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Rizqi Firdiana Lubis; Pembimbing: Ahmad Syafiq; Penguji: Sandra Fikawati, Dhora Yufita N
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Penelitian ini dilatar belakangi oleh perbedaan proporsi kejadian Bayi Berat Lahir Rendah (BBLR) berdasarkan tingkat konsumsi Tablet Tambah Darah (TTD). Kejadian BBLR diketahui lebih tinggi pada ibu hamil yang tidak mengkonsumsi TTD sesuai anjuran, sehingga menimbulkan dugaan adanya hubungan antara konsumsi TTD dengan berat badan lahir bayi. Namun, sejumlah penelitian sebelumnya menunjukkan hasil yang tidak konsisten terkait hubungan ini. Tujuan penelitian ini adalah untuk menganalisis hubungan antara konsumsi TTD selama kehamilan dengan berat badan bayi saat lahir. Desain studi yang digunakan adalah cross-sectional dengan pendekatan analisis data sekunder yang bersumber dari Survei Kesehatan Indonesia (SKI) tahun 2023. Sampel penelitian mencakup 51.797 ibu yang dalam lima tahun terakhir melahirkan bayi hidup dan tercatat pernah menerima atau membeli TTD selama kehamilan. Rata-rata berat badan lahir bayi adalah 3.101 gram, sedangkan rata-rata konsumsi TTD oleh ibu hamil sebanyak 70 tablet, masih di bawah rekomendasi pemerintah. Hasil analisis menunjukkan nilai korelasi (r) sebesar 0,007 dan p-value 0,126, yang menandakan tidak adanya hubungan signifikan antara konsumsi TTD dengan berat badan lahir bayi. Variabel lain seperti kepemilikan jaminan kesehatan dan paparan asap rokok juga tidak menunjukkan hubungan signifikan. Namun, faktor seperti pendidikan ibu, paritas, tempat tinggal, risiko kehamilan, kunjungan ANC, dan usia kehamilan saat pertama kali mendapat TTD menunjukkan hubungan yang signifikan.Kata kunci: Informasi, information literacy, information skills
This study was motivated by differences in the proportion of Low Birth Weight (LBW) cases based on the level of iron supplementation consumption. LBW incidence was found to be higher among pregnant women who did not consume iron supplementation according to recommendations, raising the assumption that there may be a relationship between supplementation consumption and infant birth weight. However, several previous studies have shown inconsistent results regarding this association. The aim of this study was to analyze the relationship between iron supplementation consumption during pregnancy and infant birth weight. The study used a cross-sectional design with a secondary data analysis approach, utilizing data from the 2023 Indonesia Health Survey. The sample included 51,797 mothers who had delivered a live baby in the past five years and were recorded as having received or purchased iron supplementation during pregnancy. The average birth weight of the infants was 3,101 grams, while the average TTD consumption among pregnant women was 70 tablets, still below the government's recommended amount. The analysis results showed a correlation coefficient (r) of 0.007 and a p-value of 0.126, indicating no significant relationship between iron supplementation consumption and infant birth weight. Other variables such as health insurance ownership and exposure to cigarette smoke also showed no significant relationship. However, factors such as maternal education, parity, place of residence, pregnancy risk, ANC visits, and gestational age at first TTD intake showed significant associations.
This study was motivated by differences in the proportion of Low Birth Weight (LBW) cases based on the level of iron supplementation consumption. LBW incidence was found to be higher among pregnant women who did not consume iron supplementation according to recommendations, raising the assumption that there may be a relationship between supplementation consumption and infant birth weight. However, several previous studies have shown inconsistent results regarding this association. The aim of this study was to analyze the relationship between iron supplementation consumption during pregnancy and infant birth weight. The study used a cross-sectional design with a secondary data analysis approach, utilizing data from the 2023 Indonesia Health Survey. The sample included 51,797 mothers who had delivered a live baby in the past five years and were recorded as having received or purchased iron supplementation during pregnancy. The average birth weight of the infants was 3,101 grams, while the average TTD consumption among pregnant women was 70 tablets, still below the government's recommended amount. The analysis results showed a correlation coefficient (r) of 0.007 and a p-value of 0.126, indicating no significant relationship between iron supplementation consumption and infant birth weight. Other variables such as health insurance ownership and exposure to cigarette smoke also showed no significant relationship. However, factors such as maternal education, parity, place of residence, pregnancy risk, ANC visits, and gestational age at first TTD intake showed significant associations.
S-12070
Depok : FKM UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Maisan Zahra; Pembimbing: Sutanto Priyo Hastono; Penguji: Rico Kurniawan, Rahmadewi
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Latar belakang: Bayi BBLR berisiko lebih tinggi mengalami kematian dan memiliki masalah kesehatan selama periode tumbuh kembangnya, seperti stunting. Tren prevalensi BBLR menunjukkan adanya penurunan, tetapi penurunan rata-rata tahunan prevalensi BBLR di Indonesia baru mencapai 0,73% dan belum memenuhi target global dari WHO. Nusa Tenggara Timur menjadi provinsi yang konsisten mengalami peningkatan persentase anak lahir hidup dengan BBLR sejak tahun 2021. Angka kematian bayi di Nusa Tenggara Timur (25,67 per 1.000 KH) juga masih lebih tinggi dibandingkan rerata nasional pada tahun 2020. Penelitian ini bertujuan untuk mengetahui determinan kejadian bayi BBLR di Nusa Tenggara Timur dengan menekankan pada faktor sosiodemografi ibu dan lingkungan rumah tangga. Metode: Penelitian ini menggunakan data Susenas tahun 2023 dengan total sampel penelitian sebanyak 1.599 bayi. Penelitian ini menggunakan desain studi potong lintang. Data akan dianalisis secara univariat, bivariat dengan uji chi-square, dan multivariat dengan uji regresi logistik berganda. Hasil: Berdasarkan analisis multivariat, faktor yang berhubungan dengan kejadian bayi BBLR di Nusa Tenggara Timur adalah usia ibu, status pekerjaan ibu, status pernikahan, tempat persalinan, kepemilikan asuransi, tempat tinggal, dan ketahanan pangan rumah tangga. Adapun faktor yang paling dominan adalah status pernikahan (p-value = 0,001; AOR = 1,476; 95% CI = 1,369 – 1,592). Kesimpulan: Kelompok ibu yang berstatus tidak menikah perlu menjadi salah satu perhatian utama dalam upaya penurunan prevalensi BBLR di Nusa Tenggara Timur.
