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Lulu`ul Badriyah; Pembimbing: Ahmad Syafiq; Penguji: Sandra Fikawati, Asih Setiarini, Anies Irawati, Giri Wurjandaru
Abstrak:
Stunting merupakan salah satu faktor yang paling signifikan menghambatpembangunan sumber daya manusia. Tujuan utama dari penelitian adalahmengetahui hubungan sanitasi dan hygiene dengan stunting pada anak usia 0-23bulan di Indonesia. Penelitian ini menggunakan desain cross-sectional denganjumlah sampel sebanyak 9.688 anak. Penelitian ini mengolah data Riskesdas 2013menggunakan analisis regresi logistik. Prevalensi stunting pada anak usia 0-23bulan di Indonesia sebesar 33,3%. Hasil analisis bivariat menunjukkan stuntingberhubungan signifikan dengan sumber air minum, penggunaan jamban,pembuangan air limbah, pengelolaan sampah, cuci tangan dengan sabun, dan BABsembarangan, Dalam analisis multivariat, stunting berhubungan denganpenggunaan jamban (AOR 1,132 95% CI 1,013-1,265) dan pengelolaan sampah(AOR 1,191 95%CI 1,078-1,316). Selain itu, variabel lain yang berhubungansignifikan dengan stunting adalah usia anak, jenis kelamin, ASI eksklusif, beratlahir, tinggi ibu, dan pendidikan ibu. Kesimpulan dari penelitian ini adalah sanitasidan hygiene berhubungan signifikan dengan stunting pada anak usia 0-23 bulan.Oleh karena itu, perlu dilakukan upaya peningkatan intervensi sanitasi dan hygienesebagai bentuk preventif terhadap stunting.Kata kunci: stunting, sanitasi, hygiene, 0-23 bulan
Stunting is one of the most significant factors inhibiting the development of humanresources. The main objective of the study was to determine the relationship ofsanitation and hygiene with stunting in children aged 0-23 months in Indonesia.This study used a cross-sectional design with a total sample of 9688 children. Thisresearch used data of Riskesdas 2013. Data analysis used regression logistic. Theprevalence of stunting in children aged 0-23 months in Indonesia was 33.3%. Inbivariate analysis, stunting significantly associated with sources of drinking water,use of latrines, sewage management, waste management, wash hands with soap,and open defecation. In multivariate analysis, stunting associated with latrine use(AOR 1.132 95% CI 1.013-1.265) and waste management (AOR 1.191 95% CI1.078-1.316). In addition, other variables associated with stunting are the child'sage, gender, exclusive breastfeeding, birth weight, maternal height and maternaleducation. The conclusion of this study is sanitation and hygiene significantlyassociated with stunting. Therefore, it is necessary to improve intervention ofsanitation and hygiene behavior to prevent stunting.Keywords: stunting, sanitation, hygiene, 0-23 months.
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Stunting is one of the most significant factors inhibiting the development of humanresources. The main objective of the study was to determine the relationship ofsanitation and hygiene with stunting in children aged 0-23 months in Indonesia.This study used a cross-sectional design with a total sample of 9688 children. Thisresearch used data of Riskesdas 2013. Data analysis used regression logistic. Theprevalence of stunting in children aged 0-23 months in Indonesia was 33.3%. Inbivariate analysis, stunting significantly associated with sources of drinking water,use of latrines, sewage management, waste management, wash hands with soap,and open defecation. In multivariate analysis, stunting associated with latrine use(AOR 1.132 95% CI 1.013-1.265) and waste management (AOR 1.191 95% CI1.078-1.316). In addition, other variables associated with stunting are the child'sage, gender, exclusive breastfeeding, birth weight, maternal height and maternaleducation. The conclusion of this study is sanitation and hygiene significantlyassociated with stunting. Therefore, it is necessary to improve intervention ofsanitation and hygiene behavior to prevent stunting.Keywords: stunting, sanitation, hygiene, 0-23 months.
