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Diarrhoea program 5 years latest, diarrhoea incident in Bogor county goes into high category which can cause outbreaks. Outbreaks that happened at 2009 in sub-district Cisarua comes to 4 district affected by the outbreaks with 206 cases. This research was held in Puskesmas Cisarua which to be in Bogor couty and use cross sectional study. 80 respondent was interviewed and withdrawal water removal.
Tuberculosis is a chronic infectious disease remains a public health problem in the world including Indonesia.WHO estimating the average case for smear-positive sputum specimens obtained 115 per 100,000 in 2003. Number of new cases of smear-positive pulmonary TB 194 780 people in 2011, to the district of Bogor in 2010 and as many as 3,869 people Cisarua District 18.
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 pada balita, Faktor-faktor penyebab diare
Diarrhea is one cause of death in infants (31,4%) and children under the age of five years (25,2%). Approximately 162.000 children under the age of five death every year or 460 every day (Depkes) in Bogor incident rate of diarrhea increase every year from 2011-2013. in 2011 there are 21.687 case, in 2012 there are 22.625 case and in 2013 there are 24.187 case. this research have a purpose to determine risk factors associated with diarrhea incident in children under the age of five on working area Puskesmas north Bogor. this study use case control method with number of sample 46 people case and 46 control. Method of data collection by interview and observation. the results showed influence of risk factors with diarrhea incident. the risk factors have influence are Handwashing behaviour OR: 4,28(95% CI 1,587-11,575), Waste handling OR: 3,87 (95% CI 1,632-9,203), Source of clean water OR: 3,16 (95% CI 1,244-8,039), Availabilty of latrines OR: 4,52 (95% CI 1,845-11,081), Food hygiene and sanitation OR: 2,92 (95% CI 1,249-6,809), and Knowledge of parents OR: 2,66 (CI 95% 1,146- 6,198). Diarrhea prevention efforts by improving enviroment sanitation and providing education programs to increase public knowledge.
Key Words : Diarrhea in children under the age of five, Risk factors cause diarrhea
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.
