Faktor-faktor yang Berhubungan dengan Kejadian ISPA pada Balita Berusa 6-24 Bulan di Wilayah Kerja Puskesmas Lebdosari Semarang

2021 ◽  
Vol 7 (1) ◽  
pp. 70-83
Author(s):  
Devina Alya Maulida ◽  
Yusniar Hanani Darundiati ◽  
Nurjazuli

Background: Acute Respiratory Infection is an infectious disease that occupies the first position of the top ten diseases of Lebdosari Community Health Center which are mostly suffered by the community, especially in infants with an incidence of 3.32%. Objectives: This Study aims to analyze the relationship sources of indoor air pollution and family practices to the incidence of Acute Respiratory Infection (ARI) in infants aged 6-24 months in the Lebdosari Community Health Center Semarang. Research Metodes: This study used a cross-sectional design. Sample size of about 121 toddlers taken by purposive sampling technique. Data was collected using self-administered questionnaire. Analysis of research was used chi-square test. Results: This study showed that there was a relationship between kitchen smoke (p-value = 0.029 RP = 2,676 95% CI = 1,296-5,527), the use of household insecticides (p-value = 0.045 RP = 2,974 95% CI = 1,329-6,653), presence of smokers in the house (p-value = 0.042 RP = 2,120 95% CI = 1,013-4,434), and opening windows practice (p-value = 0.001 RP = 3,191 95% CI = 1,589-6,409) with the incidence of ARI. There was no relationship between sun-curing bedding practice and hand-washing practice with the incidence of ARI. Conclusion: There was a relationship between kitchen smoke, the use of household insecticides, presence of smokers in the house, and opening windows practice with the incidence of ARI ARI in under five Children in The Works area of Lebdosari Community Health Center Semarang.   Keywords: Acute Respiratory Infections (ARI), Under-Five Children, Lebdosari Community Health Center

2020 ◽  
Vol 7 (1) ◽  
pp. 16
Author(s):  
Nita Pujianti ◽  
Lia Anggraini

ABSTRAKPneumonia merupakan penyebab banyak kematian balita di dunia. Selama tahun 2016 terdapat 568.146 (65,27%) jumlah kasus pneumonia pada balita yang ada di Indonesia. Berdasarkan data Dinas Kesehatan Provinsi Kalimantan Selatan tercatat kasus pneumonia tahun 2017 sebesar 66,52%, data tertinggi pada Puskesmas Beruntung Raya dengan angka 105 kasus (10,80%) di tahun 2017. Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yang berhubungan dengan kepatuhan penggunaan antibiotika pada orang tua pasien anak yang terdiagnosa pneumonia di wilayah kerja Puskesmas Beruntung Raya serta menganalisa faktor yang paling dominan mempengaruhi. Penelitian ini menggunakan rancangan observasional analitik melalui pendekatan cross sectional. Populasi dalam penelitian ini adalah semua orang tua yang memeriksakan anaknya dalam satu tahun terakhir di Puskesmas Beruntung Raya. Sampel dalam penelitian ini berjumlah 77 responden ditentukan dengan teknik purposive sampling dan berlangsung selama 3 (tiga) bulan. Analisa data menggunakan uji chi square dan regresi logistik biner dan kuisioner sebagai Instrumen penelitian. Hasil penelitian menunjukkan bahwa terdapat hubungan antara kedisiplinan (p-value= 0,001), sugesti sembuh (p-value= 0,012), dan komunikasi (p-value= 0,025). Variabel kedisiplinan merupakan yang paling berpengaruh dominan terhadap kepatuhan penggunaan antibiotika, sehingga pasien yang disiplin lakan lebih patuh dalam meminum obat antibiotika daripada pasien yang tidak disiplin.Kata-kata kunci: Kepatuhan, pneumonia, kedisiplinan, sugesti sembuh, komunikasiABSTRACTPneumonia is the cause of many under-five deaths in the world. During 2016 there were 568,146 (65.27%) of the number of pneumonia cases in children under five in Indonesia. From the data of the South Kalimantan Provincial Health Office recorded pneumonia cases in 2017 amounted to 66.52%, the highest data in Beruntung Jaya Community Health Center with a number of 105 cases (10.80%) in 2017. The purpose of this study was to analyze the factors related by adhering to the use of antibiotics in the parents of pediatric patients with diagnosed with pneumonia in the work area of Beruntung Jaya Community Health Center and analysis the most dominant factor influencing. This study uses an observational analytic design through a cross sectional approach. The population in this study were all parents who had their children examined in the past year at Beruntung Raya Health Center. The sample in this study amounted to 77 respondents determined by purposive sampling technique and lasted for 3 (three) months. Data analysis using chi square test and binary logistic regression and questionnaires as research instruments. The results showed that there was a relationship between discipline (p-value= 0.001), recovery suggestions (p-value= 0.012), and communication (p-value= 0.025). Disciplinary variable is the most dominant influence on adherence to the use of antibiotics, so that disciplined patients are more obedient in taking antibiotic drugs than patients who are not disciplined.Key words: Compliance, pneumonia, discipline, healing suggestion, communication


