scholarly journals PROFIL CAPAIAN IMUNISASI DASAR ATAU LANJUTAN PADA BADUTA SEBELUM DAN SELAMA PANDEMI COVID-19

2021 ◽  
Vol 1 (1) ◽  
pp. 17
Author(s):  
Wiyarni Pambudi ◽  
Sari M.D Nataprawira ◽  
Zita Atzmardina ◽  
Sylvia Regina

Perubahan global dari pandemi penyakit coronavirus 2019 (COVID-19) dapat mengganggu layanan penyelamatan hidup yang kritis seperti imunisasi rutin, sehingga meningkatkan kerentanan populasi terhadap wabah Penyakit yang Dapat Dicegah Dengan Imunisasi (PD3I). Ketika kasus COVID-19 meningkat dan pemerintah menerapkan pembatasan sosial, kunjungan pasien rawat jalan menurun secara signifikan. Hal ini mengakibatkan penurunan angka imunisasi anak. Penelitian ini bertujuan untuk mengetahui profil capaian imunisasi dasar dan imunisasi lanjutan sebelum dan selama pandemi COVID-19, profil capaian imunisasi rutin di 34 provinsi serta hubungannya dengan status zona risiko pandemi. Data yang dianalisis pada studi observasional deskriptif dengan desain potong lintang ini adalah laporan rutin pelayanan imunisasi Sub Direktorat Imunisasi, Kementerian Kesehatan RI. Kajian terhadap capaian imunisasi 34 provinsi menunjukkan terjadi penurunan praktik pelayanan imunisasi dasar sebesar -17,0% (p < 0,0005) dan imunisasi lanjutan -12,9% (p < 0,0005) dibandingkan sebelum masa pandemi. Uji statistik menyatakan profil capaian imunisasi dasar memiliki hubungan yang bermakna secara statistik (p < 0,05) terhadap peningkatan kasus di suatu wilayah, namun berkorelasi lemah berlawanan (-0,5 < r < -0,3). Penurunan cakupan imunisasi lanjutan yang terjadi selama pandemi COVID-19 berkorelasi sangat lemah berlawanan (r > -0,3) dan tidak memiliki hubungan yang bermakna secara statistik (p > 0,05) dengan zona risiko pandemi. Dalam situasi pandemi, petugas kesehatan dihadapkan pada tantangan tambahan untuk mempertahankan dan memperkuat imunisasi rutin seperti kondsi sebelum pandemi. Peningkatan upaya komunikasi mengenai pentingnya vaksinasi akan bermanfaat, karena efek pandemi COVID-19 telah menyoroti ancaman penyakit menular dan meningkatkan kesadaran akan praktik imunisasi rutin.  The global progression of the coronavirus disease 2019 (COVID-19) pandemic may disrupt critical life-saving services such as routine immunization, thus increasing the susceptibility of population to outbreaks of vaccine-preventable diseases (VPDs). As COVID-19 cases increased and government implemented stay-at-home orders, outpatient visits declined significantly. This condition may decrease the rates of childhood immunization. This study aims to determine the profile of basic immunization and follow-up immunization achievements before and during the COVID-19 pandemic, the profile of routine immunization outcomes in 34 provinces and their relationship to the pandemic risk zone status. The data analyzed in this descriptive observational study with a cross-sectional design were routine reports on immunization services at Sub Directorate of Immunization, MoH. Profile on immunization coverages showed a decrease in basic immunization service practices by -17.0% (p <0.0005) and advanced immunization -12.9% (p <0.0005) compared to before the pandemic period. Statistical test showed that the basic immunization achievement profile had a statistically significant relationship (p <0.05) with the increase in cases in a region, but had a weak correlation (-0.5 <r <-0.3). The decrease in advanced immunization had a very weak correlation (r> -0.3) and had no statistically significant relationship (p> 0.05) with an increase in COVID-19 cases. During pandemic situation, health providers are presented with the additional challenge of maintaining and strengthening routine vaccination as previously done before pandemic. Increasing communication efforts regarding the importance of vaccination will be worthwhile, as the effect of the COVID-19 pandemic has highlighted the threat of an infectious disease and has increased awareness of the routine immuization practices.

