Sakundarno Adi, Sakundarno
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Risiko Kejadian Pnemonia pada Balita Kaitannya dengan Tipe Rumah di Wilayah Kerja Puskesmas Sidorejo Lor dan Cebongan Kota Salatiga. Zuraidah, Siti; Adi, Sakundarno; Udiyono, Ari
JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 1, No 2 (2002): vol 1, No 2 (2002)
Publisher : JURNAL KESEHATAN LINGKUNGAN INDONESIA

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ABSTRACT Background : In Indonesia, pneumonia is quantitatively the biggest problem among infectious diseases of infants. Based on the World Health Organization data, incidence of pneumonia among children under five years old in Indonesia is 10%.. Pneumonia detection rate in Salatiga in the year of 2001 is still low (6%). The causes of this low detection rate are lack of trained health workers in the management of Acute Respiratory Infection (ARI) in the primary health center level and lack of “ari timer” usage by the health workers to classify pneumonia patients. Objectives of this study are to know the risk of getting pneumonia among children under five year old who live in the non permanent house. Methods : this was a cohort study, independent variable of interest was house type. Other independent variables was nutritional status, immunization status, sex, duration of breast feeding, infant age, ventilation, type of energy for cooking, house occupant density, mother’s education, mother’s age and type of the floor. Samples consisted  of 208 children under five year old who were suffering from ARI. Of those samples, 104 children were living in the permanent houses (unexposed group) and other 104 children were living in the non permanent houses (exposed group). Analysis were conducted by calculating Relative Risk (RR) and by applying multiple logistic regression. Result : the study shows that pneumonia occur in 31,25%  of the samples. Crude Relative Risk (c-RR) for the exposed group compared to the unexposed group is 4. This RR varies between 5,440 and 7,8248 after stratifying association between house type and the occurrence of pneumonia with other independent variables. Risk factor of pneumonia among children under five year old are non permanent house (p=0,001; OR=5,0341); bad ventilation (p=0,0001; OR=21,108) and wood of energy for cooking (p=0,0066; OR=3,115). Conclusion : : Non permanent house, bad ventilation and stick of energy for cooking, are to be risk factors of pneumonia among children under five year old in the working area of Sidorejo Lor and Cebongan Primary Health Centers. It is suggested primary health centers and the linked institution do together for health education, house improvement and not use wood of energy for cooking. Key Word : pneumonia, children under five year old, house type.
Analisis Faktor Host terhadap Kecacatan Kusta Tingkat II Di Kabupaten Nagan Raya Provinsi Aceh Rafsanjani, T.M.; Trihadi Lukmono, Djoko; Setyawan, Henry; Anies, Anies; Adi, Sakundarno
Jurnal Vokasi Kesehatan Vol 4, No 1 (2018): Januari 2018
Publisher : Poltekkes Kemenkes Pontianak

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Abstract: An Analysis Of Host Factors Toward The Level Ii Leprosy Disability In Nagan Raya Regency, Aceh Province. The leprosy disabilities level II is often experiencing the limitations in function among societies. In Nagan Raya Regency, there are 41% endemic areas with the number of level II disability for 5%. This research aims to prove some host and environment factors that become the risk factors for disability for level II leprosy. Case-control methods and interview methods were chosen as the design of control case in this research. 84 respondents were involved in conducting case-control design, and 42 cases of leprosy disabilities level II and 42 control of leprosy without disabilities, selected with consecutive sampling by considering the criteria of inclusion and exclusion. The results of this research were analyzed with bivariate by using chi-square test and the multivariate data were analyzed by using logistic regression test. Four variables that had the risk towards leprosy level II disability were at the age of the diagnosis time > 15 p=0,039 and OR=8,4 (CI 95%; 1,1-63,3), level of education p=0,038 and OR=3.4 (CI 95%; 1,1-10,9), too late to do early diagnosed p=0,011 and OR=5,4 (CI 95%; 1,5-19,6), types of leprosy MB p=0,015 and OR=3,9, (CI 95%; 1,3-12,1). Some host factors were proven to have risk towards leprosy disability of level II are the age at the time of diagnosis > 15 years, too late to do early diagnosis and leprosy types MB with the probability of 99.96 %. It is expected for the team of Public Health Office to conduct prevention in a productive age population, early case detection to prevent disability, and socialized the patient about the dangers of leprosy.Abstrak: Analisis Faktor Host Terhadap Kecacatan Kusta Tingkat II Di Kabupaten Nagan Raya Provinsi Aceh. Kecacatan kusta tingkat II mengalami keterbatasan pada fungsinya dalam masyarakat. Kabupaten Nagan Raya terdapat 41% daerah endemis, dengan kecacatan tingkat II sebanyak 5%. Penelitian ini bertujuan untuk membuktikan beberapa faktor host merupakan faktor risiko kecacatan tingkat II. Penelitian ini menggunakan desain kasus kontrol terhadap 84 responden,  dari 42 kasus (cacat kusta tingkat II) dan 42 kontrol (kusta tanpa cacat),  yang dipilih secara consecutive sampling dengan memperhatikan kriteria inklusi dan eksklusi. Pengumpulan data dilakukan dengan metode wawancara. Analisis data secara bivariat dengan uji Chi-Square dan multivariat dengan uji regresi logistik. Empat variabel merupakan faktor risiko terhadap kecacatan kusta tingkat II, yaitu umur saat diagnosis > 15 tahun p=0,039, OR=8,4 (CI 95%; 1,1-63,3), tingkat pendidikan p= 0,038, OR=3,4 (CI 95%; 1.1-10.9) diagnosis dini lambat p=0,011, OR=5,4 (CI 95%; 1,5-19,6), tipe kusta MB p=0,015, OR=3,9, (CI 95%; 1,3-12,1). Beberapa faktor host terbukti berisiko terhadap kecacatan kusta tingkat II adalah umur saat diagnosis > 15 tahun, tingkat pendidikan, diagnosis dini lambat, dan tipe kusta MB dengan probabilitas sebesar 99,96%. Diharapkan kepada dinas kesehatan melakukan pencegahan kelompok usia produktif, penemuan kasus secara dini untuk mencegah kecacatan dan memberikan pemahaman terhadap penderita tentang bahaya kusta