Background: LBW infants are at higher risk of death and health problems during their developmental period, such as stunting. The trend of LBW prevalence shows a decrease, but the annual average decrease in LBW prevalence in Indonesia has only reached 0.73% and has not met the global target set by WHO. East Nusa Tenggara is a province that has consistently experienced an increase in the percentage of children born alive with LBW since 2021. The infant mortality rate in East Nusa Tenggara (25.67 per 1,000 KH) is also still higher than the national average in 2020. This study aims to identify the determinants of the incidence of LBW infants in East Nusa Tenggara by highlighting maternal sociodemographic and the household environment factors. Methods: This study used secondary data (Susenas 2023) with a total study sample of 1,599 infants. Data will be analyzed univariate, bivariate with chi-square test, and multivariate with multiple logistic regression test. Results: Based on multivariate analysis, factors associated with the incidence of LBW babies in East Nusa Tenggara are maternal age, maternal employment status, marital status, place of childbirth, insurance ownership, place of residence, and household food security. The most dominant factor was marital status (p-value = 0.001; AOR = 1.476; 95% CI = 1.369 - 1.592). Conclusion: The group of unmarried mothers needs to be one of the main concerns in efforts to reduce the prevalence of LBW in East Nusa Tenggara.
S-11681
Depok : FKM UI, 2024
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Farhan Kurniawan; Pembimbing: Vetty Yulianty Permanasari; Penguji: Mardiati Nadjib, Erfan Chandra Nugraha
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Bayi prematur dan bayi dengan berat badan lahir rendah (BBLR) merupakan masalah kesehatan masyarakat yang berkontribusi besar terhadap kematian neonatal dan memberikan beban ekonomi dalam sistem Jaminan Kesehatan Nasional (JKN). Penelitian ini bertujuan untuk menganalisis determinan lama hari rawat dan biaya perawatan bayi prematur dan BBLR pada peserta JKN. Penelitian ini menggunakan kohort retrospektif dengan Data Sampel BPJS Kesehatan tahun 2022–2024. Sebanyak 2.119 pasangan ibu dan anak dianalisis. Hasil menunjukkan 73,77% bayi dirawat di tingkat RITL dengan median lama rawat 4 hari. Median biaya RJTL per individu mencapai Rp195.850,00, sementara RITL mencapai Rp7.453.400,00. Faktor usia ibu, usia bayi, kelompok diagnosis bayi, komplikasi neonatal, dan tipe FKRTL secara signifikan memengaruhi lama hari rawat serta biaya perawatan RJTL maupun RITL. Status kelengkapan ANC hanya memengaruhi biaya perawatan RITL secara signifikan. Sementara segmentasi kepesertaan JKN dan regionalisasi tarif INA-CBGs hanya secara signifikan memengaruhi biaya perawatan RJTL maupun RITL. Usia bayi menjadi faktor dominan yang memengaruhi lama hari rawat dan biaya perawatan bayi prematur dan BBLR pada peserta JKN tahun 2022–2023. Dengan demikian, strategi pengendalian biaya dan peningkatan efisiensi perawatan perlu difokuskan pada usia bayi dengan tetap memperhatikan aspek klinis dan karakteristik fasilitas kesehatan yang bekerja sama dalam skema JKN.
Preterm and low birth weight (LBW) infants represent a significant public health concern, contributing substantially to neonatal mortality and imposing an economic burden on Indonesia’s National Health Insurance (JKN) system. This study aims to analyze the determinants of length of stay and treatment cost for preterm and LBW infants covered by JKN. A retrospective cohort design was employed using the Data Sampel BPJS Kesehatan 2022–2024, involving 2,119 mother-infant pairs. Results show that 73.77% of infants received care at advanced inpatient facilities (RITL), with a median length of stay of 4 days. The median outpatient (RJTL) and inpatient (RITL) care costs per individual were Rp195,850 and Rp7,453,400, respectively. Maternal age, infant age, diagnosis group, neonatal complications, and type of referral hospital significantly influenced both the length of stay and healthcare costs in RJTL and RITL settings. Completeness of antenatal care (ANC) visits was significantly associated only with the RITL costs, while JKN membership segmentation and INA-CBGs tariff regionalization significantly affected healthcare costs. Infant age emerged as the most dominant factor in influencing length of stay and treatment cost. These findings highlight the need for cost-control strategies and care efficiency improvements that prioritize infant age, clinical conditions, and facility characteristics within the JKN.
S-11875
Depok : FKM-UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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