Author(s):  
Jaigam Abbas ◽  
Ashvani Kumar ◽  
Mohammad Saif ◽  
Rishabh Malhotra ◽  
Mohammad Arif Hussain

Background: The impact of COVID-19 on general health care delivery systems has been huge including the immunization services. Several measures were taken by most of the government all over the world to prevent the spread of infection such as lockdown, wearing masks, social distancing, etc. People have suffered a lot during the pandemic, not only due to the burden of the disease but have also faced difficulties in other domains of life. One of the important concerns is the interruption of routine immunization services. The consequences of interrupted immunization services may be life-threatening, as chances of outbreaks of vaccine-preventable diseases (VPD) in susceptible children could be high. Aim:  To find out delay in routine immunization services during covid-19 and also to determine the factors associated with delay in immunization. Materials and Methods: This study was a cross-sectional hospital-based observational study at Career Institute Of Medical Sciences And Hospital, Lucknow, India. We collected the vaccination record after lockdown from Well-Baby Clinic and telephonically from the parents, starting from 1st June 2020 till 31st December 2020. We checked the records of vaccination of infants to find out delay in the vaccinations, as per the National Immunization Schedule. The records of a total of 265 infants were enrolled. Out of which, 33 did not fit the inclusion criteria and therefore were excluded from this study. Results: Findings of our study pointed that there was significant delay in routine immunization among infants. The factors responsible for delay in different vaccination observed in this study were, Phobia of COVID-19- 20%, lockdown- 22%, interruption of routine health services-15%, social myths-8%, poor transport facility- 10%, illness of child- 8%, did not notice- 3% and multiple factors- 13%. Conclusion: COVID -19 pandemic has affected the routine immunization services that results in delay of different vaccines at different ages which may lead to outbreak of vaccine preventable diseases, so it is need of the hour to intervene at the earliest to prevent such outbreaks among children.


2022 ◽  
Vol 4 (2) ◽  
pp. 57-68
Author(s):  
Indah Fitri Agustina ◽  
Risnauli Saudur Romian Rumapea ◽  
Partono Partono

Diseases caused by infections are still a health problem in developing countries, including Indonesia. According to the World Health Organization (WHO) in 2018, an estimated 19.9 million babies worldwide were not reached by routine immunization services. Around 60% of these children living in 10 countries including Indonesia are not immunized. One of the international commitments to improve the health status of children is the UCI (Universal Child Immunization) program, which is a state of achieving complete basic immunization for infants. Immunization. This research is a quantitative study with a cross-sectional design, using primary data with a sample of 108 mothers and infants and data analysis using chi-square. There was a significant relationship between nutritional status (p value = 0.040), baby's medical history (p value = 0.040), mother's knowledge (p value = 0.001), distance from home (p value = 0.044), health insurance (p value = 0.040) In conclusion, there is a significant relationship with all the variables studied, suggestions for mothers who have babies should immunize their children on time, considering that immunization is very important to equip their children with health in the future


e-CliniC ◽  
2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Jibrando Tumilaar ◽  
Pieter L. Suling ◽  
Nurdjannah J. Niode

