Ditemukan 3 dokumen yang sesuai dengan query :: Simpan CSV
Nadhila Beladina; Pembimbing: Asri C. Adisasmita; Penguji: Helda, Riznawaty Imma Aryanti
Abstrak:
Kematian neonatal memiliki rata-rata penurunan yang lebih lambat dibandingkan kematian bayi berusia 1-59 bulan dengan annual rate reduction sebesar 2.6% dari tahun 1990 hingga 2018. Salah satu faktor risiko kematian neonatal adalah anemia defisiensi besi pada ibu hamil. Indonesia memiliki angka prevalensi anemia pada ibu hamil yang tinggi, yakni sebesar 41.98% pada 2016. Studi ini dilakukan untuk mengetahui efek suplementasi zat besi terhadap tingkat kelangsungan hidup neonatal di Indonesia. Analisis kelangsungan hidup neonatal menggunakan cox regression dilakukan terhadap data kelahiran hidup pada tahun 2012-2017 yang tercatat pada SDKI 2017. Hasil penelitian menunjukkan bahwa ibu yang mengonsumsi kurang dari 180 tablet besi selama masa kehamilan berisiko 1,54 lebih besar untuk mengalami kematian neonatal dibandingkan ibu yang mengonsumsi minimal 180 tablet zat besi selama masa kehamilan (95% CI 0,8082,946; nilai-p 0,189). Analisis mneunjukkan bahwa 13,77% kematian neonatal dapat dicegah dengan melakukan suplementasi zat besi minimal 90 tablet selama kehamilan pada seluruh populasi ibu hamil. Hasil penelitian dipengaruhi oleh banyaknya missing data, bias dalam mengingat, serta isu compliance pada konsumsi suplemen zat besi di Indonesia. Walaupun dipengaruhi bias yang kuat, hasil penelitian mengarah pada adanya efek suplementasi zat besi terhadap kelangsungan hidup neonatal
Compared to death of infants aged 1-59 months, neonatal death has slower rate reduction, with annual rate reduction only 2.6% during the last 18 years. One of risk factors causing neonatal death is iron deficiency anemia on pregnant women. Indonesia has high number of anemia among pregnant women, as much as 41,98% in 2016. This study was conducted to examine the effect of iron supplementation during pregnancy towards neonatal survival in Indonesia. Survival analysis using cox regression test was performed towards live birth data in the period of 20122017 recorded on Demographic and Health Survey 2017. Result showed that women consumed less than 180 tablets of iron supplements are having 1,542 times higher risk of neonatal death compared to those consumed 180 tablets of iron or more (95% CI 0,808-2,946; p-value 0,189). Subsequent analysis also showed that implementation of minimum 90 iron tablets consumption during pregnancy program could prevent 13,77% neonatal death in population. The result of this study is strongly affected by selection bias, recall bias, and compliance issue on iron supplementation in Indonesia. Despite of the strong bias, this study points to the present of iron supplementation effect towards neonatal survival.
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Compared to death of infants aged 1-59 months, neonatal death has slower rate reduction, with annual rate reduction only 2.6% during the last 18 years. One of risk factors causing neonatal death is iron deficiency anemia on pregnant women. Indonesia has high number of anemia among pregnant women, as much as 41,98% in 2016. This study was conducted to examine the effect of iron supplementation during pregnancy towards neonatal survival in Indonesia. Survival analysis using cox regression test was performed towards live birth data in the period of 20122017 recorded on Demographic and Health Survey 2017. Result showed that women consumed less than 180 tablets of iron supplements are having 1,542 times higher risk of neonatal death compared to those consumed 180 tablets of iron or more (95% CI 0,808-2,946; p-value 0,189). Subsequent analysis also showed that implementation of minimum 90 iron tablets consumption during pregnancy program could prevent 13,77% neonatal death in population. The result of this study is strongly affected by selection bias, recall bias, and compliance issue on iron supplementation in Indonesia. Despite of the strong bias, this study points to the present of iron supplementation effect towards neonatal survival.
T-6095
Depok : FKM-UI, 2021
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Sabila Ainaya Agrenanda; Pembimbing: Endang L. Achadi; Penguji: Trini Sudiarti, Tiara Luthfie
Abstrak:
Penelitian ini bertujuan untuk mengetahui dan menganalisis hubungan suplementasi zat besi pada ibu selama kehamilan terhadap berat badan lahir bayi. Faktor risiko lain seperti usia ibu, tingkar pendidikan ibu, status pekerjaan ibu, status sosial ekonomi, status pernikahan, paritas, jarak kelahiran, riwayat kehamilan buruk, komplikasi kehamilan, kehamilan kembar, perilaku merokok, frekuensi dan kualitas pelayanan antenatal serta faktor risiko BBLR paling dominan juga akan dianalisis dalam penelitian ini. Penelitian menggunakan pendekatan cross sectional dengan menganalisis data sekunder SDKI 2017. Hubungan suplementasi zat besi dan faktor risiko lain terhadap BBLR dianalisis melalui analisis chi- square dan regresi logistik berganda. Sebanyak 7,6% bayi mengalami BBLR saat lahir dan 44,6% ibu mengonsumsi minimal 90 suplemen zat besi selama kehamilan.