2020 ◽  
Vol 7 (1) ◽  
pp. 16
Author(s):  
Nita Pujianti ◽  
Lia Anggraini

ABSTRAK Pneumonia merupakan salah satu penyebab banyaknya kematian balita di dunia. Selama tahun 2016, terdapat 568.146 (65,27%) jumlah kasus pneumonia pada balita yang ada di Indonesia. Berdasarkan data Dinas Kesehatan Provinsi Kalimantan Selatan tercatat kasus pneumonia tahun 2017 sebesar 66,52%, data tertinggi pada Puskesmas Beruntung Raya dengan angka 105 kasus (10,80%) di tahun 2017. Tujuan penelitian ini untuk menganalisis faktor yang berhubungan dengan kepatuhan penggunaan antibiotika pada orang tua pasien anak yang terdiagnosa pneumonia di wilayah kerja Puskesmas Beruntung Raya serta menganalisa faktor yang paling dominan mempengaruhi. Penelitian ini menggunakan rancangan observasional analitik melalui pendekatan cross sectional. Populasi dalam penelitian ini adalah semua orang tua yang memeriksakan anaknya dalam satu tahun terakhir di Puskesmas Beruntung Raya. Sampel dalam penelitian ini berjumlah 77 responden ditentukan dengan teknik purposive sampling dan berlangsung selama 3 (tiga) bulan. Analisa data menggunakan uji chi square dan regresi logistik biner dan kuisioner sebagai Instrumen penelitian. Hasil penelitian menunjukkan terdapat hubungan antara kedisiplinan (p-value= 0,001), sugesti sembuh (p-value = 0,012), dan komunikasi (p-value= 0,025). Variabel kedisiplinan merupakan yang paling berpengaruh dominan terhadap kepatuhan penggunaan antibiotika, sehingga pasien yang disiplin akan lebih patuh dalam meminum obat antibiotika daripada pasien yang tidak disiplin. Kata-kata kunci: Kepatuhan, pneumonia, kedisiplinan, sugesti, sembuh, komunikasi  ABSTRACT            Pneumonia is the cause of many under-five deaths in the world. During 2016 there were 568,146 (65.27%) of the number of pneumonia cases in children under five in Indonesia. From the data of the South Kalimantan Provincial Health Office recorded pneumonia cases in 2017 amounted to 66.52%, the highest data in Beruntung Jaya Community Health Center with a number of 105 cases (10.80%) in 2017. The purpose of this study was to analyze the factors related by adhering to the use of antibiotics in the parents of pediatric patients with diagnosed with pneumonia in the work area of Beruntung Jaya Community Health Center and analysis the most dominant factor influencing. This study uses an observational analytic design through a cross sectional approach. The population in this study were all parents who had their children examined in the past year at Beruntung Raya Health Center. The sample in this study amounted to 77 respondents determined by purposive sampling technique and lasted for 3 (three) months. Data analysis using chi square test and binary logistic regression and questionnaires as research instruments. The results showed that there was a relationship between discipline (p-value= 0.001), recovery suggestions (p-value = 0.012), and communication (p-value= 0.025). Disciplinary variable is the most dominant influence on adherence to the use of antibiotics, so that disciplined patients are more obedient in taking antibiotic drugs than patients who are not disciplined. Keywords: Compliance, pneumonia, discipline, healing,  suggestion, communication


