Ditemukan 30733 dokumen yang sesuai dengan query :: Simpan CSV
Key words: Malaria, Environmental Factors, Demography Factor
Malaria is still one of the leading public-health problems that can cause death primarily in high-risk groups, namely, infants, toddlers, and expectant mothers. In addition, malaria directly causes anemia and can lower labor productivity. In 2010, in Indonesia, 65% of endemic districts were at risk of contracting malaria. By 2020 there are 515 cases of malaria in Batu Bara, and by 2021 rising to 952. The purpose of this study is to know the risk factors in the incidence of malaria in the Batu Bara. It uses a case-control design. The responders are 12 years of age and above where the cases are those who visit the health center with fever symptoms and positive malaria and controls are those with symptoms of a fever with a malaria negative. From multivariat analysis involving all risk factors simultaneously, there is a significant variable affecting the incidence of malaria that is both the age and the existence of a cattle cage. According to the age category, it shows 12-17 year old respondents with the highest risk of contracting malaria (AOR = 3.85; 1.40-10.59) by those ages 18-40 (AOR= 1.79; 070-4.58). Those who claim that there is a corral in the neighborhood, having a three times greater risk of contracting malaria than those who not.
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).
Kusta masih menjadi masalah kesehatan masyarakat di Indonesia, termasuk di Kabupaten Bekasi. Desa Mekarwangi merupakan salah satu wilayah dengan kasus kusta yang cukup tinggi dan telah ditetapkan sebagai Desa Siaga Bebas Kusta pertama di Kabupaten Bekasi. Penelitian ini bertujuan untuk menganalisis faktor risiko yang berhubungan dengan kejadian kusta di wilayah kerja Puskesmas Desa Mekarwangi, Kabupaten Bekasi, tahun 2026. Penelitian ini menggunakan desain observasional analitik dengan pendekatan case control. Sampel penelitian terdiri atas 75 responden, yaitu 25 kasus kusta dan 50 kontrol dengan perbandingan 1:2. Data diperoleh melalui wawancara menggunakan kuesioner serta observasi kondisi lingkungan rumah. Analisis data dilakukan secara univariat, bivariat dengan uji chi square, dan multivariat menggunakan regresi logistik biner. Analisis multivariat menunjukkan bahwa faktor dominan yang berhubungan dengan kejadian kusta adalah riwayat kontak erat (OR=66,77; 95% CI=10.46—426.14). Hasil ini menunjukkan bahwa responden yang memiliki riwayat kontak erat dengan penderita kusta memiliki peluang 66,77 kali lebih besar mengalami kusta dibandingkan responden yang tidak memiliki riwayat kontak erat dengan penderita kusta lainnya. Penelitian ini menyimpulkan bahwa riwayat kontak erat menjadi faktor utama yang berhubungan dengan kejadian kusta di wilayah kerja Puskesmas Desa Mekarwangi. Penguatan pelacakan kontak, active case finding, dan edukasi masyarakat perlu diprioritaskan dalam program pencegahan dan pengendalian kusta.
Leprosy remains a public health problem in Indonesia, including in Bekasi Regency. Mekarwangi Village is one of the areas with a relatively high number of leprosy cases and has been designated as the first Leprosy-Free Alert Village in Bekasi Regency. This study aimed to analyze the risk factors associated with leprosy incidence in the working area of Mekarwangi Public Health Center, Bekasi Regency, in 2026. This study used an analytical observational design with a case-control approach. The study sample consisted of 75 respondents, including 25 leprosy cases and 50 controls with a 1:2 ratio. Data were collected through interviews using questionnaires and observations of household environmental conditions. Data analysis was conducted using univariate analysis, bivariate analysis with the chi-square test, and multivariate analysis with binary logistic regression. The multivariate analysis showed that the dominant factor associated with leprosy incidence was close contact history (OR=66.77; 95% CI=10.46–426.14). This finding indicates that respondents with a history of close contact with leprosy patients had 66.77 times higher odds of developing leprosy than respondents without a history of close contact with leprosy patients. This study concludes that close contact history is the main factor associated with leprosy incidence in the working area of Mekarwangi Public Health Center. Strengthening contact tracing, active case finding, and community education should be prioritized in leprosy prevention and control programs.
