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Depok is one of the cities that has the highest diarrhea cases, where is the districts with the most diarrhea cases is Tapos District with 1,274 cases. Some risk factors for diarrheal disease are consuming water contaminated with feces, maternal hygiene behavior, and poor household sanitation. Fecal contamination in drinking water can be seen from the amount of Escherichia coli bacteria. The purpose of this study was to determine the relationship between Escherichia coli in drinking water, maternal hygiene behavior, and household sanitation with the incidence of diarrhea in infants in Tapos District. The study was a cross sectional with a total of 100 respondents divided into 7 villages (Tapos, Cilangkap, Cimpaeun, Sukamaju Baru, Jatijajar, Sukatani, and Leuwinanggung). Household drinking water samples were tested by the MPN (Most Probable Number) method at the Laboratory of Public Health Faculty University of Indonesia. While data on maternal hygiene behavior and household sanitation were obtained by interview and direct observation to the respondent's house. The results showed that 29% of children under five experienced diarrhea and 93% of drinking water did not meet the requirements. Statistical test results found that there is a relationship between maternal knowledge about diarrhea (p = 0,045; OR = 3 CI: 1,13-7,95) and hand washing habits (p = 0,017; OR = 3,7 CI: 1,36-10,18) with the incidence of diarrhea in infants in Tapos District. While there was no relationship between maternal knowledge about hygiene, the habit of nail clip, the habit of closing food, and the habit of cooking and storing drinking water with the incidence of diarrhea in toddlers in Tapos District.
Penyakit diare menjadi salah satu gangguan gastrointestinal yang sering terjadi pada anak usia balita dan menjadi penyebab utama morbiditas dan mortalitas. Provinsi Papua Pegunungan memiliki capaian sanitasi rendah dan prevalensi diare balita tertinggi di Indonesia pada tahun 2023. Faktor lingkungan dan faktor ibu merupakan faktor yang saling berkaitan dengan kejadian diare pada anak balita. Tujuan penelitian ini untuk menganalisis faktor risiko kejadian diare pada anak balita di Provinsi Papua Pegunungan. Penelitian ini menggunakan desain cross sectional dan sumber data diperoleh dari Survei Kesehatan Indonesia tahun 2023 dengan jumlah sampel yang dianalisis sebesar 266 anak usia 0-59 bulan di Provinsi Papua Pegunungan. Analisis data dilakukan secara univariat, bivariat menggunakan uji Chi-Square dan multivariat menggunakan regresi logistik model determinan. Hasil menunjukkan ada hubungan antara sumber air minum, akses sanitasi, jenis lantai dan pendidikan ibu dengan kejadian diare pada anak balita. Pendidikan ibu rendah merupakan faktor paling dominan berpengaruh terhadap kejadian diare. Anak balita yang berasal dari ibu dengan pendidikan rendah akan berisiko 2,832 kali lebih besar untuk mengalami diare dibandingkan anak balita yang berasal dari ibu dengan pendidikan tinggi. Diperlukan kerjasama dari pemerintah dan masyarakat dalam peningkatan akses pendidikan yang merata disetiap wilayah serta kolaborasi penyelenggara kesehatan untuk meningkatkan pendidikan kesehatan melalui promosi kesehatan terpadu terkait perilaku hidup bersih dan sehat dalam lingkungan rumah tangga.
Diarrhea is one of the most common gastrointestinal disorders in children under five years of age and is a major cause of morbidity and mortality. Papua Pegunungan Province has the lowest sanitation achievement and the highest prevalence of under five years of diarrhea in Indonesia by 2023. Environmental factors and maternal factors are interrelated with the incidence of diarrhea in children under five years. The purpose of this study was to analyze the risk factors for the incidence of diarrhea in children under five years in Papua Pegunungan Province. This study used a cross sectional design and the data source from the Indonesian Health Survey in 2023 with a total sample of 266 children aged 0-59 months in Papua Pegunungan Province. Data were analyzed univariate, bivariate with Chi- Square test and multivariate with logistic regression of determinant models. Results showed an association between drinking water source, sanitation access, floor type and mother's education with the incidence of diarrhea in children under five. Low maternal education is the most dominant factor affecting the incidence of diarrhea. Children under five who come from mothers with low education will be at risk 2,832 times greater to experience diarrhea than children under five who come from mothers with high education. Cooperation is needed from the government and the community to increasing access to education that is evenly distributed in each region and collaboration of health providers to improve health education through integrated health promotion related to clean and healthy living behaviors in the household environment.
