Surabaya. Method: This observational analytic research used cross sectional approach. The population in this study was 220 and the sample size was 110 mothers and toddlers. Samples were selected by proportional cluster random sampling from the population of 220 pairs mothers and toddlers. Independent variables of the  mothers include height, upper arm circumference, frequency of ANC visits, weight gain during pregnancy, meanwhile of the toddlers included birth length and birth weight. The dependent variable was stunting. Statistical analysis used chi-square  and multiple logistic regression tests. Results: There were 100 pairs of mother and toddlers in the study. Bivariate analysis showed a significant relationship between maternal height (p = 0.025, RR = 0.406), frequency of ANC visits (p = 0.017, RR = 0.382), increase in maternal weight during pregnancy (p = 0.017, RR = 0.328), the baby’s birth length (p = <0.001, RR = 0.256), and the baby's birth weight (p = <0.001, RR = 0.208) with stunting. Multivariate analysis showed maternal height and ANC visit as the significant risk factors of stunting. Conclusion: Maternal height and the frequency of ANC visits were the risk factors for stunting among toddlers aged 24-59 months in Tambak Wedi Public Health Center in Surabaya.

Author(s):  
Ethi Yudiastuti Kadek ◽  
Dewianti Ni Made

Background: The death of toddler due to pneumonia is still high because its risk factor still exist and has not been managed properly. United Nations International Children’s Emergency Fund (UNICEF) states that in 2011 there was 1.3 million deaths of children below five years old (toddler) and 14% of the number was caused by pneumonia.Methods: The design for this research was case control with 27 cases and 27 controls. The case was toddlers who were diagnosed with pneumonia by doctor of public health center (hereafter Puskesmas), aged 0-59 months and were recorded in the ill toddler register from January 1, 2016 until December 31, 2016, meanwhile control was healthy toddlers who were invited to Puskesmas during the research. Data was collected through interview, observation and measurement using questionnaire. Univariate, bivariate, multivariate analyses were performed using Stata SE 12.1.Results: Bivariate analysis showed that two years of breastfeeding and ARI frequency, as the risk factors of pneumonia on toddler. From bivariate analysis, it was found that the risk factor which was proven to be significant and increased pneumonia on toddler was OR ARI with the value of 5.67 (95% CI:1.16-27.82).Conclusions: ARI frequency as the risk factor of pneumonia on toddler at Puskesmas I South Denpasar.


Author(s):  
Waleed Hasan Mohammed AL-Marrani ◽  
Hassan A. Al-Shamahy

Occupational exposure of public health center cleaners (PHCCs) to blood and body fluids after skin injury or mucous membrane contact constitutes a risk for transmission of blood-borne pathogens. In the industrialized world, occupational surveillance is performed to assess and monitor health hazards related to blood borne pathogens. In contrast, in developing countries as Yemen, exposure and health impacts are rarely monitored and much remains to be done to protect PHCCs. The objective of this study was to determine the prevalence of HBV and HCV and their potential risk factors among PHCCs.  A cross sectional prospective study was conducted among 388 PHCCs. Data was collected using pre-tested and structured questions. Venous blood was collected and the sera were tested for HBV surface antigen and anti-hepatitis C antibodies using enzyme-linked immune sorbent assay technique. The data were analysis by EPI-Info. Chi square and Odds ratio tests were used to assess the association of risk factors with HBV and HCV positivity. Results revealed that among the total 388 PHCCs examined, HBV and HCV were detected in 32 (8.2%), and 4 (1.03%) of them respectively.  There was significant risk factors of hepatitis viruses with age group 20-24 years (OR=2.8), exposure to patients blood (OR=3), accidental stick of used needles (OR=2.3), sharp injury (OR=5.6), history of blood transfusion (OR=2.5), and hospital admission (OR=2.7). Also significant protected roles for HBV vaccine was found with infection. In conclusion high prevalence rates of HBV and HCV occurred in PHCCs. Unfortunately; all workers did not take training on medical waste and few workers use protective measures consistently as vaccination. There is needed to make vaccination of health care workers against HBV infection a firm policy and ensure complete and consistent adherence to work standard safety measures.


