scholarly journals Determinan Kejadian Diare pada Balita Berdasarkan Indikator Pilar 1, 2 dan 3 Program STBM di Wilayah Puskesmas Banjarangkan II, Kabupaten Klungkung, Bali

2020 ◽  
Vol 48 (4) ◽  
pp. 271-280
Author(s):  
Utami Dwipayanti

Diarrhea remains an important health issues in Klungkung Regency. Community Based Total Sanitation Program (STBM) is a national program that aims to reduce diarrhoea incidence by changging people’s sanitation behavior. The objective of the research is to examine factors related to the aspect of pilar 1, 2 and 3 of STBM program towards diarrhea case among children under five in the catchment area of Puskesmas Banjarangkan II, Klungkung. This research is an observasional research with case control design on 37 mothers of children with diarrhea as cases and 37 controls. Demographic information, access and practice related to pilar 1,2,3 of STBM were collected using questionnaire developed based on STBM verification form. The data was analysed using Chi Square test and logistic regression. Aspects of Pillars 1,2 and 3 STBM program significantly associate with diarrhea incidence among children under five in Banjarangkan II Health Center catchment area, namely the quality of toilet and hand washing facilities, and hand washing with soap behavior at five critical. The logistic regression shows that determinants of diarrhea include the quality of toilet (AOR= 12.08), the quality of hand washing facilities (AOR= 9,43) and hand washing with soap behaviour before taking care and feeding the infant (AOR= 9,88). It is recommended for future implementation and monitoring of STBM program to emphasise more on the hygienic quality of toilet and hand washing facilities, as well as the hand washing behaviour in five critical times beside on the time after defecating. Keywords : diarrhea, hand washing, food hygiene, toilet, total sanitation Abstrak Diare masih menjadi salah satu masalah kesehatan masyarakat di Kabupaten Klungkung. Program Sanitasi Total Berbasis Masyarakat (STBM) merupakan salah satu program yang bertujuan menurunkan kejadian diare dengan mengubah perilaku sanitasi masyarakat. Penelitian ini bertujuan untuk mengetahui faktor Aspek Sanitasi Total Berbasis Masyarakat (STBM) Pilar 1, 2 dan 3 terhadap kejadian diare pada balita di wilayah Puskesmas Banjarangkan II di Kecamatan Banjarangkan Kabupaten Klungkung. Penelitian ini merupakan penelitian analitik observasional dengan desain Case Control yang dilakukan terhadap 37 ibu balita sebagai kasus dan 37 ibu balita sebagai kontrol. Informasi demografi, akses dan praktik terkait pilar 1,2,3 STBM dikumpulkan menggunakan kuisioner yang dikembangkan berdasarkan formulir verifikasi STBM. Data dianalisis menggunakan uji Chi Square dan regresi logistik. Aspek STBM pilar 1,2 dan 3 yang berhubungan bermakna terhadap kejadian diare pada balita di wilayah Puskesmas Banjarangkan II yaitu kualitas sarana sanitasi jamban, kualitas sarana Cuci Tangan Pakai Sabun (CTPS), dan kebiasaan mencuci tangan pakai sabun di 5 waktu kritis. Analisis regresi logistik menunjukkan determinan kejadian diare di wilayah studi adalah kualitas sarana jamban (AOR= 12.08), kualitas sarana CTPS (AOR= 9,43) dan kebiasaan mencuci tangan pakai sabun sebelum mengurus dan memberi makan balita(AOR= 9,88). Penekanan terhadap kualitas sarana sanitasi dan CTPS, serta perilaku CTPS di 5 waktu kritis selain setelah BAB sangat perlu dilakukan dalam program lebih lanjut. Kata kunci: diare,cuci tangan, higiene makanan, jamban,sanitasi total

2018 ◽  
Vol 10 (3) ◽  
pp. 306
Author(s):  
Fitria Nur Rahmawati

The number of  pneumonia  cases in children under five years found in Surabaya city in 2016  was 3,925 cases (40.89%). The number of  pneumonia  cases in children under five years in Kenjeran sub district was highers with 232 cases. This study was purposed to analyze the relationship between house sanitation and airborne bacterial number with pneumonia cases in children under five years old  in the Kenjeran sub district, Surabaya. This study was designed as a case control study using 12 cases and 12 controls as the samplers. This research was conducted in Kenjeran sub district  and took place from May to November 2017. Statistical test was using by chi square and multivariate logistic regression. The results of the study was that the cases of p neumonia in children under five years old were birth weight (p=0,01), nutritional status (p=0,01), sanitation house (p=0,03) and airborne bacterial number (p=0,01). Multivariate logistic regression test results showed that significant variables were nutritional status and airborne bacterial number. Nutritional status have the significance 0.04 (p <α) with OR=15,00. Airborne bacterial number  have the significance 0.04 (p <α) with OR=15,00. The conclusion of this study is nutritional status and airborne bacterial number  are associated with pneumonia under five years old. It is highly suggested to improve the quality of home health and child care.


