Mexitalia Setiawati
Staf Pengajar Bagian Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Diponegoro

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PROPORSI DAN STATUS GIZI PADA ANAK PRASEKOLAH DENGAN KESULITAN MAKAN DI SEMARANG (Studi Kasus di Kelurahan Tandang dan Sendangguwo) Harinda, Loraine; Rahma, Wardati; Setiawati, Mexitalia
MEDIA MEDIKA MUDA 2012:MMM VOLUME 1 NUMBER 1 YEAR 2012
Publisher : MEDIA MEDIKA MUDA

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Abstract

Latar Belakang : Kesulitan makan pada anak merupakan masalah kesehatan dengan prevalensi yang cukup tinggi di berbagai negara. Hal tersebut tak hanya berdampak pada pertumbuhan dan perkembangan, namun juga menyebabkan gangguan kognitif dan perilaku pada masa remaja dan dewasa, hingga kondisi kesehatan yang mengancam nyawa. Pertumbuhan seorang anak dapat diketahui dengan penilaian status gizi.Tujuan : Penelitian ini bertujuan untuk mendeskripsikan proporsi dan status gizi pada anak prasekolah dengan kesulitan makan.Metode : Rancangan penelitian adalah belah lintang dengan analisis deskriptif. Subjek penelitian adalah anak pra-sekolah berusia 2-5 tahun di Kelurahan Tandang dan Sendangguwo, Semarang. Subyek penelitian sebanyak 93 anak yang dipilih dengan metode consecutive sampling. Pengambilan data dilakukan dengan pengisian kuesioner dan pengukuran antropometri.Hasil : Proporsi kesulitan makan yang ditemukan adalah inappropriate feeding practice sebesar 96,8% dan parental misperception sebesar 3,2%. Status gizi sebagian besar anak dengan kesulitan makan adalah gizi baik sebesar 90,3%; sisanya gizi kurang (5,4%), gizi lebih (1,1%), dan obesitas (3,2%). Orangtua mulai mengenalkan makanan pendamping ASI pertama pada rerata usia 5,3±3,02 bulan dan pemberian makanan keluarga pertama pada 18,3±8,21 bulan.Simpulan : Sebagian besar anak dengan kesulitan makan terdiagnosa inappropriate feeding practice. Sementara itu, status gizi mayoritas subjek adalah gizi baik.Kata kunci : kesulitan makan, status gizi, anak prasekolah
Factors That Related with Incomplete Children Immunization in Kuala Tungkal II Health Center yundri, yundri; Setiawati, Mexitalia; Suhartono, Suhartono; Setyawan, Henry; Budhi, Kamilah
Jurnal Berkala Epidemiologi Vol 5, No 3 (2017): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

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ABSTRACTImmunization is a program be done to protect a human body from diseases. In Tanjung Jabung Barat District, the completeness of mmunization has not reached in MDGs (> 93%). According to the health agency information, showed that the completeness of  immunization in West Tanjung Tabung regency (89%) and Kuala Tungkal II health Center (78%). The purpose of this research is to analyze factors that related with the status of basic Immunization. The type of research is qualitative method through indepth interview. This research uses cross sectional design. The research was be located on Kuala Tungkal II PHC in Tanjung Jabung Barat Regency. The population is all mothers who have children aged 12-24 months. Sampling is done by random sampling. The result showed that were a significant relationship between maternal education level (p = 0.007; OR 3.15; 95% CI 1.33-7.49), mother’s knowledge (p = 0.000; OR = 45.25; 95% CI 13.23-154.72), mothers attitude (p = 0.000; OR = 94.55; 95% CI 22.13-403.87), and mother’s motivate  (p = 0.000;  OR= 37.00 ; 95% CI 11.40-119.99) related to the child immunization status. It can be concluded that three variables have related to incomplete immunization. It is suggested that the health agency should improve the knowledge of health personnel in training that involves the basic immunization., so as to provide education to the public about the importance of complete basic immunization.Keywords: immunization, motivate, knowledge, attitude
Beberapa Faktor Risiko Kejadian Campak Pada Balita di Kabupaten Sarolangun Arianto, Mostang; Setiawati, Mexitalia; Adi, Mateus Sakundarno; Hadisaputro, Suharyo; Budhi, Kamilah
Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 1: Februari 2018
Publisher : Sekolah Pascasarjana Universitas Diponegoro Semarang

