scholarly journals Analisa Determinan Sosial Demografi Ibu Terhadap Kejadian Stunting pada Anak Usia Toddler di Wilayah Puskesmas Kenjeran Surabaya

2020 ◽  
Vol 5 (1) ◽  
pp. 1-10
Author(s):  
Diyah Arini ◽  
Nur Chabibah ◽  
Martha Ayu Agustin

ABSTRACT Analysis of Determinants of Social Demographics in the kenjeran District Health Center Surabaya. A Mother’s social demography are the most underlying thing for children’s health, growth and development as well as being one of the causes of stunting. Research aims to analyze the social demographic with stunting in toddler-aged children in the Kenjeran Health Center area of Surabaya. The Research design is a cross-sectional method with 152 samples, thepopulation is the mother of toddlers. That is divided into two groups, 76 stunting toddlers and 76 normal toddlers. Data collecting is using questionnaire sheets. Data analysis using logistic regression test. Based on logistic regression test, there was a significant relationship between the level of maternal age (ρ=0,005) OR 3.778, maternal height (ρ=0,003)  OR 5.676, maternal BMI (ρ=0,000) OR 4.528, meanwhile, there is no relationship between the numberof familly (ρ=0,735) OR 1.160, maternal education (ρ=0,999) OR 3.701, and family income (ρ=0,078) OR 2.224 dan pekerjaan ibu (ρ=0,999) OR 0.000 with the incidence of stunting in toddler age children in the Kenjeran Health Center area of Surabaya. The dominant social demographic factor affecting the stunting event is the BMI when the mother is pregnant with a degree of significance ρ=0,000 OR 4.528. Early agr handling is required to prevent the event of stunting on children, such as anthropometric measurements on children, providing high nutritional foods, and health education for adolenscent girls and pregnant women about reproductive health for fetal. keyword: Stunting, Mother’s , Social demography, toddler

2021 ◽  
Vol 8 (2) ◽  
pp. 90
Author(s):  
Yuni Fitriani ◽  
Tri Agustina Hadiningsih ◽  
Ika Esti Anggraeni

ABSTRAK Kematian ibu di Provinsi Jawa Tengah tahun 2019 mengalami penurunan dibandingkan tahun 2018, dengan AKI tahun 2019 sebesar 76,93/100.000 kelahiran hidup sebanyak 416 kasus. Laserasi perineum merupakan salah satu penyebab perdarahan postpartum. Berdasarkan data yang diperoleh dari Puskesmas Margasari terdapat sebanyak 232 (30%) dari total persalinan 775 kasus laserasi perineum selama tahun  2019. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi kejadian laserasi perineum di Puskesmas Margasari. Jenis penelitian ini adalah penelitian kuantitatif yaitu deskriptif analitik dengan desain penelitian retrospektif untuk melihat faktor-faktor yang mempengaruhi kejadian laserasi perineum di Puskesmas Margasari. Penelitian ini dilakukan menggunakan data pesalinan tahun 2020 jumlah sampel 350 orang (30%) dari total populasi. Dengan mengunakan Uji regresi logistik. Hasil penelitian menunjukkan ada hubungan antara usia ibu hamil (p=0,000), paritas ibu (p=0,000), berat badan bayi (p=0,000) dengan kejadian laserasi perineum.  Kata kunci: laserasi; perineum; persalinan  ABSTRACT Maternal mortality in Central Java Province in 2019 decreased compared to 2018, it was 76.93/100,000 live births with 416 cases in 2019. Perineum Laceration is one of the causes of postpartum hemorrhage. Based on data obtained from the Margasari District Health Center, there were 232 (30%) of the total 775 cases of perineum laceration delivered in 2019. The purpose of this study was to determine the factors that influence the incidence of Perineum Laceration at the Margasari Health Center. This type of research was a quantitative research that is descriptive analytic with a retrospective research design to see the factors that influence the incidence of Perineum Laceration at Margasari Health Center. This study was conducted using labor data in 2020 with a sample of 350 people (30%) of the total population by using logistic regression test. The results showed that there was a relationship between the age of pregnant women (p=0.000), maternal parity (p=0.000), infant weight (p=0.000) and the incidence of perineum laceration. Keywords: laceration; perineum; labor Keywords: laseration;  perineum; childbirth


2019 ◽  
Vol 3 (1) ◽  
pp. 139-147
Author(s):  
Nurannisa Fitria Aprianti ◽  
Kodrat Pramudho ◽  
Bambang Setiaji