T-4626
Depok : FKM UI, 2016
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Fathimah Aqiyla; Pembimbing: Ririn Arminsih Wulandari; Penguji: Fitri Kurniasari, Yulia Fitriani Ningrum
Abstrak:
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Stunting merupakan salah satu bentuk malnutrisi pada anak yang ditandai oleh gangguan pertumbuhan linear berdasarkan panjang/tinggi badan menurut usia di bawah -2 SD pada standar WHO. DKI Jakarta mengalami kenaikan prevalensi stunting dari 14,8% pada 2022 menjadi 17,3% pada 2023. Hal ini berkaitan dengan tingginya kepadatan penduduk, keterbatasan akses hunian layak, dan kurangnya air bersih yang dapat menyebabkan infeksi berulang dan kekurangan gizi. Berdasarkan data BPS 2023, sebanyak 19,27% rumah tangga di DKI Jakarta tergolong kumuh. Penelitian ini bertujuan untuk menganalisis pengaruh faktor balita, keluarga, dan WASH terhadap stunting pada balita usia 0–59 bulan di wilayah kerja Puskesmas Kelurahan Ancol tahun 2024. Desain penelitian ini adalah case control dengan 108 responden, menggunakan kuesioner dan observasi lapangan. Analisis data meliputi uji univariat, bivariat, dan multivariat (regresi logistik berganda). Hasil bivariat menunjukkan hubungan signifikan antara stunting dengan status gizi, riwayat infeksi, usia ibu, fasilitas buang air besar, pengelolaan limbah, pengelolaan sampah, dan perilaku mencuci tangan. Analisis multivariat menunjukkan bahwa faktor dominan terhadap stunting adalah status gizi (p=<0,001; OR=6,85), riwayat infeksi (p=0,004; OR=4,34), pengelolaan sampah (p=0,008; OR=6,35), dan perilaku mencuci tangan (p=0,006; OR=4,04).
Stunting is a form of malnutrition in children characterized by impaired linear growth, defined as height-for-age below -2 SD based on WHO growth standards. DKI Jakarta experienced an increase in stunting prevalence from 14.8% in 2022 to 17.3% in 2023. This condition is associated with high population density, limited access to proper housing, and reduced availability of clean water, which can lead to recurrent infections and chronic malnutrition. According to Indonesia Statistics Agency (BPS) in 2023, 19.27% of households in DKI Jakarta were categorized as slum areas. This study aimed to analyze the influence of child, family, and WASH factors on stunting among children aged 0–59 months in the working area of Ancol Health Center, North Jakarta, in 2024. This study used a case-control design involving 108 respondents, with data collected through questionnaires and field observations. Data analysis included univariate, bivariate, and multivariate tests using multiple logistic regression. Bivariate analysis showed significant associations between stunting and nutritional status, history of infection, maternal age, toilet facilities, wastewater and solid waste management, and handwashing behavior. Multivariate analysis identified four dominant factors: nutritional status (p=<0.001; OR=6.85), history of infection (p=0.004; OR=4.34), waste management (p=0.008; OR=6.35), and handwashing behavior (p=0.006; OR=4.04).
Stunting is a form of malnutrition in children characterized by impaired linear growth, defined as height-for-age below -2 SD based on WHO growth standards. DKI Jakarta experienced an increase in stunting prevalence from 14.8% in 2022 to 17.3% in 2023. This condition is associated with high population density, limited access to proper housing, and reduced availability of clean water, which can lead to recurrent infections and chronic malnutrition. According to Indonesia Statistics Agency (BPS) in 2023, 19.27% of households in DKI Jakarta were categorized as slum areas. This study aimed to analyze the influence of child, family, and WASH factors on stunting among children aged 0–59 months in the working area of Ancol Health Center, North Jakarta, in 2024. This study used a case-control design involving 108 respondents, with data collected through questionnaires and field observations. Data analysis included univariate, bivariate, and multivariate tests using multiple logistic regression. Bivariate analysis showed significant associations between stunting and nutritional status, history of infection, maternal age, toilet facilities, wastewater and solid waste management, and handwashing behavior. Multivariate analysis identified four dominant factors: nutritional status (p=<0.001; OR=6.85), history of infection (p=0.004; OR=4.34), waste management (p=0.008; OR=6.35), and handwashing behavior (p=0.006; OR=4.04).
