Siswanto Agus Wilopo
Departemen Biostatistik, Epidemiologi, Dan Kesehatan Populasi, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada

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PEMBERIAN MAKANAN PRALAKTASI DENGAN KELANGSUNGAN HIDUP BAYI DI INDONESIA (ANALISIS DATA SDKI 2007) Dewi, Utami; Agus Wilopo, Siswanto; Wibowo, Tunjung
JURNAL KESEHATAN REPRODUKSI Vol 1, No 2 (2014)
Publisher : IPAKESPRO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (690.805 KB)

Abstract

PEMBERIAN MAKANAN PRALAKTASI DENGAN KELANGSUNGAN HIDUP BAYI DI INDONESIA (ANALISIS DATA SDKI 2007) Utami Dewi1, Siswanto Agus Wilopo2, Tunjung Wibowo3  ABSTRACT Background: It is recommended for a mother to initiate and give early breastfeeding for a newborn as the first breast milk is known to be nutritious and contains antibody. The delay of breastfeeding may stimulate non breast milk-supplementary food to be given. Based on BPS and Macro International data 65% of infants received pre-lacteal feeds besides breast milk in their three days of life.Objective: the known relationship between pre-lacteal feeds and infants’ survival in Indonesia.Method: This was an observational study with a cohort retrospective study design by using IDHS data year 2007. Samples were all infants (0-12 months, breastfed after birth) from mothers aged 15-49 years old as many as 2,886 mothers. The independent variable was pre-lacteal feeds after birth and the dependent variable was infants’ survival. The analyses used univariable, bivariable, and survival analysis with Kaplan-Meier, Log regression and Cox regression.Result and Discussion: Bivariable analysis using survival Kaplan-Meier showed that there was a significant relationship between pre-lacteal feeds after birth and infants’ survival. The survival of infants who received pre-lacteal feeds was greater than that of infants who did not receive pre-lacteal feeds (92%:89%). Multivariable analysis using Cox regression showed that the survival chance in infants who did not receive pre-lacteal feeds was 0.63 times lower than that in infants who received pre-lacteal feeds (HR 0.63; CI 95%=0.42-0.95). Conclusion: Pre-lacteal feeds shows relationship with infant survival. Other factors affecting infant’s survival were mother’s age < 20 and < 35 years, low economic status, and birth assistant with non professional. Keyword: infant’s survival, pre-lacteal feeds, infant  ANSTRAK Latar Belakang : Pemberian Air Susu Ibu (ASI) sejak dini sangat dianjurkan karena ASI yang keluar pertama kali sangat bergizi dan mengandung antibodi. Keterlambatan memulai pemberian ASI menunjukkan bahwa adanya pemberian makanan dan minuman selain ASI. Menurut Data BPS dan Macro International sebesar 65% bayi yang dilahirkan mendapatkan makanan pralaktasi selain ASI pada tiga hari pertama kehidupan.Tujuan : Diketahuinya hubungan pemberian makanan pralaktasi terhadap kelangsungan hidup bayi di Indonesia. Metode : Jenis penelitian observasional dengan rancangan cohort retrospectif menggunakan data SDKI 2007. Sampel penelitian adalah semua bayi (berumur 0-12 bulan, menyusu setelah lahir) dari ibu yang berumur 15-49 tahun berjumlah 2.886. Variabel bebas adalah pemberian makanan pralaktasi setelah lahir, variabel terikat kelangsungan hidup bayi. Analisis yang digunakan adalah univariabel, bivariabel dan analisis survival dengan Kaplan- Meier, Log regression dan Cox regression.Hasil dan Pembahasan: Analisis bivariabel dengan survival Kaplan-Meir didapatkan hubungan yang bermakna antara pemberian makanan pralaktasi setelah lahir dengan kelangsungan hidup bayi, namun kelangsungan hidup lebih tinggi pada bayi yang mendapatkan makanan pralaktasi dibandingkan dengan yang tidak mendapatkan makanan pralaktasi (92%:89%). Analisis multivariabel dengan Cox regresion menunjukkan peluang kelangsungan hidup pada bayi yang tidak mendapatkan makanan pralaktasi sebesar 0,63 kali lebih rendah dibandingkan dengan yang mendapatkan makanan pralaktasi (HR 0,63; CI 95%=0,42-0,95).Kesimpulan : Pemberian makanan pralaktasi berhubungan dengan kelangsungan hidup bayi. Faktor lain yang berpengaruh terhadap kelangsungan hidup bayi adalah umur ibu < 20 dan < 35 tahun, sosial ekonomi rendah dan penolong persalinan oleh non nakes Kata kunci: kelangsungan hidup bayi, pemberian makanan pralaktasi, bayi 1 Sekolah Tinggi Kesehatan Hangtuah, Pekanbaru2 Magister Kesehatan Ibu dan Anak-Kesehatan Reproduksi, FK UGM3 Bagian Ilmu Kesehatan Anak, Fakultas Kedokteran UGM  
Pemberian Makanan Pralaktasi dengan Kelangsungan Hidup Bayi di Indonesia Dewi, Utami; Wilopo, Siswanto Agus; Wibowo, Tunjung
JURNAL KESEHATAN REPRODUKSI Vol 4, No 1 (2017)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (615.089 KB) | DOI: 10.22146/jkr.35436