Low birth weight babies (LBW) are still the main cause of perinatal death. The prevalence of low birth weight babies (LBW) is estimated at 15%, and Indonesia has the prevalence of low birth weight of 10.2%. The causes of infant mortality in Kabupaten Bima are mostly caused by Babies with Low Birth Weight (LBW) of (43.75%). This study aims to determine the relationship and describe the Determinants of Infants Low Birth Weight (LBW). This research was conducted at Bolo health center, Bolo Sub district, Bima Regency in March-April 2018. The research method is quantitative research equipped with qualitative research and case control was used as research design. The total population was 909 people and the sample was 180 people with a ratio of 1: 2 which was 60:80. The sampling technique uses simple random sampling. Data analysis techniques consist of univariat analysis, chi square test, and simple logistic regression test. Qualitative data analysis techniques uses in-depth interviews and FGD (Focus Group Discussion). The results of the study found that there was a significant relationship between the size of maternal LILA, BMI, maternal weight gain during pregnancy, ANC frequency, anemia and Fe consumption with LBW where the value of p is <0.05. In the multivariate analysis of simple logistic regression test, it obtained that the variable LILA size of the mother with an Exp (B) value was 19,017 (4,946-73,121) which means that the size of the mother's LILA has an effect was 19,017 times on Low Birth Weight Babies. Increase counseling on nutrition and prevention of anemia in pregnant women, socialization of reproductive health, family planning, consumption of iron and improve the quality of health services, especially inspection of ANC according to standards, improve facilities and infrastructure for health facilities and conduct training on basic LBW management by the health office and health center.


2020 ◽  
Vol 4 (7) ◽  
pp. 226-233
Author(s):  
Heru Syaputra Gotlief Lutang ◽  
Jacob M Ratu ◽  
Noorce Ch Berek

Complementary foods are foods/drinks that were given to complement breastfeeding in order to fulfil the nutritional of baby from 6-24 months old. However, have been given to several babies under six months which may increase the mortality risk. Early introduction of complementary foods to the baby are influenced by factors education, occupation, income, tradition, myths, familial support, and knowledge. This study aims to analyze the factors that resulted in the early introduction to complementary foods in the working area of Kambaniru Public Health Center. This was an observational analytic study with cross sectional design. The samples were 89 mothers. Partial correlation between the risk factor was analyzed using the simple logistic regression test, while the modelling for the risk factors was analyzed using the multiple logistic regression test. The result showed that there were 51.7% of the mothers that gave an early complementary foods to the babies, there was a correlation between knowledge (p=0.000), income (p=0.026), myths (p=0.016) and familial support (p=0.000), while education (p=0.089), occupation (p=0.0307) and tradition (p=0.374) did not correlate. The conclusion of this study was that familial support and knowledge factors were the models to predict the early introduction to complementary food with 44.2% contributing factors. Keywords: complementary foods; familial support; knowledge; myths; tradition


2019 ◽  
Vol 10 (1) ◽  
pp. 41-50
Author(s):  
Sandy Novryanto Sakati ◽  
Sriyanti Nurdin ◽  
Ramli Ramli ◽  
Fitrianty Sutadi Lanyumba

Tuberkulosis adalah penyakit menular yang disebabkan oleh kuman TB (Mycobacterium tuberculosis). Rumah yang tidak memenuhi syarat kesehatan merupakan salah satu faktor resiko penyakit tuberkulosis paru. Penelitian ini bertujuan untuk mengetahui hubungan kondisi rumah terhadap kejadian penyakit Tuberkulosis di wilayah kerja Puskesmas Kampung Baru. Penelitian ini menggunakan metode observasional dengan rancangan Case Control. Populasi dalam penelitian ini adalah penderita TB paru BTA (+) tahun 2018 di Puskesmas Kampung Baru sebanyak 51 responden. Jumlah sampel pada kelompok kasus dan control dengan perbandingan 1:1. Analisis data menggunakan uji regresi logistik. Hasil penelitian menunjukkan bahwa kepadatan hunian, pencahayaan, kelembaban, dan jenis lantai merupakan faktor yang berhubungan dengan kejadian penyakit tuberkulosis dengan hasil nilai (p<0,05). Hasil uji regresi logistik variabel pencahayaan merupakan faktor yang berhubungan dengan kejadian tuberkulosis dengan nilai p=0,000 dan exp (B) sebesar 0,093. Untuk itu disarankan bagi Pemerintah lebih meningkatkan upaya penanggulangan tuberculosis untuk menemukan secara dini penderita Tuberkulosis dan membentuk kader peduli TBC dan bagi masyarakat agar lebih memperhatikan sanitasi rumah dan membiasakan berprilaku hidup bersih dan sehat. Tuberculosis is an infectious disease caused by TB bacteria (Mycobacterium tuberculosis). Houses that do not meet health requirements are a risk factor for pulmonary tuberculosis. This study aims to determine the relationship of housing conditions to the incidence of Tuberculosis in the area of ​​Kampung Baru Health Center. This study uses an observational method with a Case Control design. The population in this study was smear pulmonary TB sufferers (+) in 2018 in the Kampung Baru Health Center with a total of 51 respondents. The number of samples in the case and control group is 1: 1. Data analysis using logistic regression test. The results showed that occupancy density, lighting, humidity, and floor type were factors related to the incidence of tuberculosis with the result value (p <0.05). The logistic regression test results of lighting variables are factors associated with the incidence of tuberculosis with a value of p = 0,000 and exp (B) of 0.093. For this reason, it is suggested for the Government to increase tuberculosis prevention efforts to find tuberculosis sufferers early and form TB cadres concerned and for the community to pay more attention to sanitation in their homes and to adopt clean and healthy living behaviors.