Author(s):  
Siti Nurfadilah H ◽  
◽  
Riris Andono Ahmad ◽  
◽  

ABSTRACT Background: On 24 November 2015, public health center Kokap 2 reported an outbreak of suspected measles in the village of Hargowilis. In Kokap District, outbreaks of suspected measles have never occurred in school-age children in the last three years. This study aims to ascertain the suspected measles outbreaks and identify risk factors, sources, and transmission routes. Subjects and Method: This was a matched case control study conducted from November 2015 to January 2016, in Hargowilis Village, Central java. A Sample of 21 who has the main clinical symptoms suspected of measles such as: fever, rash and followed by one of the symptoms of cough, flu, and red eyes (cases) and classmates who did not have case-like symptoms (control) were selected by snowball sampling. The data were analyzed using McNemar’s test and logistic regression. Results: Five out of ten sera tested were positive for rubella. There were 21 total cases. None of the pregnant women was a rubella case. Most of the patients were male (61.90%) with ages ranging from 5 to 11 years (71.43%) and were served at the public health center (80.95%). The case index is a student who travels in the District of Wates. The highest number of cases was at week 46 of 2015 (9 cases). Bivariate analysis showed that contact history (OR = 0.14; 95% CI 0.03 to 0.39; p = <0.001) and age (OR = 0.06; 95% CI 0.00 to 0.24; p = <0.001) were risk factors for this Rubella outbreak. Conclusion: There has been an outbreak of rubella in the village of Hargowilis, Yogyakarta. Public health centers are recommended to provide information to the public about rubella. Health workers need to take all blood serum cases to confirm outbreak. Public health centers are suggested to strengthen the surveillance system for measles and rubella. Keywords: Rubella, risk factors, Public health center, outbreaks Correspondence: Siti Nurfadilah H. Center for Health Policy and Management (PKM) Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta. Email: [email protected]. Mobile: 085255987009 DOI: https://doi.org/10.26911/the7thicph.01.20


2021 ◽  
Vol 4 (2) ◽  
pp. 202-213
Author(s):  
Andi Mauliyana ◽  
Evi Hadrikaselma

Kendari City is the area with the highest number of TB cases in Southeast Sulawesi Province with a total of 488 cases in 2019. Preliminary data at the Perumnas Public Health Center showed that there were 49 TB cases in 2019. This study aims to determine the risk factors for the incidence of pulmonary TB in the Work Area. Public Health Center. This study uses a case control design. The study population was 105 patients, with a sample consisting of 44 case samples and 44 control samples, which were taken by simple random sampling. Data analysis using Chi Square test and Odds Ratio. From the results of the study, it was found that there were significant risk factors between smoking habits (OR = 5,156), contact history (OR = 8,333), occupancy density (OR = 2,544), knowledge (OR = 3,852) and ventilation (OR = 3,071) with the incidence of pulmonary tuberkulosis. The conclusion of this study is smoking habits, contact history, occupancy density, knowledge, and ventilation are risk factors for the incidence of pulmonary tuberkulosis at the Perumnas Public Health Center. Therefore, it is suggested to the health workers of the Puskesmas are expected to continue to provide health promotion and improve work programs related to pulmonary TB in order to increase knowledge and awareness of the community to prevent transmission of pulmonary TB.


2020 ◽  
Vol 2020 ◽  
Author(s):  
Agussalim

Hypertension is a disease that usually occurs in the circulatory system which can cause an increase in blood pressure above the normal value, which exceeds 140/90 mmHg. The intention of this study aims to understand the relationship between lifestyle and the incidence of hypertension in Antang Makassar Public Health Center in 2018. This research method uses quantitative analytic motives using a cross sectional approach with a population of 46 people and a sample of 36 respondents. This research was conducted on July 14-16 June. The method used is simple random sampling and the tool used to obtain data is a questionnaire. The scale used is Liker and Guttmann scale with univariate, bivariate analysis and chi-square test with significant a = 0, 05. The results of this study indicate there is a relationship between lifestyle and the incidence of hypertension in the Makassar Antang Health Center with P = 0, 01 smaller than the value of a = 0.05. Suggestions are for hypertensive patients, namely the need to check their health routinely to health workers in order to know the development of blood pressure and obtain information from health workers.


