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Syaiful Mizan; Pembimbing: Adang Bachtiar; Penguji: Prastuti Soewondo, Purnawan Junadi, Nana Mulyana, Hermawan Saputra
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Stunting adalah kondisi ketidakmampuan pertumbuhan linier yang terjadi akibat masalah gizi, dan memiliki dampak negatif baik dalam jangka pendek maupun jangka panjang. Data SSGI menyebutkan prevalensi stunting pada balita di Provinsi Jawa Barat mencapai 24,5% (tahun 2021) dan 20,2% (tahun 2022). Masih jauh dari target RPJMN 2020-2024 yaitu 14% dan minimal standar WHO yaitu 20%. Tujuan penelitian ini adalah untuk mengetahui hubungan akses pelayanan kesehatan balita dengan kejadian stunting di Provinsi Jawa Barat. Penelitian ini berjenis kuantitatif dengan desain cross sectional. Data yang dianalisis bersumber dari SSGI (Studi Stasus Gizi Indonesia) tahun 2021 dengan analisis univariat, bivariat, dan multivariat. Populasinya sebanyak 4.530 rumah tangga balita, dan sampel sebanyak 4.526 balita di Provinsi Jawa Barat. Hasil penelitian menunjukkan adanya hubungan antara usia balita, berat badan lahir, panjang badan lahir, keberagaman konsumsi, klasifikasi wilayah, fasilitas kesehatan jauh, pemberian vitamin A, status imunisasi, kepemilikan buku KIA, dan sumber air minum dengan kejadian stunting. Penelitian ini menyarankan perlunya peningkatan koalisi stunting lintas sektor di tiap tingkatan wilayah. Dan menempatkan tenaga Kesehatan Masyarakat (Kesmas) dalam program Integrasi Layanan Primer (ILP) untuk mendampingi perawat dan bidan di setiap desa/kelurahan.
Stunting is a condition of linear growth inability that occurs due to nutritional problems, and has negative impacts in both the short and long term. SSGI data states that the prevalence of stunting among toddlers in West Java Province reached 24.5% (in 2021) and 20.2% (in 2022). It is still far from the 2020-2024 RPJMN target of 14% and the minimum WHO standard of 20%. The aim of this research is to determine the relationship between access to health services for toddlers and the incidence of stunting in West Java Province. This research is quantitative with a cross sectional design. The data analyzed comes from the 2021 SSGI (Indonesian Nutritional Status Study) with univariate, bivariate and multivariate analysis. The population was 4,530 households under five, and the sample was 4,526 toddlers in West Java Province. The results of the research show that there is a relationship between toddler age, birth weight, birth length, diversity of consumption, regional classification, distant health facilities, vitamin A administration, immunization status, ownership of KIA books, and drinking water sources with the incidence of stunting. This research suggests the need to increase cross-sector stunting coalitions at each regional level. And placing Community Health (Kesmas) workers in the Primary Service Integration (ILP) program to accompany nurses and midwives in every village/sub-district.
T-6917
Depok : FKM-UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Soraya Permata Sujana; Pembimbing: Al Asyary; Penguji: Budi Hartono, Ririn Arminsih Wulandari, Arif Sumantri, Hermawan Saputra
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Tuberkulosis (TB) merupakan penyakit menular yang masih menjadi masalah kesehatan di Indonesia, terutama di Jawa Barat. Kabupaten Bogor, Kota Bandung, dan Kota Bekasi merupakan tiga wilayah dengan jumlah kasus TB tertinggi di provinsi tersebut. Faktor lingkungan (kepadatan penduduk, ketinggian wilayah, dan cakupan rumah sehat) diduga berperan dalam meningkatkan kejadian TB. Penelitian ini bertujuan untuk mengetahui gambaran kejadian TB dan korelasi faktor lingkungan terhadap kejadian TB, serta menganalisis sebarannya secara spasial untuk mengidentifikasi wilayah risiko tinggi untuk diintervensi. Penelitian ini merupakan studi ekologi menggunakan data sekunder tahun 2022–2024 dari Dinas Kesehatan, BPS, dan BIG. Analisis dilakukan secara deskriptif, korelasi, pemetaan spasial, dan kerawanan menggunakan aplikasi SPSS dan QGIS. Hasil penelitian menunjukkan terjadi peningkatan tren kejadian TB di ketiga wilayah. Terdapat korelasi antara kepadatan penduduk dan cakupan rumah sehat terhadap kejadian TB di Kabupaten Bogor dan Kota Bandung, namun tidak di Kota Bekasi. Ketinggian wilayah tidak menunjukkan hubungan dengan kejadian TB diketiga wilayah. Sebaran faktor lingkungan terhadap kejadian TB menunjukkan adanya variasi antarwilayah. Pemetaan secara spasial mengidentifikasi Kota Bandung sebagai wilayah dengan tingkat kerawanan tinggi. Intervensi pengendalian TB berbasis wilayah diperlukan dan difokuskan pada daerah dengan kepadatan dan kerawanan tinggi. Diharapkan surveilans epidemiologi aktif (active case finding) terus dilakukan, mengembangkan sistem informasi TB spasial secara real-time yang terintegrasi dengan data surveilans aktif, menjalin kerjasama lintas sektor, mengevaluasi standar penilaian rumah sehat, mendorong regulasi daerah terkait TB, serta meningkatkan partisipasi masyarakat untuk pengendalian TB, terutama di wilayah padat penduduk dan berisiko tinggi.
