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Angka kesakitan diare di Indonesia tahun 2003 diperkirakan sebesar 374 per 1.000 penduduk dan angka kesakjtan diare di Propinsi Jawa Barat tahun 1999 pada kelompok umur 1-4 tahun diperkirakan 188 per 1000 penduduk. Sedangkan angka kesakitan diare di Kabupaten Garut pada tahun 2004 diperkirakan 103 per 1000 penduduk. Kejadian diare di Puskesmas Cisurupan Kabupaten Garut dengan prevalen rate: 160 per 1000 balita. Penelitian ini merupakan kajian epidemiologi kesehatan lingkungan dengan fokus penelitian faktor-faktor yang berhubungan dengan kejadian diare yaitu variabel karakteristik ibu balita, karakteristik balita, kondisi sarana air bersih, tingkat kepadatan Ialat dan kondisi jamban dengan kejadian diare pada balita (12-59 bulan) di wilayah kerja Puskesmas Cisurupan Kabupaten Garut tahun 2006. Desain penelitian ini menggunakan studi kasus kontrol dengan menggunakan data primer. Kasus adalah balita yang telah didiagnosis dengan gejala diare dan datang ke puskesmas serta bertempat tinggal di wilayah kerja Puskesmas Cisurupan. Kontrol adalah balita yang tidak menderita diare paling Iama 2 mingu terakhir dan bertempat tinggal sama dengan kasus. Data yang diperoleh selanjutnya dianalisis dengan statistik. Hasil penelitian menunjukkan adanya hubungan yang signifikan antara kondisi sarana air bersih (OR=2,077 C195% : 1.066-4.045), kepadatan lalat (OR=2,139 C195%:1.137-4.021) dan kondisi jamban (OR=2,1 11CI95%:1.103-4.040) dengan kejadian diare pada balita. Sedangkan hasil uji interaksi melalui analisis regresi logistik menunjukkan tidak ada interaksi. Dari hasil penelitian terlihat faktor lingkungan merupakan faktor dominan terhadap kejadian diare. Untuk itu diperlukan peningkatan upaya-upaya inovatif dalam pengendalian lingkungan yang dilakukan bersama baik oleh masyarakat, puskesmas Cisurupan, dinas kesehatan Garut dan sektor terkait lainnya. Misalnya, upaya pemberdayaan masyarakat di bidang higyene and sanitation melalui pengembangan program klinik sanitasi dan methodology partisipatory assessment- partisipatory hygiene and sanitation transformations (MPA-PHAST). Diharapkan dengan peningkatan upaya tersebut target pencapaian IPM 80 pada tahun 2010 dapat-tercapai.
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
Pneumonia is one of the acute respiratory infections (ARI) that affect the alveoli and is caused by bacteria, viruses, or fungi. Pneumonia remains a leading cause of death among children under five years old. Kelurahan Ancol shows a fluctuating trend of pneumonia cases and is dominated by densely populated settlements, making it a vulnerable area for disease transmission. This study aims to analyze the relationship between child, family behavioral, housing conditions factors with the incidence of pneumonia among children under five in the working area of Puskesmas Kelurahan Ancol. A case-control study design was employed, involving a total of 36 respondents in both case and control groups. Data were collected through interviews and environmental observations. The analysis included univariate, bivariate, and multivariate approaches. The results revealed that age had a significant association with pneumonia incidence and was identified as the dominant predictive factor influencing its occurrence. Puskesmas Kelurahan Ancol can enhance routine health education for families with children under five regarding the importance of home ventilation and natural lighting, as well as the dangers of cigarette smoke and mosquito coil smoke.
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).