S-12106
Depok : FKM UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Nia Watri Wahyuni; Pembimbing: Budi Utomo; Penguji: Rico Kurniawan, Sudijanto Kamso, Soedibyo Alimoeso, Sri Sumarmi
Abstrak:
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Stunting memiliki dampak jangka pendek dan jangka panjang. Stunting disebabkan oleh banyak factor. Air, sanitasi, dan lingkungan berkontribusi 50% sebagai penyebab stunting. Tujuan penelitian ini adalah untuk mengetahui pengaruh sanitasi dan hygiene terhadap stunting pada balita di Papua Tengah, NTT, dan Aceh. Penelitian menggunakan desain cross sectional. Data dari SKI 2023 dengan sampel 5.666 (pasangan balita dan ibu balita). Proporsi kejadian stunting di Provinsi Papua Tengah (35,8%), NTT (33,3%) dan Aceh (27,7%).Variabel yang mempengaruhi stunting di Papua Tengah adalah sumber air minum, penggunaan jamban, pengelolaan sampah, CTPS, tinggi ibu, jumlah anggota keluarga, dan daerah tempat tinggal. Variabel yang mempengaruhi stunting di NTT adalah sumber air minum, penggunaan jamban, pembuangan limbah, pengelolaan sampah, CTPS, BB lahir, PB lahir, jenis kelamin, tinggi ibu, LILA ibu, pendidikan ibu, dan daerah tempat tinggal. Variabel yang mempengaruhi stunting di Aceh adalah pengelolaan sampah, PB lahir, tinggi ibu, dan LILA ibu. Factor sanitasi lingkungan dan kebersihan diri yang paling mempengaruhi stunting di Papua Tengah adalah sumber air minum dengan AOR 3,4 (95% CI: 1,7 – 6,7), di NTT dan Aceh adalah pengelolaan sampah dengan AOR masing-masing 1,4 (95% CI: 0,8 – 2,4) dan 1,1 (95% CI: 0,9 – 1,4) setelah dikontrol variabel lainnya. Bagi pemerintah, diharapkan hasil penelitian ini dapat meningkatkan pemerataan akses sanitasi dan air bersih dengan meningkatkan kerjasama instansi terkait. Bagi Dinas Kesehatan diharapkan dapat mengoptimalkan program STBM, peningkatkan pengawasan air minum, dan meningkatkan promkes tentang PHBS.
Stunting has short-term and long-term impacts. Stunting is caused by many factors. Water, sanitation, and environment contribute 50% as the cause of stunting. The purpose of this study was to determine the effect of sanitation and hygiene on stunting in toddlers in Central Papua, NTT, and Aceh. The study used a cross-sectional design. Data from SKI 2023 with a sample of 5,666 (toddler and toddler mother pairs). The proportion of stunting incidents in Central Papua Province (35.8%), NTT (33.3%) and Aceh (27.7%). The variables that affect stunting in Central Papua are drinking water sources, use of latrines, waste management, CTPS, maternal height, number of family members, and area of residence. The variables that affect stunting in NTT are drinking water sources, use of latrines, waste disposal, waste management, CTPS, birth weight, birth weight, gender, maternal height, maternal LILA, maternal education, and area of residence. The variables that affect stunting in Aceh are waste management, birth weight, maternal height, and maternal LILA. The environmental sanitation and personal hygiene factors that most influence stunting in Central Papua are drinking water sources with an AOR of 3.4 (95% CI: 1.7 - 6.7), in NTT and Aceh are waste management with AORs of 1.4 (95% CI: 0.8 - 2.4) and 1.1 (95% CI: 0.9 - 1.4) respectively after controlling for other variables. For the government, it is hoped that the results of this study can improve equal access to sanitation and clean water by increasing cooperation between related agencies. For the Health Office, it is hoped that it can optimize the STBM program, increase supervision of drinking water, and improve health promotion on PHBS.
