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Mexitalia Setiawati
Universitas Diponegoro
Health Professions Public Health

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Faktor Risiko Kejadian Diare Akut pada Anak Balita (Studi Epidemiologis di Puskesmas Baamang Unit I Kabupaten Kotawaringin Timur) Herry Poernomo; Mexitalia Setiawati; Suharyo Hadisaputro; Kamilah Budhi; Mateus Sakundarno Adi
Jurnal Epidemiologi Kesehatan Komunitas Vol 1, No 2: Agustus 2016
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (259.972 KB) | DOI: 10.14710/j.e.k.k.v1i2.3946

Abstract

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 Risiko Campak Anak Sekolah Dasar pada Kejadian Luar Biasa di Kabupaten Pesawaran, Provinsi Lampung Ferry Ardhiansyah; Kamilah Budhi Rahardjani; Ari Suwondo; Mexitalia Setiawati; Apoina Kartini
Jurnal Epidemiologi Kesehatan Komunitas Vol 4, No 2: Agustus 2019
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (329.956 KB) | DOI: 10.14710/jekk.v4i2.4798

Abstract

Background: Measles is a contagious disease, still a health problem in Indonesia. In 2017 the measles BIAS immunization coverage in Pesawaran District was 98.8%, although coverage was quite good, measles cases in primary school-aged children were still common until the outbreak occurred. This can be caused by various child factors, maternal factors, and environmental factors. This study wants to examine the effect of child, maternal and environment factors on the incidence of measles in primary school-aged children in measles outbreaks event in Pesawaran District.Methods: Mix methods research with case control study design supported by in-depth interviews. The participants were 81 volunteer, consist of 27 cases and 54 controls taken by purposive sampling. Dependent variable was incidence of measles in primary school age children in the outbreak event. Independent variables were child, maternal and environment factors.  Bivariate and multivariate analysis.Result: Variables that had been proven to affect incidence of measles in Pesawaran District, were history of measles immunization (p= 0,004 OR = 13,716, 95%CI = 2,286-82,301), contact history with measles case (p=0,024 OR = 4,141, 95%CI = 1,208-14,201), occupancy density (p= 0,036 OR = 3,971, 95%CI = 1,092-14,443), and home ventilation (p= 0,036 OR = 3,591, 95%CI = 1,089-11,843). The resuts of the in-depth interviews supoorted the results of quantitative analysis that there was still a clash of religious leaders who did not support immunization.Conclusion: Factor that had been proven to the incidence of measles in primary school-age children in outbreaks were the history of measles Immunization/BIAS, history of contact with measles case, occupancy density, and home ventilation strengthened by the support of religious leaders towards immunization.
Berbagai Faktor Risiko Kejadian Bayi Berat Lahir Rendah (BBLR) (Studi di Beberapa Puskesmas Kota Makassar) Hasriyani Hasriyani; Suharyo Hadisaputro; Kamilah Budhi; Mexitalia Setiawati; Henry Setyawan
Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 2: Agustus 2018
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (21478.881 KB) | DOI: 10.14710/jekk.v3i2.4027

Abstract

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%.
Hubungan Kelengkapan Kunjungan ANC, Umur Ibu Hamil dan Konsumsi Fe Kukuh Purwo Saputro; Mexitalia Setiawati; Suhartono Suhartono; Dwi Sutiningsih
Jurnal Epidemiologi Kesehatan Komunitas Vol 6, No 1: Februari 2021
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v6i1.8159

Abstract

Background: Neonatal deaths are those that occur in the neonatal period when the baby is born up to 28 days (0-28 days). Neonatal mortality contributes to 56% of infant deaths due to complications such as BBLR, asphyxia, and infections that should be prevented by taking into account the condition of the mother before and during pregnancy because it will determine the condition of the baby being born. This study aimed to determine maternal factors associated with neonatal mortality.Methods: The design of an analytic observational study using a case-control. The population of the study was infants born in Banjarnegara District in 2018. The sample of the study was 65 cases and 65 controls taken by simple random sampling. The data were analyzed univariate and bivariate.Result: The results showed a significant relationship between the completeness of the ANC visit (p = 0.029; OR = 3.6 (95% CI = 1.222-10.595)) and the consumption of Fe <90 tablets (p = 0.0001; OR = 4, 1 (95% CI = 1,942-8,816)) with neonatal mortality. There was no relationship between the age of pregnant women <20 years old and >35 years old with neonatal mortality.Conclusion: The conclusion of this study is the variables that are statistically related to neonatal mortality are completeness of ANC visit and consumption of Fe <90 tablets.
Co-Authors Apoina Kartini Ari Suwondo Dwi Sutiningsih Ferry Ardhiansyah Hasriyani Hasriyani Henry Setyawan Susanto Henry Setyawan Susanto Herry Poernomo Kamilah Budhi Kamilah Budhi Rahardjani Kukuh Purwo Saputro Mateus Sakundarno Adi, Mateus Sakundarno Suhartono, Suhartono Suharyo Hadisaputro