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All Journal Nurse Media Journal of Nursing Media Penelitian dan Pengembangan Kesehatan
Lely Indrawati
Peneliti pada Pusat Teknologi Intervensi Kesehatan Masyarakat
Decision Sciences, Operations Research & Management Nursing Public Health

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Pengaruh Akses ke Fasilitas Kesehatan terhadap Kelengkapan Imunisasi Baduta (Analisis Riskesdas 2013) Nainggolan, Olwin; Hapsari, Dwi; Indrawati, Lely
Media Penelitian dan Pengembangan Kesehatan Vol 26, No 1 Mar (2016)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (417.77 KB)

Abstract

AbstrakAkses terhadap fasilitas kesehatan dengan situasi dan kondisi geografis merupakan tantanganyang cukup besar didalam pemberian pelayanan immunisasi secara merata di seluruh Indonesia.Tujuan penelitian ini adalah untuk mengetahui pengaruh akses fasilitas kesehatan dengan statusimunisasi dasar lengkap pada baduta berusia 12-23 bulan di Indonesia pada tahun 2013. Penelitianini menggunakan rancangan cross sectional dan analisis statistik dilakukan dengan menggunakanregresi logistik berganda. Berdasarkan hasil analisis multivariat menunjukkan adanya hubungan yangbermakna (P value=0,001) antara waktu tempuh ke fasilitas kesehatan UKBM (OR=1,23); waktu tempuh(P value=0,000) ke fasilitas kesehatan non UKBM (OR=1,80) dengan kelengkapan imunisasi anakbawah dua tahun (baduta) setelah dikontrol oleh variabel umur ibu pendidikan ibu, pekerjaan ibu, statussosial ekonomi keluarga, dan wilayah tempat tinggal. Diperlukan upaya dan peran serta pemerintah danmasyarakat untuk meningkatkan aksesibilitas penduduk terhadap fasilitas kesehatan terutama fasilitasupaya kesehatan berbasis masyarakat (UKBM) untuk meningkatkan cakupan kelengkapan imunisasidasar di seluruh Indonesia.Kata Kunci: imunisasi dasar lengkap, baduta, UKBM, non UKBM, Indonesia AbstractAccess to health facilities with geographic circumstances are considerable challenges in the provisionof immunization services throughout Indonesia. The purpose of this study is to determine the effectof access to health facilities to complete basic immunization status at children age 12-23 months inIndonesia in 2013. This study used a cross-sectional design and statistical analysis is done by usingmultiple logistic regression. Based on the results of multivariate analysis showed a significant association(P value=0.001) between the travel time to health facilities UKBM (Community Based Health Efforts)with Odds Ratio/OR = 1.23; and travel time (P value = 0.000) to non UKBM health facilities (OR = 1.80)with the completeness of immunizing children under two years (baduta) after controlled by maternalage, maternal education, maternal occupation, family socio economic status and place of residence.Required effort and the role of the government and the community to improve the accessibility of thepopulation to health facilities, especially facilities-based public health efforts (UKBM) to improve thecompleteness of basic immunization coverage in Indonesia.Keywords : complete basic immunization, infant, UKBM, non UKBM, Indonesia
The Contributing Factors to the Risk of Diabetes Mellitus among Indonesian Urban Workers Mahmudah, Mahmudah; Izza, Nailul; Indrawati, Lely; Paramita, Astridya; Indriani, Diah
Nurse Media Journal of Nursing Vol 15, No 1 (2025): (April 2025)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i1.56916

Abstract

Background: Diabetes mellitus (DM) is a non-communicable disease (NCD) with a high morbidity rate and is the third leading cause of death in Indonesia. Some risk factors are associated with the risk of DM; yet, little is known about the effect of such factors on the occurrence of DM in an urban worker population.Purpose: This study aimed to examine the impact of some risk factors on the occurrence of DM among workers in urban areas of Indonesia.Methods: The study used secondary health status data obtained from the 2018 Basic Health Research by the Research and Development Agency, Ministry of Health, Republic of Indonesia, using a cross-sectional approach. The participants consisted of 15,745 urban working adults aged 15-64 years, whose blood glucose levels were examined. The correlation between variables was analyzed using a multivariate logistic regression test. Results: This study showed that 14.8% of DM patients had hypertension, and 14.9% were obese. The percentage of women with diabetes increased with age, particularly affecting informal workers more frequently. Hypertension (aOR=1.76; 95%CI: 1.56-1.99), central obesity (aOR=1.75; 95%CI: 1.54-1.98), daily smoking (aOR=0.63; 95%CI: 0.53-0.76), and age (aOR=8.9; 95%CI: 5.3-15.7) were identified as significant factors contributing to the risk of DM. However, education, physical activity, the consumption of fruits and vegetables, and employment had no discernible impact.Conclusion: Hypertension, obesity, daily smoking, and age were associated with an increased risk of DM in urban workers. The study recommends that companies collaborate with Posbindu for NCDs to check blood pressure and blood sugar levels regularly, and to measure the height and weight of workers periodically.
Co-Authors Astridya Paramita Diah Indriani Dwi Hapsari Mahmudah Mahmudah Nailul Izza Olwin Nainggolan