Author(s):  
Wahyuni Herda ◽  
Insan Sosiawan A Tunru ◽  
Yusnita Yusnita

Tuberculosis is a disease of global concern. By 2015 six countries contributing to 60% of the global total are India, Indonesia, China, Nigeria, Pakistan and South Africa. China, India and Indonesia alone accounted for 45% of cases in the world.The World Health Organization (WHO)has recommended the Directly Observed Treatment Shortcourse (DOTS) strategy for TB control by involving Drug Supervisors (PMO). It aims to achieve patient recovery, prevent transmission, and avoid drug resistant cases. This study aims to determine the relation between the roles of treatment observers (PMO) with the success of tuberculosis treatment at community health center of Johar Baru Central Jakarta in 2016.This research was conducted by Cross-Sectional non-experimental quantitative method. Population and sample are the patient of adult pulmonary and extrapulmonary tuberculosis at community health center of Johar Baru Central Jakarta in 2016. Samples are selected by using Simple Random Sampling. The data were collected by interview using questionnaire. Data analysis using SPSS with Chi-Square test.There were 45 respondents (80,4%) succeed in TB treatment and respondent with PMO roles category were 40 (71,4%). Result of statistical test using Chi-Square test obtained P value = 1,000 (> 0,05).There is no relation between the roles of treatment observers (PMO) with the success of tuberculosis treatment at community health center of Johar Baru Central Jakarta in 2016.


2020 ◽  
Vol 25 (1) ◽  
pp. 27-35
Author(s):  
Santoso Ujang Effendi ◽  
Buyung Keraman ◽  
Edo Darmasyah Putra

Good utilization of Integrated Health Services Post was very influential on monitoring the growth and development of  under five children under five. This study aimed to determine the relationship between knowledge and attitude of mother with the utilization of  Integrated Health Services Post by mothers of under five children in working area Ratu Agung  Community Health Center Bengkulu. The type of this research was Analytical Survey and used Cross Sectional design. The population of  this study  were all mothers who had 7-23 months children amounted 512 mothers. Sampling technique was Proportional Random Sampling. The total samples were  84 samples. Data used in this study are primary data through the distribution of questionnaires given to mothers. Data analiysed by using Chi-Square (χ2) and Contingency Coefficient (C) statistics test. The result of the research were  44 mothers (52,4%) had enough knowledge, 56 mothers (66,7%) had favorable behavior, 53 mothers (63,1%) utilized Integrated Health Services Post, and there was significant relationship  between knowledge and attitude of mothers with the usage of Integrated Health Services Post in the working area of Ratu Agung Community Health Center Bengkulu with medium category. Ratu Agung Community Health Center can increase the knowledge of the community by doing education about the importance of Integrated Health Services Post so that community, especially mothers with under five  children can understand the importance of Integrated Health Services Post and can visit regularly every month.                                                                               Keywords :  attitude, knowledge,  utilization  of   integrated  health  services  post


2015 ◽  
Vol 14 (1) ◽  
pp. 1-7
Author(s):  
Sudesh Raj Sharma ◽  
Nitin Nischal Bhandari ◽  
Ram Bhandari ◽  
Kusum Wagle ◽  
Mukesh Adhikari

Background: In Nepal, about 75% people rely on wood and other biomass fuels for cooking. The majority of Nepali families cook on a traditional stove, an open fire in the kitchen resulting in indoor air pollution, one of the key risk factors for Acute Lower Respiratory Infection (ALRI) among under-five children.The study aimed at exploring the association of indoor air pollution due to use of traditional cooking stoves with ALRI among under-five children in Rasuwa, a Himalayan district of Nepal.Methods: A cross-sectional survey was conducted in Rasuwa district from October to November 2011. The mothers with under-five children who lived in household using biomass fuels were interviewed. The total sample size of 210, calculated on the basis of Proportion to Population Size, was selected by using cluster sampling method. Children who suffered from common cold and fast breathing/higher respiratory rate were defined as having ALRI. Logistic regression was used to find out association of types of cooking stove and other factors with ALRI among the children.Results: Only about 30% of the households used improved stoves for cooking. Nearly one-third (31.4%) of the children under five years of age who lived in household using biomass fuels suffered from ALRI. After adjusting for the factors like mother’s group status, ethnic group, age of children, mother’s group membership status and father’s occupation, use of traditional/open type of cooking stove was found to be highly associated with ALRI [aOR:2.30; 95%CI (1.03-5.10)] among children.Conclusion: Exposure to smoke from a traditional stove is one of the factors leading to ALRI among children. The ALRI could be substantially reduced if these stoves be replaced by improved ones in rural areas of Nepal.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amanuel Mengistu Merera