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Abstract

Background: Measles is a highly infectious disease caused by the measles virus and is still a health problem in Indonesia. Based on data the communicable disease surveillance system from 2014 to January 2016 have been reported cases of measles as many as 200 cases. This study aims to explain host and environment factors as risk factors for occurrence of measles in children under five years old.Method: A case control study, involving 56 cases children under five years old suffer from measles were registered in form C1 of health center, with 56 sex matched neighborhood controls. Studied variables were analyzed by multivariate.Result: Risk factors for measles occurrence were living at unhealthy house (OR=7.5; 95 % CI=2.64 to 21.19), low of mother’s knowledge (OR=5.7; 95 % CI=2.22 to 14.85), and never received immunization (OR=3.7; 95 % CI=1.45 to 9.39). Risk factors not proved with measles occurrence were malnutrition, lack of vitamin A, never had measles, contact history, breast-fed < 2 years, maternal age < 20 years, low of socio-economic, number of children under five years old at home > 1 and less parenting.Conclusion: Risk factors associated with measles were living at unhealthy house, low ofmother’s knowledge and never received vaccination. For elimination, measles vaccination, home inspection, communication, information and education of measles is required.
Faktor Risiko Kejadian Diare Akut pada Anak Balita (Studi Epidemiologis di Puskesmas Baamang Unit I Kabupaten Kotawaringin Timur) Poernomo, Herry; Setiawati, Mexitalia; Hadisaputro, Suharyo; Budhi, Kamilah; Adi, Mateus Sakundarno
Jurnal Epidemiologi Kesehatan Komunitas Vol 1, No 2: Agustus 2016
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

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Background : Report from UNICEF, WHO data in 2010, there was 801.000 children aged under five was died because of diarrhea. Diarrhea cases in children aged under five in East Kotawaringin District in 3 years ago (2010-2012) increased significantly: 14,6% (2010),17,0% (2011) and 18,6% (2012), while diarrhea in 2013 decreased about 9,3%, but causing 6 deaths in children aged under five with Crude Fatality Rate (CFR) about 0,17%. Host and environment factors (age of children, exclusive breastfeeding, nutritional status, caregiver education level, caregiver knowledge level, personal hygiene, types of water facilities, types of drinking water, physical condition of latrine, chewing the food, the level of family income) are closely related to acute diarrhea. Covered: healthy house 37,32%, use of clean water facilities 65,12%, family latrine 41,3%. The purpose of this research is to explain some of hostand environment factors which is risk factors to acute diarrhea in children aged under five. Methods : This research was an observational study using case control design. Sample case are 43 children aged under five who seek treatment suffer from acute diarrhea in Public Health Centre of Baamang Unit I in East Kotawaringin District. Sample control are 43 children aged under five who seek treatment do not suffer from acute diarrhea in PublicHealth Centre of Baamang Unit I in East Kotawaringin District with consecutive sampling.Results : Age of children < 2 years (aOR=2,617; 95%CI=1,063-6,444; p=0,036); types of water facilities was not from PDAM (aOR=2,892; 95%CI=1,173-7,127; p=0,021) was risk factors to acute diarrhea with probability event together amounted was 73,6%.Conclusion : The risk factors to acute diarrhea in children aged under five was aged < 2 years and type of water facilities was not from PDAM. 
Faktor-Faktor Risiko Status Imunisasi Dasar Tidak Lengkap pada Anak (Studi di Wilayah Kerja Puskesmas II Kuala Tungkal) Yundri, Yundri; Setiawati, Mexitalia; Suhartono, Suhartono; Setyawan, Henry; Budhi, Kamilah
Jurnal Epidemiologi Kesehatan Komunitas Vol 2, No 2: Agustus 2017
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