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S-10824
Depok : FKM UI, 2021
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Hera Apprimadona; Pembimbing: Sudarto Ronoatmodjo; Penguji: Helda, Ratna Djuwita, Soewarta Kosen
Abstrak:
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Bayi berat lahir rendah (BBLR) merupakan masalah kesehatan karena termasuk penyebab utama kematian neonatus di Indonesia selain karena dampak negatif jangka panjang yang disebabkannya. Konsumsi Tablet Tambah Darah (TTD) minimal 90 tablet selama kehamilan merupakan upaya menurunkan resiko kejadian BBLR. Namun kepatuhan konsumsi TTD pada ibu hamil di Indonesia masih rendah. Penelitian ini bertujuan untuk menganalisis hubungan kepatuhan konsumsi TTD pada ibu hamil dengan kejadian BBLR di Indonesia menggunakan data Survei Kesehatan Indonesia tahun 2023. Populasi penelitian ini adalah perempuan berusia 10-54 tahun di Indonesia berstatus kawin/cerai hidup/cerai mati yang memiliki riwayat persalinan periode 1 Januari 2018 sampai 25 September 2023, untuk kelahiran terakhir yang telah berakhir yang menjadi responden dalam SKI 2023. Sampel dalam penelitian ini adalah responden dari populasi penelitian yang memenuhi kriteria inklusi. Kriteria inklusi dalam penelitian ini adalah perempuan melahirkan bayi tunggal, informasi berat lahir bayi berdasarkan KIA, dengan data yang lengkap untuk semua variabel yang diteliti. Desain penelitian ini adalah cross sectional dan menggunakan uji regresi cox dalam analisis data bivariat dan multivariat untuk mendapatkan Prevalence Ratio (PR) dengan interval kepercayaan 95%. Pendekatan analisis multivariat dilakukan untuk mengontrol variabel kovariat yaitu usia, pendidikan, pekerjaan, paritas, usia kehamilan, komplikasi kehamilan, merokok, kuantitas ANC K4, kualitas ANC 10T, pola makan, status ekonomi, wilayah tempat tinggal dan jenis kelamin. Hasil penelitian ini menunjukkan proporsi BBLR sebesar 5,33% dan proporsi kepatuhan konsumsi TTD pada ibu hamil sebesar 49,02%. Hasil analisis multivariat menunjukkan hubungan yang signifikan secara statistik antara ibu hamil yang tidak patuh mengkonsumsi TTD dengan kejadian BBLR di Indonesia, dimana ibu hamil yang tidak patuh mengkonsumsi TTD mempunyai risiko 1,216 kali lebih besar (adjusted PR: 1,216; 95% CI: 1,04-1,43; p-value: 0,016) untuk melahirkan BBLR dibandingkan ibu yang patuh mengkonsumsi TTD, setelah dikontrol usia kehamilan Kepatuhan konsumsi TTD pada ibu hamil di masih rendah, padahal berhubungan signifikan dengan kejadian BBLR di Indonesia, sehingga perlu perhatian dari pemerintah untuk meningkatkan kepatuhan konsumsi TTD pada ibu hamil.
Low birth weight (LBW) is a health problem because it is one of the main causes of neonatal mortality in Indonesia in addition to the long-term negative impacts it causes. Consumption of Iron Supplement Tablets (TTD) of at least 90 tablets during pregnancy is an effort to reduce the risk of LBW. However, compliance with TTD consumption in pregnant women in Indonesia is still low. This study aims to analyze the relationship between compliance with TTD consumption in pregnant women and the incidence of LBW in Indonesia using data from the 2023 Indonesian Health Survey. The population of this study were women aged 10-54 years in Indonesia with married/divorced/divorced and died status who had a history of childbirth from January 1, 2018 to September 25, 2023, for the last birth that had ended who were respondents in the 2023 SKI. The sample in this study were respondents from the study population who met the inclusion criteria. The inclusion criteria in this study were women giving birth to a single baby, information on the baby's birth weight based on the KIA, with complete data for all variables studied. The design of this study was cross-sectional and used the cox regression test in bivariate and multivariate data analysis to obtain the Prevalence Ratio (PR) with a 95% confidence interval. The multivariate analysis approach was carried out to control covariate variables, namely age, education, occupation, parity, gestational age, pregnancy complications, smoking, quantity of ANC K4, quality of ANC 10T, diet, economic status, area of residence and gender. The results of this study showed a proportion of LBW of 5.33% and a proportion of compliance with TTD consumption in pregnant women of 49.02%. The results of the multivariate analysis showed a statistically significant relationship between pregnant women who were not compliant in consuming TTD and the incidence of LBW in Indonesia, where pregnant women who were not compliant in consuming TTD had a 1.216 times greater risk (adjusted PR: 1.216; 95% CI: 1.04-1.43; p-value: 0.016) of giving birth to LBW compared to mothers who were compliant in consuming TTD, after controlling for gestational age. Compliance with TTD consumption in pregnant women is still low, even though it is significantly related to the incidence of LBW in Indonesia, so the government needs attention to increase compliance with TTD consumption in pregnant women.
T-7290
Depok : FKM UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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