Abstract

Background: It is recommended for a mother to initiate to give early breastfeeding for a newborn as the first breast milk is known to be nutritious and contains antibody. The delay of breastfeeding shows that non breast milk-supplementary food is given. Based on BPS and Macro International data 65% of infants received pre-lacteal feeds besides breast milk in their three days of life.Objective: the known relationship between pre-lacteal feeds and infants’ survival in Indonesia.Method: This was an observational study with a cohort retrospective study design by using IDHS data year 2007. Samples were all infants (0-12 months, breastfed after birth) from mothers aged 15-49 years old as many as 2,886 mothers. The independent variable was pre-lacteal feeds after birth and the dependent variable was infants’ survival. The analyses used univariable, bivariable, and survival analysis with KaplanMeier, Log regression and Cox regression.Result and Discussion: Bivariable analysis using survival Kaplan-Meier showed that there was a significant relationship between pre-lacteal feeds after birth and infants’ survival. The survival of infants who received pre-lacteal feeds was greater than that of infants who did not receive pre-lacteal feeds (92%:89%). Multivariable analysis using Cox regression showed that the survival chance in infants who did not receive pre-lacteal feeds was 0.63 times lower than that in infants who received pre-lacteal feeds (HR 0.63; CI 95%=0.42-0.95).Conclusion: Pre-lacteal feeds showed a significant result with infant survival. Other factors affecting infant’s survival were mother’s age < 20 and ≥ 35 years, low economic status, and birth assistant with non professional.Keywords: infant’s survival, pre-lacteal feeds, infant
Position and Chance of Indonesia Family Planing to Achieve RPJMN 2015-2019 and FP2020 Targets Pinandari, Anggriyani Wahyu; Wilopo, Siswanto Agus
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 1 (2018)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v14i1.9466

Abstract

Indonesia’s commitment at London Summit 2012 was to reduce TFR by increasing contraceptive users by 2020. This paper aimed to estimate the number, trend and possibility to achieve RPJMN and FP2020 targets in Indonesia. This was a descriptive study using secondary data from Indonesia national survey. Data are presented in line, bar, and pie graphs, also table to explain trend and possibility of Indonesia FP to achieve 2020 targets. Using 2012 data as the baseline, RPJMN and FP2020 targets will be achieved if CPR grows 0.5 point/year. However, recent growth was insufficient, only 0.3 additional points. The current CPR is behind the target and 1 point/year growth rate is needed to approximate the target trajectory. Based on three surveys in 2015 (PMA, SUSENAS and SUPAS), Indonesia’s CPR was predicted to be 61.1% on 2020. This is five points lower than the 2020 target, 66.3%. This discrepancy shows that Indonesia would not achieve FP target on RPJMN 2015-2019. Based on recent survey in 2015, CPR trajectory is predicted to be 5 points below the target. 1.5 points annual growth is needed to achieve the 2020 goals.
PEMBERIAN MAKANAN PRALAKTASI DENGAN KELANGSUNGAN HIDUP BAYI DI INDONESIA (ANALISIS DATA SDKI 2007) Dewi, Utami; Agus Wilopo, Siswanto; Wibowo, Tunjung
JURNAL KESEHATAN REPRODUKSI Vol 1, No 2 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (690.805 KB) | DOI: 10.22146/jkr.5348