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
Pneumonia balita merupakan salah satu penyakit infeksi saluran pemapasan akut yang disebabkan oleh peradangan atau ixitasi pada salah satu atau kedua pam akibat infeksi, ditandai dengan adanya batuk dan atau kesukaran bemapas disertai napas eepat.Puskemas Klapa Nunggal,menduduki urutan ke 2 terbesar penderita pneumonia (1?7,25%). Tujuan penelitian ini adalah untuk mengetahui factor-faktor risiko kejadian pneumonia balita di wilayah keqja Puskesmas Klapa Nunggal Kabupaten Bogor. Jenis penelitian yang dipergunakan adalah kasus konlroi, perbandingan kasus : control adalah lzl. Kasus adalah balita yang datang dan berobat ke Puskesmas Klapa Nunggal selama bulan Nopember 2005 - April 2006 dan didiagnosa oleh dolcter/paramedic menderita pneumonia, sedangkan kasus adalah balita yang datang dan bcrobat ke Puskesmas Klapa Nunggal selama bulan Nopember 2005 - April 2006 dan hasil diagnosa dokter/paramedic bukan pneumonia. Jumlah sample dalam pcnelitian ini adalah 260 yang terdiri dari 130 kasus dan 130 kontrol. Data dikumpulkan melalui wawancara dengan ibu balita responden dan observasi dan pengukuran lingkungan tempat tinggal responden. Selanjutnya basil yang diperoleh dianalisa dengan analisa univariat, bivariat dan multivariate. Hasil analisa bivariat adalah faktor risiko kejadian pneumonia balita : Status ekonomi keluarga (OR=2,35), Status gizi (0R=2,29), Pemberian ASI Eksklusif (OR=4,59), Jumlah hunian rumah (OR=1,7) dan jumlah hunian kamar (OR= 1,84). Hasil anaiisa multivariate menunjuukan bahwa factor~faktor dominan dengan kejadian pneumonia adalah tidak ASI eksklusif dengan jumlah hunian kamar padat (OR=2,91). Kesimpulan : Faktor risiko dominan kejadian pneumonia balita di Puskesmas Klapa Nunggal Kab.Bogor adalah jumlah hunian kamar padat dengan tidak ASI Elcsklusifi Saran meningkatkan penyuluhan dan promosi kepada masyamkat khususnya ibu balita mengenai pentingnya memberikan ASI Ekslcusif, makanzm bergizi serta rumah sehat di wilayah keija Puskesmas Klapa Nunggal.
Under five pneumonia is one of the Acute Respiratory Infection (ARI) disease which is the inflammation or irritation to the one or both lung caused by infection, signed by cough and sort of breath. The purpose of this study is to know the risk factors of under tive pneumonia incidence in public health center at Klapa Nunggal area, Bogor district. This study using case control study design. Comparison of case and control and using (lzl). The group case is children under tive that come to the public health center at Kjapa Nunggal from november 2005 until april 2006 which diagnosed by the doctors and paramedics with pneumonia cases, and the control is children under tive that come to the public health center at Klapa Nunggal from november 2005 until april 2006 which diagnosed by the doctors and paramedics with non pneumonia. Number of samples in this study is 260 which is consist of 130 cases and 130 control cases. The data is collected by interviewing the mother of respondent, measuring and observation the respondent residence. The data analyze with univariate , bivaiiate and multivariate analyzes. Result bivariatc analizes shows that the variable which is the risk tactor variable for incidence of under five Pneumonia : Economic status of ,thc family ( OR=2,35), Nutrition status (OR=2,29), exclusive breast feeding (OR==4,59), The house population dencity (OR=l ,7), The room population dencity (OR=l,84). It has conclude that the risk factors for incidence Pneumonia children under tive are children in the public health center Klapa Nunggal, Bogor district are very density room population with no exclusive breast feeding (OR=2,9l)_ Advice increase health education and promotion to the community in this area especially to mother of the under five children about the importance of exclusive breast feeding, good nutrition and healthy houses in the public health center at Klapa Nunggal.
Kata Kunci : Pneumonia, Balita, Faktor Risiko
Pneumonia has become one of the highest mortality contributors in the world and And West Java province ranks the first as the largest number of pneumonia that suffered children under five years. Puskesmas Bogor Utara(health center) is one of the areas that have quite a lot cases of pneumonia in children under five in 2016. This study aimed to determine the risk factors associated with the incidence of pneumonia in children under five in the In The Working Area Of Puskesmas Bogor Utara (Community Health Center). This study uses a case control study design with retrospect approach. The population in this study are all of children aged 12 month until 59 months who lived in the working area of Bogor Utara health center with using 94 respondents consisted of 47 cases and 47 people control.The results of this study indicate that there was a significant correlation between history of low birth weight (OR = 5,51; CI=1,96-15,48 ); nutritional status before illness (OR=5,06; CI=2,10-12,20), immunization history (OR= 4,24; 1,50-11,98), knowledge of mothers (OR=4,76; CI=1,58-14,32), a variable degree of Economics/family income (OR=9,44 ; CI= 3,57-24,93), housing crowdedness (OR=18,97; CI=5,80-62,03) and humidity levels (OR=5,02; CI=1,31-19,21) with the incidence of pneumonia among children under five in the region of Bogor Utara health center. The variable that predicted the most dominant cause of pneumonia is the housing crowdedness (OR=12,90; CI=3,26-50,98).Suggestion, minimum bedroom space is 8m2 and should not be used for more than two people, except children under 5 years old.
Key Words: Pneumonia, Children under five years old, Risk Factors
