scholarly journals Gambaran Faktor Risiko Diare pada Balita (0 - 59 Bulan) di Wilayah Kerja Puskesmas Bojongsoang pada Tahun 2019

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Aurelia Shafira ◽  
Usep Abdullah Husin ◽  
Dyana Eka Hadiati

Diare merupakan penyakit endemis di Indonesia. Angka kematian diare paling banyak pada anak usia 5 tahun ke bawah. Jawa Barat menempati posisi pertama dalam penderita balita terbanyak. Berdasar atas data Dinas Kesehatan Kabupaten Bandung, kejadian diare banyak tersebar di Kabupaten Bandung. Wilayah kerja Puskesmas Bojongsoang mengalami peningkatan kasus diare balita  pada tahun 2019. Diare disebakan oleh faktor lingkungan, faktor ibu, faktor anak, dan sosiodemografi. Studi ini bertujuan mengetahui gambaran faktor risiko diare pada balita berusia 0 -  59 bulan. Metode yang digunakan adalah deskriptif observasional dengan desain cross-sectional. Responden berjumlah 43 orang, dilakukan selama bulan september 2020 menggunakan rumus perkiraan proporsi, tingkat kepercayaan 90%,  margin of error 1%, dan dipilih dengan teknik purposive. Terdapat hasil sebanyak 51% (22 orang) balita non ASI eksklusif dan 93% (40 orang) balita memiliki status gizi baik. Pada faktor sosiodemografi, sebanyak 49% (21 orang) ibu dengan pendidikan terakhir SLTP/MTS. Pada faktor ibu, sebanyak 95% (41 orang) ibu memiliki pengetahuan PHBS yang baik dan 77% (33 orang) ibu memiliki sikap PHBS yang baik. Pada faktor lingkungan, sebanyak 58% (25 orang) balita memiliki sarana air bersih yang baik dan 65% (28 orang) memiliki sarana jamban yang baik. Kesimpulan yang didapat adalah masih banyak balita non ASI eksklusif. Pengetahuan dan sikap PHBS baik, tetapi banyak ibu belum terbiasa melakukan PHBS. Masih banyak sarana air secara fisik tidak layak dan jamban yang kurang baik karena belum memiliki pembuangan kotoran sesuai aturan yang dapat menyebarkan bakteri penyebab diare. Disarankan pada institut terkait agar dapat mengajak para ibu menerapkan PHBS dan memberi ASI eksklusif.Diarrhea Risk Factors in Toddlers (0-59 Months) in Bojongsoang Primary Health Care Region in 2019Diarrhea is an endemic disease in Indonesia. Diarrhea mortality rates mostly occur in toddlers. West Java occupies the first position in most toddlers who experience diarrhea. Based on the Bandung District Public Health Office data, the incidence of diarrhea in toddlers spread in the Bandung district. In 2019, it  has increased in Bojongsoang Primary Health Care region. Some of the risk factors are environmental factors, maternal factors, child factors, and sociodemography. This study was conducted to discover the risk factors for diarrhea in toddlers. During September 2020 the method used was a cross-sectional descriptive observational. A sample of 43 people was calculated by estimating proportions with a credibility level of 90%, a 1% margin of error, and were selected using purposive sampling. The results are 51% (22 people) toddlers were not exclusively breastfed and 93% (40 people) had a good nutritional status. In sociodemographic, 49% (21 people) mothers attended Junior High School. In the maternal factor, 95% (41 people) mothers had good PHBS knowledge and 77% (33 people) had a good attitude. In environmental factors, 58% (25 children) toddlers have good water facilities and 65% (28 people) have good latrine facilities. The conclusion is there are still many toddlers unexclusively breastfed. Good mother’s PHBS knowledge and attitude, but did not implement. Many poor water facilities physically and poor latrines due to unproper sewage disposal that can spread bacteria that causes diarrhea. It is suggested that the primary health care should be able to encourage mothers to apply PHBS and provide exclusive breastfeeding.  