Abstract

PEMBERIAN MAKANAN PRALAKTASI DENGAN KELANGSUNGAN HIDUP BAYI DI INDONESIA (ANALISIS DATA SDKI 2007) Utami Dewi1, Siswanto Agus Wilopo2, Tunjung Wibowo3  ABSTRACT Background: It is recommended for a mother to initiate and give early breastfeeding for a newborn as the first breast milk is known to be nutritious and contains antibody. The delay of breastfeeding may stimulate non breast milk-supplementary food to be given. Based on BPS and Macro International data 65% of infants received pre-lacteal feeds besides breast milk in their three days of life.Objective: the known relationship between pre-lacteal feeds and infants’ survival in Indonesia.Method: This was an observational study with a cohort retrospective study design by using IDHS data year 2007. Samples were all infants (0-12 months, breastfed after birth) from mothers aged 15-49 years old as many as 2,886 mothers. The independent variable was pre-lacteal feeds after birth and the dependent variable was infants’ survival. The analyses used univariable, bivariable, and survival analysis with Kaplan-Meier, Log regression and Cox regression.Result and Discussion: Bivariable analysis using survival Kaplan-Meier showed that there was a significant relationship between pre-lacteal feeds after birth and infants’ survival. The survival of infants who received pre-lacteal feeds was greater than that of infants who did not receive pre-lacteal feeds (92%:89%). Multivariable analysis using Cox regression showed that the survival chance in infants who did not receive pre-lacteal feeds was 0.63 times lower than that in infants who received pre-lacteal feeds (HR 0.63; CI 95%=0.42-0.95). Conclusion: Pre-lacteal feeds shows relationship with infant survival. Other factors affecting infant’s survival were mother’s age < 20 and < 35 years, low economic status, and birth assistant with non professional. Keyword: infant’s survival, pre-lacteal feeds, infant  ANSTRAK Latar Belakang : Pemberian Air Susu Ibu (ASI) sejak dini sangat dianjurkan karena ASI yang keluar pertama kali sangat bergizi dan mengandung antibodi. Keterlambatan memulai pemberian ASI menunjukkan bahwa adanya pemberian makanan dan minuman selain ASI. Menurut Data BPS dan Macro International sebesar 65% bayi yang dilahirkan mendapatkan makanan pralaktasi selain ASI pada tiga hari pertama kehidupan.Tujuan : Diketahuinya hubungan pemberian makanan pralaktasi terhadap kelangsungan hidup bayi di Indonesia. Metode : Jenis penelitian observasional dengan rancangan cohort retrospectif menggunakan data SDKI 2007. Sampel penelitian adalah semua bayi (berumur 0-12 bulan, menyusu setelah lahir) dari ibu yang berumur 15-49 tahun berjumlah 2.886. Variabel bebas adalah pemberian makanan pralaktasi setelah lahir, variabel terikat kelangsungan hidup bayi. Analisis yang digunakan adalah univariabel, bivariabel dan analisis survival dengan Kaplan- Meier, Log regression dan Cox regression.Hasil dan Pembahasan: Analisis bivariabel dengan survival Kaplan-Meir didapatkan hubungan yang bermakna antara pemberian makanan pralaktasi setelah lahir dengan kelangsungan hidup bayi, namun kelangsungan hidup lebih tinggi pada bayi yang mendapatkan makanan pralaktasi dibandingkan dengan yang tidak mendapatkan makanan pralaktasi (92%:89%). Analisis multivariabel dengan Cox regresion menunjukkan peluang kelangsungan hidup pada bayi yang tidak mendapatkan makanan pralaktasi sebesar 0,63 kali lebih rendah dibandingkan dengan yang mendapatkan makanan pralaktasi (HR 0,63; CI 95%=0,42-0,95).Kesimpulan : Pemberian makanan pralaktasi berhubungan dengan kelangsungan hidup bayi. Faktor lain yang berpengaruh terhadap kelangsungan hidup bayi adalah umur ibu < 20 dan < 35 tahun, sosial ekonomi rendah dan penolong persalinan oleh non nakes Kata kunci: kelangsungan hidup bayi, pemberian makanan pralaktasi, bayi 1 Sekolah Tinggi Kesehatan Hangtuah, Pekanbaru2 Magister Kesehatan Ibu dan Anak-Kesehatan Reproduksi, FK UGM3 Bagian Ilmu Kesehatan Anak, Fakultas Kedokteran UGM  
Pemulihan Kesuburan Pasca Pemakaian Alat Kontrasepsi pada Wanita Usia Subur di Indonesia Setyaningsih, Reni Dwi; Wilopo, Siswanto Agus; Emilia, Ova
Media Kesehatan Politeknik Kesehatan Makassar Vol 16, No 1 (2021): Media Kesehatan
Publisher : Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v16i1.1684

