ABSTRAK Angka Kematian Ibu (AKI) dan Angka kematian Bayi (AKB) di Indonesia masih masih cukup tinggi di banding dengan negara-negara di Asia Tenggara. Cakupan persalinan oleh tenaga kesehatan hasil Survey Demografi dan Kesehatan Indonesia (SDKI) tahun 2007, di Indonesia masih rendah yaitu 73%, cakupan pertolongan persalinan oleh tenaga kesehatan di Kabupaten Sukabumi 77,9% (Profil Dinas Kesehatan Kab. Sukabumi tahun 2009) dan di wilayah kerja Puskesmas Kalibunder Kabupaten Sukabumi penolong persalinan oleh tenaga kesehatan 77,1% (Profil Puskesmas Kalibunder tahun 2011), ini memperlihatkan bahwa pertolongan persalinan oleh tenaga kesehatan masih di bawah Standar Pelayanan Minimal Bidang Kesehatan yaitu pada tahun 2015 harus mencapai 95%. Penelitian ini bersifat kuantitatif dengan studi cross sectional. Data dikumpulkan dengan cara wawancara terhadap ibu yang melahirkan pada bulan Meret 2011 sampai dengan bulan Februari 2012. Hasil penelitian mendapatkan sikap terhadap penolong persalinan dan dukungan keluarga berhubungan dengan pemilihan penolong persalinan, sikap merupakan faktor yang paling dominan dimana ibu yang bersikap positif terhadap penolong persalinan 58,64 kali memilih tenaga kesehatan sebagai penolong persalinan dibanding yang bersikap negatif setelah dikontrol oleh dukungan keluarga, umur, paritas, dan pengetahuan ibu tentang persalinan.

 ABSTRACT Maternal Mortality Rate (MMR) and Infant mortality rate (IMR) in Indonesia is considered as high compared with other countries in Southeast Asia. Coverage of deliveries by skilled medical personnel based on 2007 Indonesia Demographic and Health Survey (IDHS) is still at 73%, the coverage of delivery assistance by health personnel in the Sukabumi District is at 77.9% (2009 Sukabumi District Health Office Profile) and in the work area of Kalibunder health center, Sukabumi district delivery helped by health personnel is at 77.1% (2011 Kalibunder Health Center Profile), This shows that the delivery assistance by medical personnel is still far below the Minimum Service Standard for the Health Sector which is around 95% by the year 2015 The study was a cross section quantitative study. The data collected are the primary data, obtained by interviewing mothers giving birth in March 2011 until February 2012.The results obtained from this study concluded that the attitude and family support factors were significantly associated with the selection of delivery helper, Attitude is the most dominant factor where 58.64% of mother with positive attitude with the delivery helper choose medical personnel as their delivery helper compared with the negative one, followed by control and support by family, age, parity, and knowledge about delivery.

Infeksi Saluran Pernapasan Akut (ISPA) merupakan masalah kesehatan pertama pada sepuluh data penyakit terbesar di Desa Padabeunghar Kecamatan Jampangtengah Kabupaten Sukabumi. Hal tersebut disebabkan oleh adanya kegiatan industri kapur. Tujuan studi ini adalah untuk mengetahui hubungan pajanan PM10 terhadap gangguan iritasi dan infeksi saluran pernapasan yang dialami oleh penduduk dengan menggunakan rancangan studi potong lintang (cross sectional). Sebanyak 30 RT terpilih sebagai cluster dan mencakup 334 penduduk sebagai responden. Analisis data menggunakan uji kai kuadrat dan uji regresi logistik ganda. Hasil penelitian diperoleh Konsentrasi PM10  0.017 – 1.101 mg/m 3 dengan rata- 3 rata 0.292 mg/m . Jumlah responden yang mengalami gangguan pernapasan 107 orang (32%). Hasil penelitian ini menunjukkan ada hubungan antara Konsentrasi PM10 (p=0.0005), Intake PM10 (p=0.005), lama tinggal (p=0.029), bahan bakar memasak (p=0.044) dan anggota keluarga mengalami gangguan pernapasan (p=0.018) dengan gangguan saluran pernapasan penduduk. Hasil uji regresi logistik ganda model faktor risiko menunjukkan adanya hubungan antara konsentrasi PM10 udara ambien dengan gangguan saluran pernapasan nilai (OR=2.4 ; 95% CI : 1.168 – 5.078). Kata Kunci : Pencemaran udara, PM10 Udara Ambien, Penambangan Batu Kapur Tradisional, Gangguan Saluran Pernapasan

 Acute Respiratory Infection (ARI) is defined as the first health problem amongst the worst 10 health problems in Padabeunghar Village, Sub District of Jampangtengah in the regency of Sukabumi. It is due to the limestone industry activities in this area. This study was to perceive the relationship between the exposure of PM10 and respiratory irritation and infection, which was being suffered by the people, using Cross Sectional approach. As many as 30 neighbourhood associations had been selected as a cluster with 334 respondents. Chi Square and Double Logistic Regression Tests were used for data analysis. Experimental results showed that PM10 concentration ranged between 0.017 – 1.101 mg/m 3 with the average of 0.292 mg/m 3 . Number of respondents that were suffered respiration tract disorder is 107 (32%). The results showed the correlations amongst concentration of PM10 (p=0.0005), intake PM10 (p=0.005), exposure period (p=0.029), cooking fuel (p=0.044), and family members experiencing respiratory infections (p=0.018) with the respiration infected people. Double logistic regression test yields risk factor model OR=2.4 (95% CI: 1.168 – 5.078) for correlation between concentration of PM10 air ambient and respiration infections. Keywords: Air pollution, PM10 air ambient, traditional limestone mining, respiratory tract disorder