Oma Rosmayudi
Department of Child Health, Universitas Padjadjaran Medical School/Dr. Hasan Sadikin Hospital, Bandung, West Java

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Knowledge, Attitude and Practice on Acute Respiratory Infections among Mothers in Two Rural Areas in Subang Subdistrict, West Java, Indonesia Cissy B. Kartasasmita; Mintardaningsih Mintardaningsih; Anna Alisjahbana; Oma Rosmayudi; S. Hadyana
Paediatrica Indonesiana Vol 39 No 11-12 (1999): November - December 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (5511.758 KB) | DOI: 10.14238/pi39.11-12.1999.293-301

Abstract

A survey was conducted in 2 rural villages in Indonesia. This study was a part of a one-year intervention study on case management of acute respiratory infections (ARI) in infants of less than 12 months old in Cisalak (VI, intervention village) and Sagalaherang (V2, control village). The aim of the study is to know the knowledge, attitude and practice (KAP) on ARI among rural villages mothers. All pregnant women and mothers with child below five years resided in those villages were included in the study. Trained field interviewers visited and interviewed mothers on several questions related to ARI using pretested questionnaire. A total of 436 and 576 mothers, with a mean age of25.4 (SD=5.7) and 26.5 (SD=5.4) years from VI and V2 respectively, were included. Most mothers had traditional beliefs that the cause of ARI was bad wind (77.3% and 73.8%, respectively), only 1.8% and 9.2% mothers know that ARI is caused by microorganisms. However, they believe that the disease is infectious (59.9% and 79.7%). Therefore, most mothers were aware and gave medication (66.5% and 36.3%) or brought the child to village health center (23.6% and 57.1%). The problems for seeking a medical help are transportation, distance and ignorance. As conclusion, we found that the present knowledge on ARI was in adequate, thus more information are needed for mothers to solve the ARI problems in rural villages.
Factors Influencing Empyema in Children Cissy B. Kartasasmita; Oma Rosmayudi; Rita Wahyunarti
Paediatrica Indonesiana Vol 28 No 1-2 (1988): January - February 1988
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (401.016 KB) | DOI: 10.14238/pi28.1-2.1988.14-9

Abstract

Incidence of empyema in children at Hasan Sadikin General Hospital is still high, commensurate with the high number of cases of pneumonia. Thirty-seven children with empyema were studied from July 1984 to December 1985; 20 of them were females and 17 males with the age ranging between 5 months and 12 years. Three patients (8.1 %) had loculated fluid as observed on chest roentgenographs; the remainder had empyema sinistra and dextra at 43.2% and 48.6% respectively. More than 50% of the patients were undernourished (56. 7%), 5 of whom were marasmic. On admission, 89.2% complained of dyspnea, 24.3% of cough, 16.2% of high fever and 10.8% of chest pain. All patients suffered from acute respiratory tract injection (ARI) 7 to 30 days before admission, 70.3% of whom did not receive adequate medication and 5 individuals received no treatment at all. Chest tube drainage was performed on 34 patients. In the study, 3 patients died (8.1%) due to sepsis. All recovered patients had pleural thickening on chest roentgenographs on discharge. The role of under nutrition, delay of medication and inadequate treatment of ARI seemed to have an1 influence on empyema in the patients observed.