Abstract

The issue of return of fertility after discontinuation of contraceptive use is one of the important studies related to the efficacy and safety of various contraceptive methods, both hormonal and non-hormonal. Indonesian Demographic and Health Survey Data from 2002-2003 revealed that 34 percent of women in childbearing age who discontinued using the contraceptive was due to pretension to have the next pregnancy. The mechanisms of action for a variety of contraceptives would be related to the varying duration of post-use fertility return. This study was aimed to see how long it takes for women in childbearing age to stop using the contraceptive until the next pregnancy occurs. This study was an observational study using secondary data from the Indonesian Demographic and Health Survey (SDKI) data from 2002-2003. The samples of this study were 5,223 women in childbearing age who discontinued using the contraceptive. Every interest in this study was the occurrence of pregnancy after stopping using the contraceptive. Determination of the samples was limited to ever pregnant women who stopped using hormonal contraceptive and IUD, which could be observed during the survey period.The results showed that the probability of  reaching 50 percent pregnancy required 7 and 6 months after the discontinuation of injection and implant use as well as 4 months after pill and IUD use. Keywords: Return of fertility, Contraceptive, Childbearing Age      
HAMBATAN PSIKOSOSIAL DAN NIAT KELUARGA BERENCANA PADA WANITA UNMETNEED KONTRASEPSI DI INDONESIA (ANALISIS DATA SDKI 2007) Vivi Triana; Siswanto Agus Wilopo; Sumarni Sumarni
Jurnal Kesehatan Masyarakat Andalas Vol 6, No 1 (2011): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v6i1.85

Abstract

Hasil SDKI tahun 2002 dan 2007 menunjukkan bahwa penggunaan alat kontrasepsi atau Contraceptive Prevalence Rate (CPR) mengalami peningkatan, yang seharusnya diikuti dengan penurunan unmet need kontrasepsi (kebutuhan kontrasepsi yang tidak terpenuhi), tetapi unmet need kontrasepsi malah terjadi peningkatan. Peningkatan unmet need ini perlu mendapat perhatian, karena perilaku tersebut akan memberikan konsekuensi yang serius terhadap kesehatan reproduksi dan kelangsungan hidup perempuan. Mengkajihubungan hambatan psikososial yang dialami oleh wanita unmet need kontrasepsi dengan niat untuk ikut keluarga berencana (KB), dalam upaya menurunkan kejadian unmet need kontrasepsi di Indonesia. Penelitian ini menggunakan data SDKI 2007. Rancangan penelitian yang digunakan adalah rancangan cross-sectional study. Wanita kawin kelompok unmet need kontrasepsi merupakan unit analisis. Kemudian kelompok ini dianalisis hambatan faktor psikososial yang dialami. Metode analisis data yang dilakukan dalam penelitian ini adalah analisis univariabel (deskriptif), bivariabel (chi-square), dan multivariabel (regresi logistik). Sepertiga (35,1%) dari 2.934 wanita unmet need kontrasepsi mempunyai alasan tidak menggunakan kontrasepsi akibat adanya hambatan psikososial. Hambatan psikososial tersebut di antaranya sikap tidak setuju terhadap program KB, persepsi sikap suami yang menentang KB, menentang menggunakan kontrasepsi, takut efek samping, dan penolakan budaya atau agama. Lebih dari setengah dari wanita tersebut (58,8%), tidak niat ber-KB di waktu yang akan datang. Prevalensi wanita unmet need kontrasepsi yang tidak niat ber-KB 1,8 kali lebih tinggi pada wanita yang mengalami hambatan psikososial daripada wanita yang tidak mengalami hambatan psikososial. Hambatan psikososial pada wanita unmet need kontrasepsi berhubungan dengan niat untuk ber-KB di waktu yang akan datang. Faktor lain yang berhubungan dengan niat ber-KB adalah faktor pengetahuan tentang KB, pilihan fertilitas dan jumlah anak ideal yang diinginkan pasangan. Faktor hambatan akses ke pelayanan KB (jarak dan biaya) tidak berhubungan dengan niat ber-KB.
TRANSISI DEMOGRAFI DAN PEMBANGUNAN BERKELANJUTAN* Siswanto Agus Wilopo
Populasi Vol 6, No 1 (1995): Juni
Publisher : Pusat Studi Kependudukan dan Kebijakan, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (440.338 KB) | DOI: 10.22146/jp.11443