Abstract Introduction In low- and middle-income nations, acute respiratory infection (ARI) is the primary cause of morbidity and mortality. According to some studies, Ethiopia has a higher prevalence of childhood acute respiratory infection, ranging from 16 to 33.5%. The goal of this study was to determine the risk factors for acute respiratory infection in children under the age of five in rural Ethiopia. Methods A cross-sectional study involving 7911 children under the age of five from rural Ethiopia was carried out from January 18 to June 27, 2016. A two stage cluster sampling technique was used recruit study subjects and SPSS version 20 was used to extract and analyze data. A binary logistic regression model was used to identify factors associated with a childhood acute respiratory infection. The multivariable logistic regression analysis includes variables with a p-value less than 0.2 during the bivariate logistic regression analysis. Adjusted odds ratios were used as measures of effect with a 95% confidence interval (CI) and variables with a p-value less than 0.05 were considered as significantly associated with an acute respiratory infection. Results The total ARI prevalence rate among 7911 under-five children from rural Ethiopia was 7.8%, according to the findings of the study. The highest prevalence of ARI was found in Oromia (12.8%), followed by Tigray (12.7%), with the lowest frequency found in Benishangul Gumuz (2.4%). A multivariable logistic regression model revealed that child from Poor household (AOR = 2.170, 95% CI: 1.631–2.887), mother’s no education (AOR = 2.050,95% CI: 1.017–4.133), mother’s Primary education (AOR = 2.387, 95% CI:1.176–4.845), child had not received vitamin A (AOR = 1.926, 95% CI:1.578–2.351), child had no diarrhea (AOR = 0.257, 95% CI: 0.210–0.314), mothers not working (AOR = 0.773, 95% CI:0.630–0.948), not stunted (AOR = 0.663, 95% CI: 0.552–0.796), and not improved water source (AOR = 1.715, 95% CI: 1.395–2.109). Similarly, among under-five children, the age of the child, the month of data collection, anemia status, and the province were all substantially linked to ARI. Conclusions Childhood ARI morbidity is a serious health challenge in rural Ethiopia, according to this study, with demographic, socioeconomic, nutritional, health, and environmental factors all having a role. As a result, regional governments, healthcare staff, and concerned groups should place a priority on reducing ARI, and attempts to solve the issue should take these variables into account.


2021 ◽  
Vol 3 (1) ◽  
pp. 33-45
Author(s):  
Winarni Hamzah ◽  
Haniarti Haniarti ◽  
Rini Anggraeny

Stunting is one of the nutritional problems experienced by toddlers in the world today. In 2017, 22.2% of children under five in the world were stunted. Indonesia is included in the third country with the highest prevalence in the Southeast Asia region, the prevalence of children under five with stunting in Indonesia in 2005-2017 was 36.4%. Aims to determine the risk factors for stunting in children under five in the working area of ​​the Baraka Community Health Center, Enrekang Regency. This study used the analytical survey method with the Cross Sectional Study approach using the simple random sampling technique, which means that the sample taken is where each element or member of the population has the same opportunity to be selected as the sample. The sample size in this study was taken using the Slovin formula. The location was carried out in the working area of ​​the Baraka Community Health Center, Enrekang Regency. The research time was 1 month. The sample in this study amounted to 94 people with the process of data collection and data collection was carried out by interview techniques. The results showed that exclusive breastfeeding (p = 0.002), complementary breastfeeding (p = 0.002) had a relationship with the incidence of stunting, while there was no relationship between LBW (p = 0.106), gestational age (p = 0.303), and maternal nutritional status ( KEK) (p = 0.229) with the incidence of stunting.


2019 ◽  
Vol 14 (2) ◽  
pp. 252
Author(s):  
Dita Rahmatika

Hypertension is a condition where a person's blood pressure reaches 140/90 mmHg. Hypertension is the silent disease that causes death in Indonesia. Elderly people mostly suffer from hypertension. This study aims to investigate the correlationof emotional support and dietary compliance of elderly patients with hypertension around the area of Sukomulyo Community Health Center, Manyar subdistrict, Gresik. This study was an observational analytical research, based on the data collection.This research employed a cross sectional method. The samples used simple random sampling with a sample size of 37 respondents who were elderly patients with hypertension. The respondents’ characteristicswere mostly female with the age criteria of 60- 70 years old, and working as housewives. Meanwhile, the characteristics based on education level suggested that more than half of the respondents were high school graduates. Almost all respondents got emotional support with good category (83.8%), and most respondents were quite obedient in doing diet reaching 67.6%. The result of statistical test of the correlation between emotional support andthe adherence of elderly diet of hypertension show a p-value of 0.552.There is no correlation between family emotional support and the compliance of elderly diet in hypertensive patients in the integrated health postof elderly in the working area of Sukomulyo Community Health Center. The elderly’s family is expected to provide more attention to the elderly to be obedient in having the hypretensive diet.


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