T-7168
Depok : FKM UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Mohammad Ihsan; Pembimbing: Haryoto Kusno Putranto; Penguji: Al Asyary, Widya Utami
Abstrak:
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Higiene dan sanitasi dasar yang tidak memadai dapat menjadi salah satu faktor risiko penyakit menular lingkungan seperti diare. Penyakit diare merupakan salah satu penyakit yang paling banyak ditemui di daerah pesisir seperti di Kelurahan Pulau Harapan. Selain higiene dan sanitasi, lantai yang merupakan bagian dari bangunan rumah, dapat menjadi faktor risiko lain dari penularan penyakit diare. Penelitian ini bertujuan untuk mengetahui hubungan antara kondisi higiene dan sanitasi dasar serta kondisi lantai rumah dengan kejadian diare di Kelurahan Pulau Harapan, Kecamatan Kepulauan Seribu Utara, Kabupaten Administrasi Kepulauan Seribu, Provinsi DKI Jakarta Desain studi yang digunakan adalah pada penelitian ini adalah cross-sectional, dengan metode pengambilan data berupa wawancara menggunakan instrumen kuesioner dan observasi langsung pada kondisi higiene dan sanitasi dasar serta kondisi lantai rumah rumah tangga penduduk. Dari total 96 responden pada penelitian ini, ditemukan kasus kejadian diare dalam sebulan terakhir, sebanyak 25 orang dan yang tidak mengalami kasus kejadian diare sebanyak 71 orang. Dengan kelompok anak-anak (dibawah 17 tahun) menjadi yang terbanyak yaitu berjumlah 13 kasus. Hasil analisis uji chi square menyatakan bahwa, terdapat hubungan yang signifikan pada variabel: jamban sehat (p-value 0,005), kualitas air (fisik) (p-value 0,005), dan fasilitas tempat sampah (p-value 0,019). Penentuan variabel yang paling dominan terhadap kejadian diare menggunakan uji regresi logistik didasarkan dari nilai Exp (B) atau Odds Ratio pada pemodelan multivariat akhir, yang terbesar adalah 6,389 pada variabel kondisi jamban (p-value 0,002), sehingga variabel kondisi jamban memiliki kecenderungan paling dominan yang berhubungan dengan penyakit diare. Dari penelitian ini, diharapkan pemerintah dan masyarakat dapat berkolaborasi untuk saling memperhatikan kebersihan lingkungan untuk meningkatkan derajat kesehatan masyarakat. Kemudian, untuk penelitian selanjutnya dapat menggali lebih dalam terkait variabel lain yang mungkin berhubungan dengan kejadian diare di pulau lainnya dalam wilayah Kecamatan Kepulauan Seribu Utara.
Inadequate basic hygiene and sanitation can be a risk factor for environmental infectious diseases such as diarrhea. Diarrhea is one of the diseases most commonly found in coastal areas such as Pulau Harapan Village. Apart from hygiene and sanitation, the floor which is part of the house building, can be another risk factor for transmitting diarrheal diseases. This study aims to determine the relationship between basic hygiene and sanitation conditions and the condition of house floors with the incidence of diarrhea in Harapan Island Village, North Seribu Islands District, Seribu Islands Administrative Regency, DKI Jakarta Province. The study design used in this research is cross-sectional, with data collection methods in the form of interviews using questionnaire instruments and direct observation of basic hygiene and sanitation conditions as well as the condition of the floors of residents' households. The number of total respondent in this research (96), 25 people found cases of diarrhea in the last month and 71 people did not experience cases of diarrhea. Children (under 17 years) are the most group by age (13 cases) found cases of diarrhea. The research analysis with chi square test stated that there was a significant relationship with the variables: healthy latrines (p-value 0.005), water quality (physical) (p-value 0.005), and waste bin facilities (p-value 0.019). Determining the most dominant variable in the incidence of diarrhea using the logistic regression test was based on the Exp (B) or Odds Ratio score in the final multivariate modeling, the biggest score was 6.389 in the latrine condition variable (p-value 0.002), that conclude the latrine condition variable is the most dominant to the relationship of diarrhea case. From this research, hopefully the government and the people can collaborate to pay attention to environmental cleanliness to improve the level of public health in Kelurahan Pulau Harapan. Then, for further research, hopefully other researcher can dig deeper into other variables that may be related to the incidence of diarrhea on other islands in North Seribu Islands District.