Abstract: Pityriasis versikolor is a skin fungal infection that is quite common in Indonesia as a tropical country with a hot and humid climate, especially if the personal hygiene is not good enough. This study was aimed to evaluate the relationship between personal hygiene and the incidence of pityriasis versicolor among male students of the Faculty of Medicine, Sam Ratulangi University. This was a descriptive analytical stuudy with a cross-sectional design. Subjects were 42 medical students of batch 2015-2018. Personal hygiene was determined by using questionnaires and diagnosis of pityriasis versicolor was confirmed based on clinical and Wood lamp examinations. The results showed that pityriasis versicolor was diagnosed in two subjects (4.8%). The Fisher’s exact test obtained a significancy value of 0.003 which indicated that there was a significant relationship between personal hygiene and pityriasis versicolor. Conclusion: There was a significant relationship between personal hygiene and the occurence of pityriasis versicolor. Poor personal hygiene was a risk factor of pityriasis versicolor.Keywords: pityriasis versicolor, personal hygiene, students Abstrak: Pitiriasis versikolor adalah infeksi jamur kulit yang cukup banyak ditemukan di Indonesia yang merupakan negara tropis beriklim panas dan lembab, apalagi bila higiene kurang sempurna. Penelitian ini bertujuan untuk mengetahui higiene personal terhadap kejadian pitiriasis versikolor pada mahasiswa laki-laki Fakultas Kedokteran Universitas Sam Ratulangi. Jenis penelitian ialah deskriptif analitik dengan desain potong lintang. Subjek penelitian ialah 42 mahasiswa Kedokteran Umum angkatan 2015-2018. Tingkat higiene personal diambil dari kuesioner dan diagnosis pitiriasis versikolor ditegakkam berdasarkan pemeriksaan klinis dan lampu Wood. Hasil penelitian memperlihatkan kejadian pitiriasis versikolor pada dua subyek penelitian (4,8%). Uji Fisher’s exact test mendapatkan nilai signifikansi 0,003 yang menunjukkan adanya hubungan bermakna antara higiene personal dan pitiriasis versikolor. Simpulan: Terdapat hubungan bermakna antara higiene personal dan pitiriasis versikolor. Higiene personal yang buruk merupakan faktor risiko terjadinya pitiriasis versikolor.Kata kunci: pitiriasis versikolor, higiene personal, mahasiswa


Author(s):  
Chinnu Sara Varughese ◽  
Anuradha Kunal Shah

World immunisation week is observed every year in the last week of 24th April to 30th April. Many parts of the world are still reeling under the threats of vaccine-preventable diseases (VPDs) and the importance of vaccination cannot be understated even in times of any other crisis. Worldwide, millions of children are saved from the grip of infectious diseases like polio and measles, and annually, around 2 to 3 million deaths are being averted. Routine immunization services, mass vaccination campaigns, catch up, and mop up sessions through outreach activities form part of the vaccine delivery strategies.


2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Reiner C. Polii ◽  
Billy J. Kepel ◽  
Widdhi Bodhi ◽  
Aaltje E. Manampiring

Abstract: Obesity has become a serious problem world-wide. Obesity occurs due to the imbalance of intake and output energy. Thus, it is related with the incidence of insulin resistance and the disruption of glucose metabolism. This study was aimed to obtain the correlation between fasting blood sugar level and obesity in adolescents. This was an analytical study with a cross-sectional design. The results showed that the major category of subjects was obese I (38.33%). The highest percentage was normal blood sugar which was found in non-obese adolescent (96.8%). The Spearman correlation test showed a sweak correlation between obesity and fasting blood sugar level in adolescent (r=0.386; p=0.004). Conclusion: There was a significant weak correlation between fasting blood sugar level and obesity in adolescents.Keywords: obesity, fasting blood glucose, adolescent. Abstrak: Obesitas menjadi masalah di seluruh dunia baik di negara maju maupun negara berkembang, prevalensinya pun meningkat begitu pesat. Obesitas terjadi karena adanya ketidakseimbangan antara energi yang masuk dengan energi yang keluar. Obesitas berkaitan dengan terjadinya resitensi insulin dan gangguan metabolisme glukosa.Penelitian ini bertujuan untuk mengetahui hubungan kadar glukosa darah puasa dengan obesitas pada remaja di Kecamatan Bolangitang Barat Kabupaten Bolaang Mongondow Utara. Jenis penelitian ialah analitik dengan desain potong lintang. Hasil penelitian menunjukkan bahwa subjek penelitian terbanyak dalam kategori obes I (25,0-29,9 kg/m2) sebesar 38,33%. Kadar gula darah normal pada remaja non-obes dengan persentasi tertinggi (96,8%). Analisis korelasi Spearman pada kedua variabel memperoleh nilai koefisien korelasi r = 0,368 (p = 0,004). Simpulan: Terdapat hubungan bermakna yang lemah antara kadar gula darah puasa dan obesitas pada remaja. Kata kunci: obesitas, gula darah puasa, remaja


