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Lilian Susanti Nova; Pembimbing: Agustin Kusumayati; Penguji: Budi Hartono, Bambang Wispriyono, Miko Hananto, Beben Saiful Bahri
Abstrak:
Tesis ini membahas tentang gambaran kejadian ISPA serta determinan yang mempengaruhinya seperti PM10 suhu, kelembaban, arah dan kecepatan angin, jarak rumah dari industri, ventilasi, kepadatan hunian, asap rokok, intake, umur, jenis kelamin, status gizi, riwayat imunisasi, ASI eksklusif kepada anak balita yang tinggal di Desa Sukadanau Kecamatan Cikarang Barat Kabupaten Bekasi. Penelitian ini menggunakan desain cross sectional dengan melakukan analisis data primer, data primer hasil dari wawancara dan pengukuran PM10, suhu, kelembaban, arah dan kecepatan angin pada udara ambien. Dari 13 variabel yang diteliti yang memiliki hubungan yang bermakna adalah ASI Eksklusif terhadap kejadian ISPA pada anak balita dengan nilai p yang mempunyai arti anak balita yang tidak diberikan ASI eksklusif mempunyai peluang untuk mengalami kejadian ISPA 3 kali lebih besar dibandingkan dengan anak balita yang diberikan ASI eksklusif. Berdasarkan penelitian ini disarankan untuk warga yang tinggal di sekitar industry baja untuk dapat meningkatkan imunitas, karena dari hasil penelitian konsentrasi PM10 dari 8 titik yang diukur 37.5 % tidak memenuhi syarat. Dan perlu adanya kerjasama lintas sektor dari Dinas Kesehatan, Dinas Lingkungan Hidup dan Pemerintah Kabupaten Bekasi.
This thesis discusses the description of ARI events and the determinants that influence it, such as PM10 temperature, humidity, wind direction and speed, distance from home from industry, ventilation, occupancy density, cigarette smoke, intake, age, sex, nutritional status, immunization history, breast milk exclusively for children under five living in Sukadanau Village, West Cikarang District, Bekasi Regency. This study uses a cross sectional design by analyzing primary data, primary data from interviews and measurements of PM10, temperature, humidity, direction and wind speed in ambient air. Of the 13 variables studied that have a significant relationship are exclusive breastfeeding for ARI events in children under five with p which means that children under five who are not exclusively breastfed have the opportunity to experience ARI events. 3 times greater compared to children under five who are given exclusive breastfeeding. Based on this research it is recommended for residents who live around the steel industry to be able to increase immunity, because from the results of the study the concentration of PM10 from 8 points measured 37.5% does not meet the requirements. And there needs to be crosssectoral collaboration from the Health Office, the Environmental Office and the Bekasi District Government.
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This thesis discusses the description of ARI events and the determinants that influence it, such as PM10 temperature, humidity, wind direction and speed, distance from home from industry, ventilation, occupancy density, cigarette smoke, intake, age, sex, nutritional status, immunization history, breast milk exclusively for children under five living in Sukadanau Village, West Cikarang District, Bekasi Regency. This study uses a cross sectional design by analyzing primary data, primary data from interviews and measurements of PM10, temperature, humidity, direction and wind speed in ambient air. Of the 13 variables studied that have a significant relationship are exclusive breastfeeding for ARI events in children under five with p which means that children under five who are not exclusively breastfed have the opportunity to experience ARI events. 3 times greater compared to children under five who are given exclusive breastfeeding. Based on this research it is recommended for residents who live around the steel industry to be able to increase immunity, because from the results of the study the concentration of PM10 from 8 points measured 37.5% does not meet the requirements. And there needs to be crosssectoral collaboration from the Health Office, the Environmental Office and the Bekasi District Government.