Abstract

From a number of studies there are evidences of the existence of integration between "demography variables" and the development process. In this case it is important to understand that the population policies have been formulated for the continuity of development process, mainly by paying attention to the integration between people (inhabitants) and their environment. In this case, the government's policy is to stabilize economic development, distributing it evenly and maintain the environment in accordance with the global Population Action Program. The problems caused by changes related to the demographic transition can be considered the material for the future demographic policies.
ARAH DAN IMPLEMENTASI KEBIJAKSANAAN PROGRAM KELUARGA BERENCANA DI INDONESIA* Siswanto Agus Wilopo
Populasi Vol 8, No 1 (1997): Juni
Publisher : Pusat Studi Kependudukan dan Kebijakan, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (353.62 KB) | DOI: 10.22146/jp.11574

Abstract

There are some interesting differences between the Family Planning Program in Indonesia and the family planning in Cairo Action Program. The FP Program has larger actions, such as the society's attention to the increasing age limit of marriage, family resistance building, increasing the family welfare, and birth control. While, the family planningin Cairo Action Program is only limited to the birthcontrol. This writing tries to describe those differences as well as to clarify the direction and the implementation of the FP Program which increasingly become an FP movement.
DAMPAK RESESI EKONOMI PADA PENURUNAN KEMATIAN DAN PENINGKATAN ANGKA HARAPAN HIDUP DI INDONESIA* Siswanto Agus Wilopo
Populasi Vol 9, No 1 (1998): Juni
Publisher : Pusat Studi Kependudukan dan Kebijakan, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (581.253 KB) | DOI: 10.22146/jp.11686

Abstract

Since July 1997, Indonesia has suffered a monetary crisis that has led to a high rate of inflation and economic recession. This situation has inflicted an impact on the individual at two levels that is through the family and then the government role. Economic recession ean also have a direct and indirect influence on the degree of public health. There is a phenomenon of epidemiological polarization, which has a bigger impact on handling public health issues during recession. Without a program and more effective and efficient activities compared with the previous years, the current economic crisis will endanger the pattern of the declining death rate and increasing life expectancy at birth. Although various studies indicate that recession and economic fluctuation does notalways lead to a stagnationand decline inpublic health, the economic conditions in Indonesia arefundamentally different from those in other countries going through a similar experience. Efforts to maintain a momentum in reducing death rate and increasing life expectancy require reinventingpublic health policy.
HASIL KONFERENSI KEPENDUDUKAN DI KAIRO: IMPLIKASINYA PADA PROGRAM KESEHATAN REPRODUKSI DI INDONESIA Siswanto Agus Wilopo
Populasi Vol 5, No 2 (1994): Desember
Publisher : Pusat Studi Kependudukan dan Kebijakan, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (687.724 KB) | DOI: 10.22146/jp.12183

Abstract

The World PopulationConference in Cairo has received substantial attention and comments from the mass media and a large circle of experts, although a more basic explanation is still needed due to the result of the conference. Since abortion is considered a very important issue which dominates the field of reproductive health, it needs to further analyze the relations between abortion and the 'new concept' of reproductive health. This paper broadly analyzes the objectives and the agreed result of the conference. It also proposes several implications on the reproductive health program in Indonesia. Even though, as the mass media reported, the Cairo Conference seemed to be a conference on abortion, the theme of the conference was: Population, Sustainable Economic Growth, and Sustainable Development. Indonesia takes a very active role in the preparation of the world's population conference, including to conduct and initiate the summit population conference of the Non-Aligned Ministerial level prior the Cairo Conference. The Cairo World Population Conference has resulted in a substantially broad Population Action Program, in which the implementation needs serious consideration on the heterogeneity of the respective countries according to the priorities of development, cultural considerations, norms, religion, and law that prevails in the respective countries, yet the Conference should consider the norms of the universal human rights. Out of various materials covered in the Population Action Program, reproductive health problems have become one of the important controversial sources. For this reason it has thus been agreed to accept a "new concept" of reproductive health. Out of this 'new concept', some implications of several reproductive health programs emerge, particularly the family planning program of the countrywhich should be expanded and qualified. Even though the "new concept" of reproductive health covers sexual reproductive rights, it has been wholly agreed that abortion would not be promoted as one of the implementations of the family planning method. The target of quantity in various fields could be optimistically achieved except the maternal mortalitydecline. Without a breakthrough effort in the new reproductive healthsector the quantitative aims to reduce the maternalmortality rate in Indonesia could never be achieved.