Author(s):  
Chandrashekhar R. ◽  
Shashidhar S. Basagoudar ◽  
Shivappa Hatnoor ◽  
Rahul C. Kirte

Background: In December 2014, Ministry of Health and Family Welfare of India launched Mission Indradhanush with the aim to ensure that all children are fully vaccinated against seven vaccine-preventable diseases before they reach an age of two years.Methods: A cross sectional, community based study was conducted among parents attending Indradhanush Vaccination Centre (IVC) along with their partial and unimmunized children aged 0-23 months. Study was conducted during Mission Indradhanush (MI) 2nd Phase from November 2015 to January 2016. Data consisting of information regarding the various demographic variables, immunization history, and reasons for partial and unimmunization was collected by interviewing the parents through a pre-tested, structured questionnaire.Results: A total of 153 children were studied involving 63 session sites. 50 (32.7%) children were residing in low coverage areas, 4 (2.6%) children in villages with migratory population, 4(2.6%) children in areas with missed session and 87(56.9%) children residing in village with vacant sub centre. Common reasons for not vaccination were, child was sick on the day of vaccination (32%), child migrated to other place (27.5%), Fear of AEFI (11.8%), ignorance (11.1%). Only 92 (60.1%) children were having MCP card.Conclusions: The reasons for partial and un immunization  were mainly lack of awareness of parents, sickness of children, fear of AEFI and migration to other places which would be solved by taking all efforts to raise the awareness of community about  need  of immunization along with providing complete information about the immunization services being  provided to them.


2021 ◽  
Vol 5 (9) ◽  
pp. 871-878
Author(s):  
M. Farhan Fadhillah ◽  
Chairil Anwar ◽  
Iche Andriyani Liberty

Introduction. Pediculosis capitis is a disease of the scalp caused by infestation of Pediculus humanus capitis with symptoms such as itching and sensation of movement in the hair. The purpose of this study was to determine the risk factors and incidence of pediculosis capitis in the Baturaja orphanage.Methods. This research is an analytic observational study using a cross-sectional design with field and laboratory research. The population of this study were all children in the Baturaja orphanage who met the inclusion and exclusion criteria, as many as 172 children. All children present were taken as subjects. Data obtained by questionnaires, interviews and direct observation of the sample.Results. The results of this study showed the prevalence of pediculosis capitis in the Baturaja orphanage was 19.1%. In this study, it was found that there was a significant relationship between age (p = 0.000), education (p = 0.000), the use of shared pillows (p = 0.000), the use of shared combs (p = 0.000), the use of shared towels (p = 0.000), knowledge (p = 0.000), attitudes and behavior (p = 0.000) with the incidence of pediculosis capitis. Multivariate analysis showed that the most dominant risk factor for the incidence of pediculosis capitis in the Baturaja orphanage was age (p=0.036), while behavior was a protective factor for the incidence of pediculosis capitis.Conclusion. There is a significant relationship between age, education, use of shared pillows, use of shared combs, use of shared towels, knowledge, attitudes, behavior with the incidence of pediculosis capitis. The most dominant risk factor for the incidence of pediculosis capitis in the Baturaja orphanage is age, while behavior is a protective factor for the incidence of pediculosis capitis.


e-CliniC ◽  
2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Miranda A. Tambunan ◽  
Pieter L. Suling ◽  
Christy N. Mintjelungan