2021 ◽  
Vol 6 (2) ◽  
pp. 92
Author(s):  
Dara Aprilia Aurilita Mawanti ◽  
Avicena Sakufa Marsanti ◽  
Hanifah Ardiani

In 2018, Karangsono Village is village with the highest number of medication incompliance by hypertension patients at productive age reaching 70,7% compared to other 8 villages in Tebon Health Center working area. This research for to analyze factors affecting the medication compliance of hypertension patients at productive age and factor which affects the medication compliance the most. This research was done through case control design with the research samples included 58 chosen using simple random sampling. The data was then analyzed using chi-square statistical test and logistic regression statistic.Results : Through the analysis using logistic regression test, it shows that the factors affecting the medication compliance by the hypertension patients at productive age in Karangsono Village, Barat Sub-District were working status (p=0.000), family support (p=0.001), and the length of time of the hypertension suffering (p=0.016).Conclusion : Among those factors, working status is the factor which affects the medication compliance the most (p=0.000; Exp(B)=9.9; 95%CI=2.379-36.505). The hypertension medication compliance therapy needs to be improved by providing drug hypertension card independently, while for the patients who can visit the public health center, they were suggested to join the posbindu.


2018 ◽  
Vol 2 (1) ◽  
pp. 9-16
Author(s):  
Ira Nurdiana ◽  
Nurwijayanti Nurwijayanti ◽  
Nurdina Nurdina

Anemia of pregnant women has an impact on the rate of morbidity and maternal mortality, increased morbidity and fetal mortality, and increased risk of LBW. The incidence of anemia is influenced by various factors, including diet, taboo food knowledge, and compliance of Fe tablets. The purpose of this study is to analyze the effect of anemia on pregnant women at Pesantren 1 Health Center of Kediri. The research design used is quantitative research using cross sectional approach. The sampling technique used was simple random sampling with sample of 63 respondents of pregnant women at Pesantren 1 Health Center of Kediri. Data analysis technique used logistic regression test. The result of research showed that from 63 respondents, 32 (50,8%) respondents had bad eating pattern having anemia, as many as 25 (39,7%) respondents had poor taboo knowledge, 46%) respondents are less adherent in consuming Fe tablet so that anemia. The results of analysis using logistic regression test showed significance value of 0.000 <(α = 0.05), meaning H0 rejected and H1 accepted, this means that there is influence of diet, taboo food knowledge, compliance drinking Fe tablet with the incidence of anemia. The most dominant factor affecting the incidence of anemia is adherence (α = 0,000 OR = 45,379). Diet, taboo food knowledge and adherence affects the incidence of anemia by 91% and the incidence of anemia in pregnant women is affected by other factors by 9%. Pregnant women who have poor adherence to consuming Fe tablets have anemia. One of the efforts to reduce anemia is with a good diet, increased knowledge of pregnant women and motivate mothers to obediently take tablets.


2020 ◽  
Vol 15 (4) ◽  
Author(s):  
Maria K I J Yustheresani ◽  
Fajaria Nurcandra ◽  
Azizah Musliha Fitri ◽  
Annisa Ika Putri ◽  
Dyah Utari

One of the photokeratitis risk factors is acute reversible radiation of ultraviolet (UV) rays, which injure the cornea's epithelial tissue. Informal welding workers are susceptible populations to UV rays exposure. This study aimed to confirm the influence of UV radiation exposure on photokeratitis complaints in welding workers in Cimanggis, Depok, West Java. A cross-sectional study was conducted from February to June 2019 and used to select 100 welding workers purposively. A semi-structured questionnaire was used to determine photokeratitis complaints, age, education level, eye protection, safety knowledge, and work period; the UV radiation measured by A UV meter. Data were analyzed using a logistic regression test. We found the proportion of photokeratitis to be 84.0%, with 76.0% of UV radiation exceeding the Threshold Limit Values (TLV). The logistic regression test showed a significant effect of UV radiation on photokeratitis after controlling confounding variables (education level, eye protection, safety knowledge, and welding distance) (p-value = 0.006; AdjOR = 7.236; 95% CI: 1.74–30.07). It can be concluded that UV radiation, more than TLV, constitutes the primary risk factor for photokeratitis complaints. Risks for photokeratitis were influenced by low education level, poor eye protection, limited safety knowledge, and welding distance ≤ 45 cm.