2017 ◽  
Vol 2 (1) ◽  
pp. 43
Author(s):  
Sofia Sofia

Acute Respiratory Infection (ARI) is still one public health problem that is important to note, because it is an acute illness and can even cause death in infants in developing countries, including Indonesia. In general, there are three the risk factors of ARI namely environmental factors, individual factors of children, and behavioral factors. The aim of research to find out the environmental risk factors with the incidence of  ARI  in Toddlers in Public Health Center of Ingin Jaya, Aceh Besar district. This type of research is an analytic survey with cross-sectional study approach. The sample size is calculated using the formula Lemeshow of 100 respondents, samples were taken randomly. Data analysis using Chi-Square test. The results showed that the level of humidity in the home (p= 0,039), smoking habits of family members in the home (p= 0,001), and the habit of using mosquito coils in the home (p= 0,003) as a risk factor for ISPA to children in Region Public Health Center of Ingin Jaya, Aceh Besar district. Conclusion, risk factor of ARI in the toddler that is a smoking habit, usage habit of mosquito coil and air humidity. Suggestions, the public in order to maintain air quality in the home environment to avoid various transmission of infectious diseases.Keywords: Air humidity, habits, environment, ARIPenyakit Infeksi Saluran Pernafasan Akut (ISPA) masih menjadi salah satu masalah kesehatan masyarakat yang penting untuk diperhatikan, karena merupakan penyakit akut dan bahkan dapat menyebabkan kematian pada balita di berbagai negara berkembang termasuk  Indonesia. Secara umum ada 3 (tiga) faktor risiko terjadinya ISPA yaitu faktor lingkungan, faktor individu anak, serta faktor perilaku. Tujuan penelitian untuk mengetahui faktor risiko lingkungan dengan kejadian ISPA pada Balita di wilayah kerja Puskesmas Ingin Jaya Kabupaten Aceh Besar. Jenis penelitian adalah survey analitik dengan pendekatan Crossectional study. Besarnya sampel dihitung dengan menggunakan rumus lameshow yaitu 100 responden, sampel diambil secara acak sederhana. Analisa data dengan menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa tingkat kelembaban udara dalam rumah (p=0,039), kebiasaan merokok anggota keluarga dalam rumah (p=0,001), dan kebiasaan menggunakan obat nyamuk bakar di dalam rumah (p=0,003) sebagai faktor risiko kejadian ISPA pada Balita di wilayah kerja Puskesmas Ingin Jaya Kabupaten Aceh Besar. Kesimpulan, faktor risiko ISPA pada balita yaitu kebiasaan merokok, kebiasaan penggunaan obat nyamuk bakar dan kelembaban udara. Saran, masyarakat agar dapat menjaga kualitas udara dilingkungan rumah agar terhindar dari berbagai penularan penyakit infeksi. Kata kunci: Kelembaban udara, kebiasaan, lingkungan, ISPA


2018 ◽  
Vol 5 (1) ◽  
pp. 60-68
Author(s):  
Zaleha Zaleha

Hypertension is becoming more prevalent in Indonesia.The risk of Hypertension increase with the development of obesity. A limited number of studies in Indonesia have examined relationship between obesity indicator and hypertension. The objective of the study conducted to know related between several obesity indicator and hypertension of patients at Sungkai Public Health Center in Banjar District. The study was observasional analityc with case control matched study. Subjects this study consisted of 60 subjects that were collected consecutively and devided into two group, case and control with comparison case and control 1 : 1. Blood pressure. Body Mass Index   (BMI), Waist Circumference (WC) and Waist to Hip Ratio (WHR) were obtained, Chi Square Test or Fisher Exact Test  was used to bivariate analitytic with α = 0,05. The Odds Ratio (OR) was calculated to predict the risk of each obesity indicator to hypertension.This study showed that BMI was significantly related with essensial hypertension in bivariate analysis (OR=3,1). The nonsignificant correlation (p > 0,05) identified for Waist Circumference and Waist Hip Ratio. Obesity indicator related to essential hypertension of patients at Sungkai Public Health Center in Banjar District was BMI


2021 ◽  
Vol 2 (6) ◽  
pp. 723-732
Author(s):  
Amran Sebayang

In patients with mental disorders, almost all patients experience recurrence repeatedly. Data from medical records at the Sepatan Health Center, the presentation of recurrence of mental illness patients at the Sepatan Health Center in 2019 was 26.8%. The same was true for the Kedaung Barat Puskesmas at 22%. To determine the relationship between the level of control adherence and the recurrence rate of mental disorders clients at the Sepatan Public Health Center and the Kedaung Barat Tangerang Public Health Center in 2020. Including an analytical survey with a cross sectional approach. The population in this study were all schizophenia patients at the Sepatan Health Center and the Kedaung Barat Health Center, Tangerang Regency in 2020, as many as 109 people. Samples were taken based on the slovin as many as 109 respondents. This study used univariate and bivariate analysis with the Chi Square test. Based on univariate analysis of 109 people, the majority with mental disorders clients who did not relapse were 58 people (53.2%), and the adherence level of adherent controls was 61 people (56%). The results of the bivariate analysis with the chi square test found that there was a relationship between control compliance (p-value 0.000), with mental disorders client recurrence. There is a relationship between the level of control adherence with the recurrence rate of mental disorders clients, with a possible rate of 29,871. It is hoped that it can provide information and be able to provide education on nursing services, especially for the client's family of mental disorders to motivate clients with mental disorders to comply with control.


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