Abstract: Nicotine stomatitis could be found among heavy smokers. This study was aimed to determine the relationship between smoking habits and the incidence of lesions suspected as nicotine stomatitis among villagers of Ongkaw Dua. This was an analytical study with a cross sectional design. Population consisted of 183 smokers aged >15 years at Desa Ongkaw Dua and the subjects were 65 smokers. The chi-square showed a p-value of 0.592 for the relationship between the duration of smoking and the occurence of lesion supspected as nicotine stomatitis. Moreover, the chi-square showed a p-value of 0.005 for the relationship between the number of cigarettes consumed per day and the occurence of lesion suspected as nicotine stomatitis. In conclusion, there was no relationship between the duration of smoking and the occurence of lesion suspected as nicotine stomatitis, but there was a significant relationship between the number of cigarettes consumed per day and the occurence of lesion suspected as nicotine stomatitis.Keywords: smoking habit, nicotine stomatitis Abstrak: Stomatitis nikotina dapat dijumpai pada perokok berat. Penelitian ini bertujuan untuk mengetahui hubungan antara kebiasaan merokok dengan angka kejadian lesi yang diduga stomatitis nikotina pada masyarakat desa Ongkaw Dua. Jenis penelitian ialah analitik observasional dengan desain potong lintang. Populasi penelitian ini yaitu 183 perokok berusia >15 tahun di Desa Ongkaw Dua dan yang menjadi subyek penelitian berjumlah 65 orang. Hasil uji chi-square terhadap hubungan lama merokok dengan angka kejadian lesi yang diduga stomatitis nikotina mendapatkan p=0,592. Hasil uji chi-square terhadap hubungan antara jumlah rokok yang dihisap setiap hari dengan angka kejadian lesi yang diduga stomatitis nikotina mendapatkan p=0,005. Simpulan penelitian ini ialah tidak terdapat hubungan antara lamanya merokok dengan angka kejadian lesi yang diduga stomatitis nikotina, tetapi terdapat hubungan bermakna antara jumlah rokok yang dihisap setiap hari dengan angka kejadian lesi yang diduga stomatitis nikotina.Kata kunci: kebiasaan merokok, stomatitis nikotina


2013 ◽  
Vol 7 (12) ◽  
pp. 562 ◽  
Author(s):  
Ririn Setyowati ◽  
Surahma Asti Mulasari

Pencemaran lingkungan akibat sampah plastik semakin mengkhawatirkan apabila tidak ada usaha untuk mengatasinya. Masyarakat yang kurang pengetahuan dan berperilaku buruk dalam pengelolaan sampah plastik dapat menimbulkan gangguan kesehatan dan lingkungan. Penelitian ini bertujuan mengetahui hubungan antara tingkat pengetahuan ibu rumah tangga dengan perilaku mengelola sampah plastik. Penelitian dilakukan di Dusun Kedesen, Desa Kradenan, Kecamatan Kaliwungu, Kabupaten Semarang Tahun 2012. Penelitian ini menggunakan rancangan studi cross sectional, dengan sampel berjumlah 74 orang yang diambil secara secara acak sederhana. Pengumpulan data dilakukan dengan wawancara terstruktur menggunakan kuesioner. Data dianalisis menggunakan analisis univariat dan analisis bivariat dengan uji statistik Kai Kuadrat (X2). Penelitian menemukan sekitar 56,8% responden berpengetahuan tidak baik dan sekitar 60,8% responden berperilaku tidak baik. Analisis bivariat menunjukan hubungan yang sangat signifikan antara tingkat pengetahuan ibu rumah tangga dengan perilaku mengelola sampah plastik. Ada hubungan yang sangat signifikan antara tingkat pengetahuan ibu rumah tangga dengan perilaku mengelola sampah plastik di Dusun Kedesen, Desa Kradenan, Kecamatan Kaliwungu, Kabupaten Semarang tahun 2012.Pollution caused by plastic increase worrying if there is no attempt to resolve it. Lack of knowledge and poor people’s behavior in the management of plastic waste can cause environmental and health problems. Management of plastic waste can be started from each household who produce plastic waste. The purpose of this study to determine the relationship between the level of housewife’s knowledge with the behavior to manage of plastic waste at Kedesen, Kradenan Village, District Kaliwungu, Semarang in 2012. The study was analytic survey with cross-sectional design. Sample was 74 respondents with simple random sampling. Research tool used was a questionnaire. Analyzed used univariate and bivariate analysis with statistical test Chi Square(X2). The results showed 74 respondents obtained from 42 respondents (56.8%) are not well knowledgeable, 32 respondents (43.2%) both knowledgeable. There were 45 respondents (60.8%) did not have good behavior, while 29 respondents (39.2%) had good behavior. Bivariate analysis showed that there was a significant relationship between the level of knowledge with behavior of housewives in managing plastic waste at the hamlet Kedesen. Statistical results showed the value (p = 0.000) smaller than alpha (a = 0.05). There was a significant relationship between the level of knowledge with behavior of housewife in managing plastic waste at Kedesen Hamlet, Village Kradenan, Kaliwungudistrict, Semarang regency in 2012.