2012 ◽  
Vol 7 (1) ◽  
pp. 16
Author(s):  
A. Zulkifli Abdullah ◽  
A. Arsunan Arsin ◽  
Lidyawati Dahlan

Diare shigellosis pada balita merupakan masalah serius sebab dapat menyebabkan kematian. Untuk mengetahui faktor-faktor risiko kejadian shigellosis pada anak balita dilakukan studi kasus kontrol di beberapa rumah sakit di Kota Makassar dengan 68 kasus dan 136 kontrol. Datamengenai jenis kelamin dan status gizi anak balita, pemberian air susu ibu (ASI) eksklusif, status ekonomi, pendidikan ibu, kebiasaan ibu mencuci tangan memakai sabun, kepadatan hunian rumah, sarana air bersih, danjamban keluarga dikumpulkan dengan wawancara dan observasi serta dikategorikan dan disaring (screening) dengan uji chi square. Enam variabel dengan nilai p < 0,25 dimasukkan dalam uji regresi logistik yang menghasilkan3 variabel dengan nilai p < 0,05 (gizi rendah, ASI tidak eksklusif, dan status ekonomi rendah). Uji regresi logistik tahap kedua dengan 3 variabel ini menghasilkan model shigellosis = 1,47 gizi rendah + 1,471 ASI tidak eksklusif + 1,022 status ekonomi rendah – 2,546” dengan nilai oddsratio (OR) = 4,352 (gizi rendah), 4,353 (ASI tidak eksklusif), dan 2,779 (status ekonomi rendah). Studi ini menyimpulkan bahwa gizi balita yang rendah, pemberian ASI yang tidak eksklusif, dan status ekonomi ibu yang rendah merupakan faktor-faktor risiko penting kejadian diare shigellosis padabalita.Kata kunci: Balita, diare, shigellosis, status giziAbstractShigellosis diarrhea is a serious issue to children under five years old since it may lead to death. To determine the risk factors influence to children under five shigellosis, a case control study conducted in hospitals in Makassar involving 68 cases and 136 controls. Data on sex, nutrition status of children under five, exclusive breastfeeding, economic status, education, hand washing with soap, house density, clean water facility, and toilet were collected by interview and observation. All collected data were categorized and screened using chi-square test to obtain variables for logistic regression. Sixvariables with p value < 0,25 were putted to logistic regression resulted 3 variables with p value < 0,05 (low nutrition status, p value = 0,00; nonexclusive breastfeeding, p value = 0,00; low economic status of mother, p value = 0,00). These variables gave final model of “shigellosis = 1,47 low nutrition status + 1,471 nonexclusive breastfeeding + 1,022 low economic status – 2,546” with odds ratio (OR) = 4,352 (low nutrition status), 4,353 (nonexclusive breastfeeding), and 2,779 (low economic status of mother). This study concludes that low nutrition status, nonexclusive breastfeeding, and low economic status of mother are important risk factors of shigellosis in children under five.Key words: Children under five, diarrhea, logistic regression, shigellosis, nutrition status


2017 ◽  
Vol 5 (1) ◽  
pp. 95
Author(s):  
Nikmatur Rohmah ◽  
Fariani Syahrul

Diarrhea is still a public health problem in the world and the mostly occur in children under five years. At the moment the number of diarrhea-caused mortality was 3.8 per 1000 per year by 3.2 episodes per year in children under five years. This research aims to analyze the association between hand-washing habits and toilet use with the incidence of diarrhea in children under five years. This is an observational analytic with cross sectional study. Population of the research was a children's mother took her children to the public health center of Sekardangan Sidoarjo Subdistrict. The number of samples taken as many as 58 mother of children under five years. Data collection was done with interviews to parents of children and the observations of the toilets. Technique of data analysis using chi-square test or Fisher's exact test. On the results of the research there is a significant association the habit of hand washing (p = 0.006) and toilet use(p = 0.014) with the incidenceof diarrhea in children under five years. Conclusions of the research is the habit of hand washing and toilet use had a significant association with the incidenceof diarrhea in children under five years. Advice that can be given to the mother of a children under five years is to wash the hands before and after defecating and before preparing food for children. Keywords: diarrhea, hand washing, toilet use, observational, children under five years