T-6038
Depok : FKM-UI, 2020
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Ika Vida Northwadziyah, Soedjajadi Keman
JKL Vol.7, No.2
Surabaya : Departemen KL FKM Unair, 2014
Indeks Artikel Jurnal-Majalah Pusat Informasi Kesehatan Masyarakat
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Latifah Alifiana Rahmawati; Pembimbing: Atik Nurwahyuni; Penguji: Kurnia Sari, Prastuti Soewondo, Siti Masruroh dan Nanang Wahyu Santoso
Abstrak:
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Penyakit infeksi masih menjadi salah satu beban masalah kesehatan di dunia. Pada tahun 2021, terdapat 5 juta kematian anak balita akibat infeksi. Terdapat berbagai faktor yang dapat menyebabkan penyakit infeksi pada anak balita, salah satunya yaitu berat badan lahir kurang dari 2.500 gram atau berat badan lahir rendah (BBLR). Tujuan: Studi ini bertujuan untuk mengetahui hubungan berat badan lahir terhadap jumlah kunjungan rawat jalan dan rawat inap, durasi lama rawat inap, dan akumulasi biaya klaim BPJS akibat penyakit ISPA dan diare pada anak usia 0-59 bulan di FKRTL. Metode: Studi ini menggunakan desain kohort retrospektif menggunakan Data Sampel BPJS Kesehatan dari 2017-2022, yang digabungkan dengan Indeks Kualitas Air dan Indeks Kualitas Udara dari Laporan Kementerian Lingkungan Hidup dan Kehutanan. Jumlah kasus rawat jalan diestimasi menggunakan Regresi Binomial Negatif, jumlah kunjungan rawat inap dan jumlah hari rawat inap dianalisis dengan Zero-Inflated Negative Binomial, serta akumulasi biaya dianalisis menggunakan Regresi Gamma. Hasil: Subjek dalam penelitian ini adalah 3.175 anak yang lahir pada tahun 2017 dengan kode INACBGs P-8-02 hingga P-8-17. Terdapat, 493 (15,53%) adalah anak dengan berat lahir rendah. Total pemanfaatan rawat jalan di antara anak-anak di bawah lima tahun karena diare dan ISPA 1.708 kunjungan (rata-rata: 0,56), dan pemanfaatan rawat inap adalah 1.174 (rata-rata: 0,38). Rata-rata lama menginap adalah 3,54 hari, dengan total 4.160 hari. Akumulasi biaya untuk rawat jalan adalah Rp353.548.900 (rata-rata: Rp111.354), dan untuk rawat inap adalah Rp3.737.613.820 (rata-rata: Rp1.177.201). Terdapat hubungan yang signifikan antara berat badan lahir dengan jumlah kematian pada anak balita, rata-rata jumlah kematian pada anak dengan riwayat BBLR lebih tinggi dibanding anak dengan berat badan lahir normal. Meskipun berat badan lahir tidak berhubungan secara signifikan terhadap jumlah kunjungan rawat jalan, namun jumlah kunjungan anak dengan BBLR lebih banyak dibandingkan anak dangan BBLN. Jumlah kunjungan rawat inap dan jumlah hari rawat inap di FKRTL selama 5 tahun lebih banyak secara signifikan pada anak dengan riwayat BBLR. Meskipun tidak terdapat perbedaan yang signifikan pada akumulasi biaya perawatan namun jumlah kunjungan yang lebih banyak pada anak dengan BBLR dapat mempengaruhi peningkatan jumlah biaya pasien langsung seperti transportasi dan caregiver serta biaya pasien tidak langsung yakni income loss dari orang tua/caregiver
Infectious diseases are still one of the burdens of health problems in the world. In 2021, there will be 5 million deaths of children under five due to infections. Infectious diseases are still one of the burdens of health problems in the world. In 2021, there will be 5 million deaths of children under five due to infections. There are various factors that can cause infectious diseases in children under five, one of which is birth weight less than 2,500 grams or low birth weight (LBW). Objective: This study aims to determine the relationship between the number of outpatient and inpatient visits, the duration of hospitalization, and the accumulation of BPJS claim costs due to ARI and diarrhea based on birth weight category in children aged 0-59 months at FKRTL. Methods: This study used a retrospective cohort design using BPJS Health Sample Data from 2017-2022, which was combined with the Water Quality Index and Air Quality Index from the Ministry of Environment and Forestry Report. The number of outpatient cases was estimated using Negative Binomial Regression, the number of inpatient visits and the number of inpatient days were analyzed with Zero-Inflated Negative Binomial, and the accumulated costs were analyzed using Gamma Regression. Results: The subjects in this study were 3,175 children born in 2017 with INACBGs codes P-8-02 to P-8-17. There were 493 (15.53%) low birth weight children. Total outpatient utilization among children under five years of age due to diarrhea and ARI was 1,708 visits (mean: 0.56), and inpatient utilization was 1,174 (mean: 0.38). The average length of stay was 3.54 days, totaling 4,160 days. The accumulated cost for outpatient care was IDR353,548,900 (mean: IDR111,354), and for inpatient care was IDR3,737,613,820 (mean: IDR1,177,201). There was a significant association between birth weight and the number of deaths in children under five, with the average number of deaths in children with a history of LBW being higher than children with normal birth weight. Although birth weight was not significantly associated with the number of outpatient visits, children with LBW had more visits than children with normal birth weight. The number of inpatient visits and the number of days of hospitalization in FKRTL over 5 years were significantly higher in children with a history of LBW. Although there is no significant difference in the accumulated cost of care, the greater number of visits in children with LBW can affect the increase in the number of direct patient costs such as transportation and caregiver and indirect patient costs, namely income loss from parents/caregivers.
T-6985
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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