Kata Kunci: Pneumonia, Balita, Fakto Risiko
Pneumonia in children under five is still major public health problem in the world or in Indonesia. In Indonesia, Pneumonia is the number two cause of death in infants and children under five. Cakung sub-district is one of the areas that have quite a lot cases of pneumonia in children under five. This study aimed to determine the risk factors associated with the incidence of pneumonia in children under five in the region of Cakung sub-district health center. This study uses a case control study design. The population in this study are all of children aged 12 month until 59 months who lived in the region of Cakung sub-district health center. The results of this study indicate that there was a significant correlation between exposure to secondhand smoke in the home (OR = 4.67; 1.19 to 18.33); the number of ciggarates smoked per day (OR=2,77; 1,12-6,86), lighting in the home (OR = 5.16; 1.94 to 13.70), knowledge of mothers (OR = 3.85; 1.12 to 13.25), nutritional status (OR = 9.14; 1.90 to 43.89), immunization history (OR = 3.85; 1.12 to 13 , 25) and a history of exclusive breastfeeding (OR = 3.11; 1.24 to 7.78) with the incidence of pneumonia among children under five in the region of Cakung sub-district health center. The variable that predicted the most dominant cause of pneumonia is the nutritional status (OR = 5.607; 1.082 to 29.058).
Keywords: Pneumonia, Children under five, Risk factors
KATA KUNCI : DIARE, FAKTOR RISIKO, KASUS KONTROL
THE NUMBER OF DIARRHEA SUFFERERS IN UNDER-FIVE CHILDREN IN THE WORKING AREA OF PUSKESMAS KECAMATAN MAKASAR INCREASED FROM 2014 TO 2016. KEBON PALA VILLAGE BECAME THE BIGGEST CONTRIBUTOR OF ALL DIARRHEA CASES. THE NUMBER OF DIARRHEA SUFFERERS IN THE WORK AREA OF KEBON PALA PUBLIC HEALTH CENTER IN 2014 AMOUNTED TO 182 CASES AND THEN INCREASED IN 2015 BY 251 CASES AND DECREASED IN 2016 BY 238 CASES. THIS STUDY AIMS TO DETERMINE THE RISK FACTORS OF DIARRHEA OCCURRENCE IN INFANTS IN THE WORKING AREA OF KEBON PALA PUBLIC HEALTH CENTER. THE CASE STUDY DESIGN WAS CASE CONTROL. THE CASE WAS DIARRHEA SUFFERER RECORDED IN THE PUSKESMAS REGISTER FOR THE LAST 14 DAYS WHILE THE STUDY TOOK PLACE AND THE CONTROL WAS NEIGHBORING CASE. THE NUMBER OF SAMPLES OF EACH CONTROL AND CASE ARE 60 RESPONDENTS. DATA WAS COLLECTED BY DIRECT INTERVIEW AND OBSERVATION USING QUESTIONNAIRE. THE QUESTIONNAIRE CONTAINS QUESTIONS ON HANDWASHING BEHAVIOR WITH SOAP, EXCLUSIVE BREASTFEEDING, CLEAN WATER SOURCES, TOILET FACILITIES AND GARBAGE DISPOSAL FACILITIES. THE RESULTS OF THIS STUDY SHOWED THAT THERE WAS A SIGNIFICANT RELATIONSHIP BETWEEN HANDWASHING WITH SOAP (P 0.005, OR 5,107), EXCLUSIVE BREASTFEEDING (P VALUE 0.005, OR 4.030), TOILET FACILITIES (P VALUE 0.022, OR 2,993) AND GARBAGE DISPOSAL FACILITIES NIALI P 0,003; OR 3,406) WITH THE INCIDENCE OF DIARRHEA IN INFANTS
KEY WORDS: DIARRHEA, RISK FACTORS, CASE CONTROL
Diarrhea is an communicable disease and ranks the second cause of death for children under-five in the world. In Indonesia, especially West Java, which is an endemic area for diarrhea, Bogor is one of the districts with a fairly high prevalence of diarrhea in children under-five. Purwasari Community Health Center is a health center with the highest cases of diarrhea in children under-five in Bogor Regency. This study aims to analyze the risk factors (characteristics of children under-five, characteristics of mothers, and sanitation facilities) for the incidence of diarrhea in children under-five in the Purwasari Public Health Center, Bogor Regency in 2022. This study used a case-control research design with a sample of 53 cases and 53 controls. Data analysis was performed using chi-square test and logistic regression predictive model. The results showed that there was a relationship between exclusive breastfeeding (0,28; 0,11-0,67), measles immunization (0,18; 0,08-0,42), knowledge (0,16; 0,07-0,38), toddler stool disposal behavior (0,18; 0,07-0,46), and latrine facilities (0,32; 0,14-0,72) with the incidence of diarrhea in children under-five. The variable that is predicted to have the most influence on the occurrence of diarrhea under five in the working area of the Purwasari Health Center is the knowledge variable (9,76; 2,78 - 34,21).