2018 ◽  
Vol 25 (2) ◽  
Author(s):  
Sofyan Rais Addin ◽  
Tarmono Djojodimedjo ◽  
Fikri Rizaldi

Objective: To evaluate the prognostic value of presepsin and procalcitonin in patient with urosepsis. Material & Method: This is an observational prospective study. Patients who fulfilled the criteria for urosepsis at Soetomo Hospital Surabaya were enrolled. Presepsin and procalcitonin were measured at first admission. All patients were managed according to standard urosepsis therapy. At the 28th day of treatment, patients were evaluated and classified into survivor and non-survivor. The statistical analysis were tested with logistic regression test using software SPSS 23. Results: 30 urosepsis patients were included in this study with average age was 48.3 years (range 21-77 years). There were 23 survivor and 7 non-survivor. Mean presepsin values were higher in non-survivor than in survivor but the difference was not significant (4405 ± 4664 vs 4042 ± 2643, p=0.259). Mean procalcitonin value was significantly higher in non-survivor than in survivor (7.68 ± 6.81 vs 3.27 ± 2.74, p=0.013). Using the cut off value ≥2.24 ng/ml, procalcitonin can predict mortality in 28 days with sensitivity 71.4% and specificity 47.8%. Conclusion: Presepsin can not be used to determine the prognosis of urosepsis patients. Procalcitonin showed a significant correlation with outcome of urosepsis patients so it can be use to determine the prognosis of urosepsis.


2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
K Y Diao ◽  
S Huang ◽  
Y Gao ◽  
S He ◽  
Z G Yang ◽  
...  

Abstract Background ST-elevation myocardial infarction (STEMI) Patients suffered from progressive heart failure, for which progressive and aggravated Left ventricle stiffness was one of the major culprit. Myocardial deformation in the early diastole is largely affected by the left ventricle compliance which could partly reflect chamber stiffness and potentially predict left ventricular remodeling for post-STEMI patients. Purpose To determine the value of diastolic strain rate in detecting left ventricle stiffness and early heart failure in post-STEMI patients. Methods A number of 52 (M/F: 46/6, age: 54.27 [46.8–62.3]yrs) patients with STEMI three months ago were prospectively recruited from 2016 to 2017. Follow-up was done until 2018. The primary end points were the symptoms of heart failure (NYHA II-IV). Consent was acquired from each patient and 3.0 T MRI was arranged. Imaging analysis was performed on Cvi 42 (V5.9.3 Canada). Peak radial strain (PS) and strain rate (SR) were extracted both from 2D short- and long-axis cine images, while peak circumferential parameters only from the short axis slices and longitudinal the long axis slices. The diastolic strain rate ratios (DSRRs) were calculated as the peak early diastolic SR divided by the peak late diastolic SR, which were derived from the two peak points on the corresponding curve of time-to-SR curve in the diastole (Figure 1a). Receiver-operating characteristics curve analysis and Logistic regression test were done for statistical analysis on R project and P<0.05 was considered as significant. Results Three patients were excluded due to unsatisfied cine images. Among the 52 patients, none of the patients died or had congestive heart failure. 23/52 (44.2%) patients complained of heart failure symptoms at the one-year follow-up. No significant difference was found in LVEF and three directional peak strain values or systolic peak strain rates between the patients with and without heart failure. Patients with symptoms had lower Longitudinal PS (P=0.049), early diastolic radial SR (P=0.01798), longitudinal SR (P=0.0042), and decreased DSRR in all directions (Figure 1b). Multivariate Logistic regression test showed that only DSRR in the radial direction on the short axis (DSRR-SR) was the independent predictor of the heart failure symptoms (6.59; range, 6.71–3.68; P=0.026). ROC analysis demonstrated that the DSRR-SR of 2.35 had sensitivity 91.3% and specificity 58.6% for the prediction of heart failure (Figure 1c). Figure 1 Conclusion DSRR especially DSRR-SR was more sensitive to left ventricle stiffness change and help predict the progression of heart failure for Post-STEMI patients. Further studies were needed to verify the its association with other cardiovascular clinical events. Acknowledgement/Funding the National Natural Science Foundation of China (81600299,81471721, 81471722, 81771887, and 81771897,);


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