2017 ◽  
Vol 21 (4) ◽  
Author(s):  
Suelen Cordeiro Assunção ◽  
Alisson Pereira Fonseca ◽  
Marise Fagundes Silveira ◽  
Antônio Prates Caldeira ◽  
Lucinéia de Pinho

Abstract Objective: To evaluate the knowledge and attitude of patients with diabetes mellitus in Primary Health Care and associated factors. Methods: Cross-sectional, quantitative and analytical study with 353 patients with type 2 diabetes mellitus in Family Health Strategy units. The Knowledge and Psychological Attitudes Questionnaires were used for data collection, as well as a script with sociodemographic, economic and clinical data. Results: The majority of the population was female (73.1%), aged more than 50 years (81.5%), diagnosed for more than five years (54.9%) and with a per capita income of up to half a minimum wage (59.3%). The scores of knowledge and attitude were low. Age (p = 0.001) and level of education (p = 0.002) were variables associated with knowledge about diabetes mellitus. Conclusion: Users had a low level of knowledge about diabetes, indicating an unsatisfactory result in self-care and mainly a negative attitude towards coping with this disease.


2019 ◽  
Vol 4 (5) ◽  

Background: Cardiovascular disease (CVD) is common in the general population, affecting many of adults above 40 years of age. It is a multi-factorial disease. Some risk factors; such as family history, gender, ethnicity and age cannot be changed. Other risk factors are modifiable including high blood pressure, high cholesterol and diabetes. Patients will not necessarily develop cardiovascular disease if they have a risk factor. But the more risk factors they have the greater the likelihood that they will, unless protective measures and actions are taken to modify their risk factors and work to prevent them compromising their heart health. Objectives: The objectives of this study were: to evaluate the adherence of major primary health care centers to the WHO-PEN Protocol 1, Package of essential noncommunicable (PEN) disease interventions for primary health care, recommendations;and to provide more accurate estimate of cardiovascular risk using hypertension, type 2 diabetes mellitus and tobacco use as entry points. Methods: A cross-sectional study involving 200 patients who were already diagnosed with NCDs was conducted atprimary health care centers. Data was collected retrospectively using a self-designed questionnaire based on the WHO- PEN checklist. Patients’ files were selected randomly. Results: Based on the analysis of whole cohort (200 cases). The prevalence of type 2 diabetes was 39% and hypertension was 28.5%, whereas 32.5% had both. There were only 17 smokers among patients representing 8.5% of the sample. Using WHO/ISH, WHO/International Society of Hypertension, Risk prediction charts; half of patients were in the tenyear cardiovascular risk category of less than 10%. On the other hand, 5% had a ten-year cardiovascular risk over 40%.49% of patients had a first-degree family history of heart disease? All patients were counseled on diet, exercise and smoking cessation. Conclusion: These results demonstrate high adherence to the WHO-PEN protocol in these two centers reflecting a high quality of care and follow-up. Furthermore, the medical records were fully filled with adequate information for each item. However, there were some deficiencies in the risk estimation, which should be documented for better counseling for patients with high risk.


2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Julio Baldisserotto ◽  
Luciane Kopittke ◽  
Fulvio Borges Nedel ◽  
Silvia Pasa Takeda ◽  
Claunara Schilling Mendonça ◽  
...  

Author(s):  
L. Campos Aparecido Martins ◽  
P.J. Fortes Villas Bôas ◽  
K.C. Portero McLellan

Background: Sarcopenia is prevalent in the elderly population and has been postulated as the main factor for the decline in strength with age, representing a health deficient state with a personal high cost. Objective: To identify the prevalence of sarcopenia and its association with anthropometric and socioeconomic factors in elderly patients assisted by primary health care. Design and Methods: Cross-sectional study conducted with 136 individuals aged 60 years and older. Socioeconomic and demographic status, and anthropometric profile were assessed for all individuals. For the diagnosis of sarcopenia it was considered muscle wasting associated with loss of muscle strength. Logistic regression model was performed to identify the risk factors for sarcopenia considering a 5% significance level for the corresponding p-value. Results: The prevalence of sarcopenia in the studied population was 37.5%, however being higher among men (66.6%). Of those individuals with sarcopenia, 50% of men and 29% of women were overweight, 35% of men and 64% of women had abnormal waist to hip ratio. Retirement (OR: 2.165; CI: 1.037 to 4.250) and smoking (OR: 9.435; CI: 1.228 to 72.499) represented risk factors for sarcopenia. Conclusion: The study population had a high prevalence of sarcopenia, along with a high prevalence of abdominal obesity, which may be an important causal factor for insulin resistance and type 2 diabetes susceptibility. Sarcopenia was associated with behavioral (smoking) and demographic (retirement) variables.


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