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Abstract

Background : Basic immunization is a program conducted to protect the body from disease. Mother behavior, health care and environmental factor serve as a benchmark in the basic immunization status. This study aimed to analyze the risk factors of incomplete basic immunization in children.Methods : The research used observational analytic and cross sectional studynsupported by qualitative approach of in-depth interview method. The research population was all mothers with children aged 12 to 24 months with sample size of 92 respondents. Sampling method was conducted by purposive random sampling. Data collection was done by interviewing and the measuring instrument used is an questionaire. Data was analyzed by univariate, bivariate and multivariate.Results : Multivariate analysis showed poor maternal knowledge (p=0.0001) and lack of supportive attitudes of mothers toward immunization (p=0.0001), is a risk factor for incomplete basic immunization status in children. While mother's age, mother's education, mother's occupation, mother's perception of health facility condition, mother's perception on immunization staff role, number of child in the household and information media are not the risk factors of incomplete basic immunization status in children. A qualitative approach with in-depth interviews indicates that poor knowledge of immunization and the lack of supportive attitude of mothers toward immunization resulting in an incomplete basic immunization status.Conclusion : Risk factors for incomplete basic immunization status in children are poor mother's knowledge and lack of supportive attitudes of mothers toward immunization
Berbagai Faktor Risiko Kejadian Bayi Berat Lahir Rendah (BBLR) (Studi di Beberapa Puskesmas Kota Makassar) Hasriyani, Hasriyani; Hadisaputro, Suharyo; Budhi, Kamilah; Setiawati, Mexitalia; Setyawan, Henry
Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 2: Agustus 2018
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

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Background: Low-birth-weight (LBW) as community health problem have remained as the main cause of prenatal morbidity and mortality. In Indonesia, the occurrence rate of LBW has reached 10,2%. LBW has caused by multifactors such as maternal factor, fetus factor, and environmental factor. The aim of the study was to elaborate if maternal factor and environmental factor are the risk factors contributing to LBW occurrence.Method: The study was based on case control design. The number of samples was 138 respondents who were categorized into 69 cases and 69 controls fulfilling the criteria of inclusion and exclusion. The cases were mothers with babies having birth weight <2500 grams regarding the gestational age, and the controls were mothers with babies having birth weight ≥2500 grams regarding the gestational age. Sampling method to the cases was conducted by consecutive sampling while sampling to the controls was conducted by simple random sampling with matching to sex and location.Results: Maternal factors observed as risk factors contributing to LBW are low nutritional status (OR=5.357; 95%CI=1.985-14.457), illness pregnancy (OR=3.976; 95%CI=1.669-9.476). Maternal factors and environmental factors observed as non-risk factors to LBWN are age < 20 years old or age > 35 years, the spacing of pregnancy < 2 years, the of family members smoking at home, the of a food taboos culture, ANC status < 4x , low social economy status.Conclusion: Low nutritional status, illness pregnancy are risk factors contributing to LBW occurrence. The probability of LBW occurrence when those risk factors observed are 68,87%.
Linear growth patterns in small for gestational age and preterm infants after zinc supplementation Setiawan, Caecilia Nancy; Sarosa, Gatot Irawan; Setiawati, Mexitalia
Paediatrica Indonesiana Vol 55 No 1 (2015): January 2015
Publisher : Indonesian Pediatric Society

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Background Low birth weight (LBW) infants are at risk for growth disturbances due to intrauterine zinc deficiency. Zinc supplementation is expected to improve the linear growth of LBW babies. Objective To assess the effect of zinc supplementation on linear growth in preterm and small for gestational age (SGA) infants. Methods This quasi-experimental study had a pre- and post-test design. Subjects were LBW infants hospitalized in Kariadi Hospital during March-December 2011, consisted of SGA and preterm neonates. All subjects were given 5 mg of zinc syrup daily for 3 months. Subjects’ head circumference, weight, and length were measured monthly. Serum zinc levels were measured before and after supplementation. Data were analyzed with Chi-square test, independent T-test, and general linear model repeated measure. Results A total of 61 subjects were enrolled consisted of 31 preterm and 30 SGA neonates. Mean serum zinc levels in the preterm group were 168.2 (SD 54.5) μg/dL pre-supplementation and 163.6 (SD 50.7) μg/dL post-supplementation (P=0.049), while mean serum zinc levels in the SGA group were 174.8 (SD 46.6) μg/dL pre-supplementation and 167.4 (SD 49.4) μg/dL post-supplementation (P=0.271). Median percentage preterm weight and length increased from 87.3 to 102.4% in the third month (P&lt;0.001) and from 95.8 to 103.9% in the third month (P&lt;0.001), respectively. Median percentage SGA weight and length increased from 73.5 to 98.3% in the third month (P&lt;0.001) and from 94.5 to 102.2% in the third month (P&lt;0.001), respectively. Conclusion Both, the preterm and SGA infants exhibit catch-up growth after three months of zinc supplementation. [