S-11580
Depok : FKM-UI, 2024
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Tania Varera; Pembimbing: Ema Hermawati; Penguji: Zakianis, Ririn Arminsih Wulandari, Yulia Fitria Ningrum, Nailul Hikmi
Abstrak:
Warung Tegal merupakan jenis warung yang seringkali makanannya terkontaminasi oleh bakteri E. coli. Penelitian ini bertujuan mengetahui hubungan waktu penyajian pangan yang lebih dari 6-8 jam dengan kontaminasi E. coli pada makanan di 51 Warung Tegal di Kecamatan Beji, Cimanggis, Sukmajaya Kota Depok tahun 2024. Penelitian ini menggunakan desain studi cross sectional, dilaksanakan pada bulan Juni 2024. Jumlah sampel sebanyak 51 makanan (usus ayam) di Warung Tegal, dan responden penelitian adalah seluruh penjamah makanan sebanyak 99 orang penjamah. Hasil pemeriksaan menunjukkan 36 (70.6%) sampel makanan terkontaminasi bakteri E. coli. Hasil penelitian menunjukkan adanya hubungan antara waktu penyajian (p-value 0.006), penyimpanan bahan makanan (p-value 0.006), dan pengetahuan penjamah (p-value 0.031) dengan kontaminasi E. coli. Peran penjamah makanan sangat penting dalam meningkatkan kualitas makanan di Warung Tegal. Perlu adanya penyuluhan dan pelatihan praktik higiene sanitasi pengelolaan pangan untuk pemilik, pengelola, dan penjamah sebagai upaya pencegahan kontaminasi pada makanan di Warung Tegal.
Warung Tegal is a type of stall that is often contaminated with E. coli bacteria. This study aimed to determine the relationship between food serving time of more than 6-8 hours with E. coli contamination in food at 51 Warung Tegal in Beji, Cimanggis, Sukmajaya, Depok City in 2024. This study used a cross sectional study design, conducted in June 2024. The number of samples was 51 food (chicken intestine) in Warung Tegal, and the respondents were all food handlers as many as 99 handlers. The results showed 36 (70.6%) food samples were contaminated with E. coli bacteria. The results showed a relationship between serving time (p-value 0.006), food storage (p-value 0.006), and food handler knowledge (p-value 0.031) with E. coli contamination. The role of food handlers is very important in improving the quality of food in Tegal Warung. There is a need for counselling and training on food hygiene and sanitation practices for owners, managers, and food handlers as an effort to prevent contamination of food in Warung Tegal.
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Warung Tegal is a type of stall that is often contaminated with E. coli bacteria. This study aimed to determine the relationship between food serving time of more than 6-8 hours with E. coli contamination in food at 51 Warung Tegal in Beji, Cimanggis, Sukmajaya, Depok City in 2024. This study used a cross sectional study design, conducted in June 2024. The number of samples was 51 food (chicken intestine) in Warung Tegal, and the respondents were all food handlers as many as 99 handlers. The results showed 36 (70.6%) food samples were contaminated with E. coli bacteria. The results showed a relationship between serving time (p-value 0.006), food storage (p-value 0.006), and food handler knowledge (p-value 0.031) with E. coli contamination. The role of food handlers is very important in improving the quality of food in Tegal Warung. There is a need for counselling and training on food hygiene and sanitation practices for owners, managers, and food handlers as an effort to prevent contamination of food in Warung Tegal.
