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Journal : Buletin Penelitian Sistem Kesehatan

DETERMINAN PENYAKIT DIARE PADA ANAK BALITA DI PROVINSI NANGGRO ACEH DARUSSALAM, JAWA BARAT, NUSA TENGGARA BARAT, NUSA TENGGARA TIMUR, GORONTALO DAN PAPUA Ariningrum, Ratih; Sundari, Siti; Riyadina, Woro
Buletin Penelitian Sistem Kesehatan Vol 12, No 2 Apr (2009)
Publisher : Buletin Penelitian Sistem Kesehatan

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Background: Diarrhoeal diseases become the second caused of death of the under-fives, the third in infant, and the fifth at all people in Indonesia. WHO indicated that every year an average of 100.000 children in Indonesia dead because of diarrhoea and Sub directorate of Diarrhoea, MOH indicated that about 301-347 per 1000 people still infected by diarrhoea from year 2000 up to 2003. Methods: This study analyzed the Basic Health Research data collected in 2007 to determine the prevalence, characteristic determinants including its Odd Ratio (behavioral, environmental sanitation, household characteristic, and specific condition of child), of the 20245 under-fives children in 6 provinces having diarrhoea prevalence above the 2007 national diarrhea prevalence rates (16.7%). (NAD: 27%, Gorontalo: 24%, NTB: 23%, NTT: 22%, Papua: 21%, and West Java: 18%). Results: The result showed that the highest prevalence of diarrhoea rates was found at the family with having lower level of percapita expenditure (kuintil 1 and 2); in mother who worked as a farmer/fisherwoman/labour and did not used latrine as well as lack of control for contamination of water available at home. The specific conditions of the under-fives that related to the increase prevalence of diarrhea are the existence of typhoid and measles, frequency of OPT immunization and over weight condition. The Odds of having diarrehea occurred in the under-fives having measles 1 month earlier (OR. 2.61) followed by the lack of control of the quality of the water condition available at home (OR 2.19), open water tank (OR 1.40), Defecate not in WC (OR1.36), Not receiving meales immunization (OR 1.37) and OPT immunization less than 3 times (OR 1. 19). It is concluded that to prevent diarrhea, it is important for children to have full coverage of immunization, to improve health behavior of mothers and children especially to wash hand before eating or preparing meals, and to improve housing condition and sanitation. For the next Basic Health Research data collection, it is recommended to improve quality of questions in order to get more specific information related to the childs habits and practices to prevent diarrhoea. Key words: diarrhea, determinants, behaviour, under-fives, basic health research
INSIDEN HIPERTENSI PADA KOHOR PROSPEKTIF DI KELURAHAN KEBON KALAPA BOGOR Sirait, Anna Maria; Riyadina, Woro
Buletin Penelitian Sistem Kesehatan Vol 16, No 1 Jan (2013)
Publisher : Buletin Penelitian Sistem Kesehatan

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Abstract

Latar Belakang: Hipertensi merupakan masalah utama dalam kesehatan masyarakat baik di negara maju maupun di negara sedang berkembang. Mengingat komplikasi yang ditimbulkan hipertensi ini sangat besar, maka penyakit iniperlu dikontrol atau dikendalikan. Tujuan: penelitian ini adalah untuk mengetahui insiden hipertensi dan faktor risiko yang berkaitan dengan hipertensi. Metode: Desain penelitian adalah kohor prospektif yang dilakukan pada responden umur 25-65 tahun sebanyak 1311 orang di Kelurahan Kebon Kalapa, Kota Bogor tahun 2012. Semua responden telahbebas dari penyakit hipertensi dan toleransi glukosa terganggu (TGT), kemudian dilakukan follow-up pengukuran tekanan darah setiap kwartalan (3 kali) dalam satu tahun. Variabel dependen (kasus baru) adalah responden yang didiagnosis hipertensi 2 kali dari 3 kali pemeriksaan dalam periode waktu follow up. Variabel independen meliputi faktor demografi (jenis kelamin, umur, pendidikan), status gizi dan obesitas abdominal, perilaku (merokok, aktifi tas fi sik dan stres) danstatus TGT (Toleransi Glukosa Terganggu). Data dianalisis dengan uji regresi logistik. Hasil: Hasil penelitian menunjukkan bahwa insiden hipertensi yang muncul dalam periode satu tahun (2012) di Kota Bogor sebesar 16,8%. Faktor risiko yang berhubungan dengan kejadian hipertensi meliputi umur, pendidikan (rendah dan menengah), status gizi (berat badan berlebih dan obese) dan stres. Kesimpulan dan saran: Perlu dilakukan pengendalian hipertensi melalui penurunan berat badan (pencegahan obesitas), meningkatkan pengetahuan (pencegahan maupun akibat yang ditimbulkan penyakit hipertensi) dan mengendalikan stres.