Tuberculosis (TB) is an infectious disease that remains a significant public health problem in Indonesia, particularly in West Java. Bogor Regency, Bandung City, and Bekasi City are among the regions with the highest number of TB cases in the province. Environmental factors such as population density, altitude, and healthy housing coverage, are suspected to contribute to the incidence of TB. This study aims to describe the incidence of TB, examine the correlation between environmental factors and TB cases, and analyze the spatial distribution to identify high-risk areas for targeted intervention. This ecological study used secondary data from 2022 to 2024 obtained from the Health Office, Statistics Indonesia (BPS), and the Geospatial Information Agency (BIG). Analyses were conducted using descriptive statistics, correlation tests, spatial mapping, and vulnerability assessment through SPSS and QGIS applications. The results showed an increasing trend in TB cases across all three regions. A significant correlation was found between population density and healthy housing coverage with TB incidence in Bogor and Bandung, but not in Bekasi. Altitude was not associated with TB incidence in any of the regions. The spatial distribution revealed variations in environmental factors related to TB incidence between regions. Bandung City was identified as having the highest level of TB vulnerability. Area-based TB control interventions are therefore necessary, particularly in densely populated and high-risk areas. It is recommended to strengthen active epidemiological surveillance (active case finding), develop a real-time spatial TB information system integrated with surveillance data, establish cross-sectoral collaboration, evaluate the standards for healthy housing assessment, promote local regulations related to TB control, and enhance community participation in TB prevention, especially in densely populated and high-risk areas.
Tuberculosis (TB) is an infectious disease that remains a significant public health problem in Indonesia, particularly in West Java. Bogor Regency, Bandung City, and Bekasi City are among the regions with the highest number of TB cases in the province. Environmental factors such as population density, altitude, and healthy housing coverage, are suspected to contribute to the incidence of TB. This study aims to describe the incidence of TB, examine the correlation between environmental factors and TB cases, and analyze the spatial distribution to identify high-risk areas for targeted intervention. This ecological study used secondary data from 2022 to 2024 obtained from the Health Office, Statistics Indonesia (BPS), and the Geospatial Information Agency (BIG). Analyses were conducted using descriptive statistics, correlation tests, spatial mapping, and vulnerability assessment through SPSS and QGIS applications. The results showed an increasing trend in TB cases across all three regions. A significant correlation was found between population density and healthy housing coverage with TB incidence in Bogor and Bandung, but not in Bekasi. Altitude was not associated with TB incidence in any of the regions. The spatial distribution revealed variations in environmental factors related to TB incidence between regions. Bandung City was identified as having the highest level of TB vulnerability. Area-based TB control interventions are therefore necessary, particularly in densely populated and high-risk areas. It is recommended to strengthen active epidemiological surveillance (active case finding), develop a real-time spatial TB information system integrated with surveillance data, establish cross-sectoral collaboration, evaluate the standards for healthy housing assessment, promote local regulations related to TB control, and enhance community participation in TB prevention, especially in densely populated and high-risk areas.
T-7396
Depok : FKM-UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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