2017 ◽  
Vol 16 (1) ◽  
pp. 17 ◽  
Author(s):  
Aria Gusti

Judul : Faktor-Faktor Yang Berhubungan Dengan Gejala Neurotoksik Akibat Paparan Pestisida Pada Petani Sayuran Di Kenagarian Alahan Panjang Kabupaten SolokLatar belakang: Sekitar 60% petani penyempro sayur di Kanagarian Alahan Panjang mempunyai riwayat gejala neurotoksik.. Penelitian ini bertujuan untuk mengkaji faktor-faktor yang berhubungan dengan gejala gangguan syaraf pada petani penyemprot yang menggunakan pestisida di Kanagarian Alahan Panjang Kabupaten Solok.Metode: Penelitian ini merupakan penelitian observasional dengan rancangan cross-sectional. Subyek penelitian sebanyak 75 responden. Penarikan sampel dilakukan secara random. Variabel yang dikaji dalam penelitian ini meliputi jenis pestisida, komposisi pestisida, pemakaian alat pelindung diri, dan gejala neurotoksik. Instrument penelitian menggunakan kuesioner Q18 versi Jerman. Analisis data menggunakan uji Chi-square pada taraf signifikasi 5%.Hasil: Hasil penelitian menunjukkan sebanyak 62,7% petani penyemprot sayuran pernah mengalami gejala neurotoksik. Hasil analisis statistik menunjukkan ada hubungan signifikan antara jumlah dan komposisi pestisida yang digunakan dengan gangguan neurotoksik pada petani sayuran (p-value <0,05). Sedang kebiasaan pemakaian alat pelindung diri tidak berpengaruh terhadap kejadian gangguan neorotoksin.  Simpulan: Jumlah dan komposisis pestisida berhubungan dengan gangguan neurotoksik pada petani sayuran di Kanagarian Alahan Kabupaten Solok. Petani sayur disarankan untuk memperhatian komposis pestidian dan tidak menggunakan secara berlebihan dalam menyemprot sayuran. AbstractTitle: Factors related with neurotoxic symptoms on pesticides exposed vegetable farmer in Kanagarian Alahan Panjang, Solok DistrictBackground: Around 60% of vegetable farmer sprayer in Kenagarian Alahan Panjang have experienced of the neurotoxic symptoms. The purpose of this study was to determine factors associated with neurotoxic symptoms on vegetable farmer sprayer with pesticide in Kenagarian Alahan Panjang Solok District in 2016. Method: Type of this research was quantitative using cross-sectional design. The sample were 75 respondents. Sampling using simple random sampling technique. Processing data using univariate and bivariate analysis with chi-square test. Results: The result of this research showed (62,7%) vegetable farmer sprayer have experienced of the neurotoxic symptoms. Bivariate analysis showed there were significant relationship (p<0,05) between pesticide composition and amount of pesticide with neurotoxic symptoms. There was no significant relationship between use of personal protective equipment with neurotoxic symptoms. Conclusion: The number and compostion of pesticides were factors which had associated significantly with neurotoxic symptoms. It was suggested to vegetable farmers to change organofosfat pesticide which was not dangerous to health like faction of pyrethroids. Vegetable farmers were suggested to use appliance protector of X’self completely when activity of mixing and application of pesticide.


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