2019 ◽  
Vol 3 (1) ◽  
pp. 53
Author(s):  
Vika Indah Rahayu ◽  
Nugroho Susanto ◽  
Ayu Fitriani

Background: One of the biggest nutritional problems in Indonesia is stunting. Children under five years old with stunting are more susceptible to disease and having reduced cognitive abilities. Stunting can be caused by several factors, such as from both external and internal factors. Objective: To find out the determinants of the incidence of stunting among children under five years old in Wukirsari Village, Cangkringan sub district, Sleman, Yogyakarta. Methods: This study was conducted in 23 subvillages in Wukirsari Village in February 2019 with a case control design. This study involved 100 children under five years old with 50 cases and 50 controls. Maternal nutritional status during pregnancy, mothers’ education, family income, and posyandu visit were collected using a questionnaire. Data were analyzed using Chi Square test. Results: There was no correlation between mother’s education and posyandu visit with stunting incidence (p>0.05). There was a correlation between family income with stunting incidence (p=0.00). Family who had low income were 6.526 times more likely to have stunted children. Conclusion: There was a significant correlation between family income with stunting incidence.


2016 ◽  
Vol 1 (2) ◽  
Author(s):  
Eti Kurniawati

<p>Ascariasis incidence in children under five in the region work of Puskesmas Olak Kemang still a health problem that needs to be addressed, with a percentage of 51.0% is higher than in other wilayh. The disease is not lethal but can undermine the health of the human body so that the resulting decline in nutritional status, decreased intelligence and brain power or immune health in children.</p><p>               This research is a quantitative study using descriptive analytic method with cross sectional study design that aims to determine the relationship between the independent variables and the dependent variable. The population in this research that all children under five in the area of Puskesmas Olak Kemang, samples in this study were 75 children under five. Data were analyzed using analysis Univariate and Bivariate analysis with Chi-Square Test.</p><p>               The results showed that 78.0% of mothers of children under five who are not air personal hygiene, 60.4% of mothers of children under five unusual CTPS, 82.1% of respondents who did not state house meliliki latrine / WC. The results of the bivariate analysis showed that there was a significant relationship between personal hygiene (p-value = 0.000), customs CTPS (p-value = 0.001), latrine ownership (p-value = 0.000) with the incidence of intestinal worms in Puskesmas Olak Kemang Jambi.</p><p>               In connection with the results obtained, that the danger of de- worming is dependent on the cleanliness of his mother in serving as personal hygiene, CTPS and Owners toilets in every home. Thus the researchers suggested that the health center may be able to provide information to the public education about the dangers of de- worming to create a healthy society.</p><p> </p>Keyword                     :  Behavior, Children Events


2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Tamara Lubis ◽  
Dwi Rita Anggraini

Diarrhea is a symptom of infection in the intestinal tract with the second death rate in the world in children under five years of age. Risk factors for the incidence of diarrhea in children under five are host factors that increase susceptibility to diarrhea, not giving exclusive breastfeeding (ASI), not giving breastfeeding for 2 years, malnutrition, measles and immunodeficiency. Breastfeeding (ASI) contains the best nutrients that match the needs of the baby and exclusive breastfeeding is carried out from birth to the first six months without any additional food or drink. Several studies have shown that the immunity content of breastfeeding is able to coat the gastrointestinal mucosa and protect the digestive tract from incoming pathogens. The aim of this study is to find out the relationship between exclusive breastfeeding and the incidence of diarrhea in children aged 6-24 months at Puskesmas Aek Parombunan, Sibolga Selatan in 2019. The research design used was observational analytic cross-sectional with the criteria for the research sample of toddlers aged 6-24 months. The sampling technique in this study used total sampling. The research instrument was a medical record and data analysis used the chi-square test. Based on the results of the study, there was a relation between exclusive breastfeeding and the incidence of diarrhea.


2019 ◽  
Vol 1 (2) ◽  
pp. 98-103
Author(s):  
Nurmala Sari

Infection of exhalation Acude (ISPA), is one of the main painfulness because for children under five years old in developing countries. The aims of this research was to know the relationship between environmental sanitation forincluded houseventilation, air pollution, andaccupancydensity. The conducted of this research in November 2018 in Marendal I Pasar V Deli Serdang. Regency theobservational research with cross sectional approach. The subject were all of the house which have children under five years old with 54 respondents sample. The technique of sample used cluster random sampling.The statistical test used chi square test by using Statistical product and service solutions version 20 program. The resultof this research indicated that there was a relationship between house ventilation (p=0,001),air pollution (p=0,030) and accupancy density (p=0,006) with the occurrence of ISPA (Infection of exhalation Acude). Poor ventilation can cause high humidity and endanger health so that the incidence of Infection of exhalation Acude will increase. The condition of a dense residence can increase the air pollution factor in the house. And the floor area of ​​a healthy home building must be enough for the residents inside. The area of ​​a building that is not proportional to the number of occupants can cause easy disease. lack of oxygen, dirty air can invite various chemicals so it is easy to trigger the disease that comes, Every citizen is expected to always pay attention and try so that his house meets health requirements such as house ventilation, residential density in the bedroom, and healthy air pollution.