T-7121
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Sarah Alifia Ranaa; Pembimbing: Agustin Kusumayati; Penguji: Haryoto Kusno Putranto, Yulia Fitria Ningrum
Abstrak:
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MTs X, salah satu sekolah di DKI Jakarta ditemukan terjadi keracunan makanan pada 16 siswanya diduga akibat mengonsumsi spageti yang terlihat basi dari pedagang kaki lima di depan sekolah. Ciri spageti yang terlihat basi tersebut tidak menjadi halangan bagi anak sekolah untuk jajan dan mengonsumsi jajanan. Padahal pemilihan pangan jajanan di sekolah merupakan hal yang krusial diperhatikan oleh setiap anak terutama dalam hal mempertimbangkan konsekuensi dampak buruk terhadap kesehatan. Tujuan penelitian ini adalah diketahuinya gambaran perilaku memilih jajanan aman berdasarkan faktor predisposisi, faktor penguat, dan faktor pemungkin pada anak sekolah usia 12–15 tahun di MTs X tahun 2023. Desain penelitian ini menggunakan cross sectional dan pengambilan sampel menggunakan teknik proportionate stratified random sampling. Hasil dari penelitian ini adalah mayoritas siswa/siswi MTs X sudah memiliki pengetahuan tentang jajanan aman (63,9%), sikap memilih jajanan aman (52,6%), pola asuh orang tua dalam memilih jajanan aman (61,9%), dukungan teman sebaya dalam memilih jajanan aman (53,6%), kebiasaan membawa bekal (72,2%), dan uang jajan sekolah besar (74,2%) yang cukup baik. Akan tetapi, mayoritas responden memiliki perilaku memilih jajanan aman yang tidak baik (73,2%) dan mayoritas ketersediaan jajanan aman masih memerlukan perbaikan, terutama dalam aspek personal higiene pedagang. Tidak terdapat variabel independen (pengetahuan tentang jajanan aman, sikap memilih jajanan aman, pola asuh orang tua dalam memilih jajanan aman, dukungan teman sebaya dalam memilih jajanan aman, kebiasaan membawa bekal, dan uang jajan sekolah) yang memiliki asosiasi bermakna dengan perilaku memilih jajanan aman. Kesimpulan penelitian ini adalah ketersediaan jajanan yang aman di lingkungan sekolah mendukung pemilihan jajanan anak yang aman pula.
MTs X, one of the schools in DKI Jakarta, was found to have had food poisoning in 16 of its students, allegedly due to consuming spaghetti that looked stale from a street vendor in front of the school. The characteristic that spaghetti looks stale is not an obstacle for school children to snack and consume snacks. In fact, choosing snacks at school is something that is crucial for every child to pay attention to, especially when considering the consequences of negative impacts on health. The aim of this research is to find out a picture of the behavior of choosing safe snacks based on predisposing factors, reinforcing factors and enabling factors in school children aged 12–15 years at MTs X in 2023. This research design uses cross sectional and sampling using proportionate stratified random sampling technique. The results of this research are that the majority of MTs X students already have knowledge about safe snacks (63.9%), attitudes towards choosing safe snacks (52.6%), parenting patterns in choosing safe snacks (61.9%), peer support in choosing safe snacks (53.6%), the habit of bringing lunch (72.2%), and quite good school pocket money (74.2%). However, the majority of respondents have poor behavior in choosing safe snacks (73.2%) and the majority of safe snack availability still requires improvement, especially in the aspect of personal hygiene of traders. There are no independent variables (knowledge about safe snacks, attitude towards choosing safe snacks, parenting style in choosing safe snacks, peer support in choosing safe snacks, habits of bringing lunch, and school pocket money) that have a significant association with behavior in choosing safe snacks. The conclusion of this research is that the availability of safe snacks in the school environment supports children's safe snack choices.
S-11535
Depok : FKM-UI, 2024
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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