2019 ◽  
Vol 1 (2) ◽  
pp. 98-103
Author(s):  
Nurmala Sari ◽  
Diana Rahmadani Siregar

Infection of exhalation Acude (ISPA), is one of the main painfulness because for children under five years old in developing countries. The aims of this research was to know the relationship between environmental sanitation forincluded houseventilation, air pollution, andaccupancydensity. The conducted of this research in November 2018 in Marendal I Pasar V Deli Serdang. Regency theobservational research with cross sectional approach. The subject were all of the house which have children under five years old with 54 respondents sample. The technique of sample used cluster random sampling.The statistical test used chi square test by using Statistical product and service solutions version 20 program. The resultof this research indicated that there was a relationship between house ventilation,air pollution and accupancy density with the occurrence of ISPA (Infection of exhalation Acude). Poor ventilation can cause high humidity and endanger health so that the incidence of Infection of exhalation Acude will increase. The condition of a dense residence can increase the air pollution factor in the house. And the floor area of a healthy home building must be enough for the residents inside. The area of a building that is not proportional to the number of occupants can cause easy disease. lack of oxygen, dirty air can invite various chemicals so it is easy to trigger the disease that comes, Every citizen is expected to always pay attention and try so that his house meets health requirements such as house ventilation, residential density in the bedroom, and healthy air pollution.


2020 ◽  
Vol 3 (1) ◽  
pp. 39-43
Author(s):  
Tria Eni Rafika devi ◽  
Kursih Sulastriningsih ◽  
Ella Nurlelawati

Posyandu is an important tool in the community that supports efforts to achieve nutri-tionally aware families (KADARZI), helps reduce infant mortality and birth, and accelerates the acceptance of norms of happy and prosperous small families. However, in reality many posyandu members in the community themselves do not use posyandu to monitor their chil-dren's growth and development on the grounds of being busy working or not being able to bring their toddlers to the posyandu and lack of knowledge about the importance of monitoring growth and development in children under five. So a study was conducted aimed at finding out the relationship between the participation of mothers of children under five to posyandu with the weight gain of children under five. This research is observational with cross sectional ap-proach. Data on the participation of mothers of children under five to the posyandu and the weight of children under five is taken directly from the records of KMS and Posyandu Infor-mation Systems (SIP) for children under five in the posyandu. Analysis of the data used is the Chi-Square test. There is a relationship between the participation of mothers of children under five to the posyandu with the weight gain of children under five with a P value of 0.005. Where as seen from the last six months the participation of mothers of toddlers who actively came to the posyandu was 93.9% and those who were not active 61%, the weight of toddlers who rose by 78.8% and those who did not increase by 21.2%, there was a relationship between partici-pation to posyandu with weight gain. The results of this study can be information and input for PUSKESMAS Sumberberas Muncar Banyuwangi East Java village to provide guidance on the benefits of active participation of children under five to the Posyandu and can be used as a ref-erence to develop further research related to the participation of mothers under five to Posyan-du with weight gain under five. .


2021 ◽  
Vol 12 (2) ◽  
pp. 55-61
Author(s):  
Inamah Inamah ◽  
Rahwan Ahmad ◽  
Wahyuni Sammeng ◽  
Hairudin Rasako

Poor environmental sanitation will result in diarrheal disease which will later lead to infection and thus lead to malnutrition. In Indonesia, it is recorded that 7.8 million out of 23 million children under five are stunted or around 35.6%. Based on the Tumalehu Health Center report (November 2019), it shows that in 2019 the number of children under five was 1467 and those with poor nutritional status were 89 children (6.07%). The research objective was to analyze the relationship between environmental sanitation and stunting in children under five in the coastal area of Tumalehu Health Center. This research method is analytic observational with a cross-sectional approach, the number of samples is 313 toddlers. Data were analyzed using Chi Square Test. The results of the study using a bivariate test showed that there was a relationship between environmental sanitation, consisting of clean water facilities (p=0.014), SPAL (p=0.05) and waste disposal facilities (p=0.00) with the incidence of stunting (HAZ) in toddler. The conclusion from the research is that poor sanitation can contribute to nutritional problems, in this case a picture of past nutrition problems for children under five, which is indicated by stunting.


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