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Journal : Aesculapius Medical Journal

Faktor Risiko Tingginya Angka Kejadian Diare Pada Balita Di Puskesmas Kabupaten Gianyar, Bali Natasha Arivia; IGA Asih Ratnadi; Komang Triyani Kartinawati
AMJ (Aesculapius Medical Journal) Vol. 1 No. 1 (2021): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Faktor Risiko Tingginya Angka Kejadian Diare Pada Balita Di Puskesmas Kabupaten Gianyar, Bali Angka kematian balita akibat diare di Indonesia masih tinggi, mencapai 7.499 jiwa (0.03%) pada tahun 2018. Di Provinsi Bali, khususnya Kabupaten Gianyar, dari 13 puskesmas yang ada, angka kejadian diare balita pada UPT Kesmas Ubud I dan Sukawati II merupakan yang tertinggi dan cenderung meningkat setiap tahunnya. Penelitian bertujuan mengetahui faktor risiko tingginya angka kejadian diare balita pada Puskesmas di Kabupaten Gianyar, Bali. Penelitian ini mempergunakan metode analitik kuantitatif, desain studi cross sectional. Sampel meliputi 106 ibu yang mempunyai balita (umur 0 - 59 bulan) serta pernah mengalami diare dalam 3 bulan terakhir yang berkunjung ke Posyandu Wilayah Kerja Puskesmas Ubud I dan Sukawati II. Hasil penelitian menunjukan adanya hubungan signifikan antara pemberian ASI eksklusif (p=0,005), status gizi (p=0,029), status imunisasi (p=0,024), sarana pengelolaan sampah (p=0,027), serta kebersihan lantai (p=0,011) pada terjadinya diare pada balita di Puskesmas Kabupaten Gianyar, Bali. Sedangkan tidak terdapat hubungan signifikan anatara sarana air bersih (p=0,316), sarana pembuangan tinja (p=0,503) serta perilaku ibu (p=0,254) pada kejadian diare yang menyerang balita yang ada di Puskesmas Kabupaten Gianyar, Bali. Faktor yang paling berpengaruh adalah ASI eksklusif (p= 0,006). Kata kunci: diare, balita, faktor risiko, cross sectional, asi eksklusif Risk Factors for the High Incidence of Diarrhea in Children at the Gianyar District Health Center, Bali In 2018, number of death from children age 0 – 59 month caused by diarrhea in Indonesia is about 7.499 (0.03%). The highest incidence of diarrhea in Gianyar Public Health Centre was found in UPT Kesmas Ubud I and Sukawati II which increased annually. This study aims to find the risk factor of the high incidence of diarrhea among children age 0 – 59 month in Gianyar Public Health Centre. This study uses quantitative analytical methods, with a cross-sectional study design. The sample size in this study was 106 mothers who had children age 0-59 months and their children had experienced diarrhea in the last 3 months who came to the posyandu in the Ubud I and Sukawati II Puskesmas Working Areas. The results of this study showed a significant relationship between exclusive breastfeeding (p= 0.005), nutritional status (p= 0.029), immunization status (p=0.024), waste management facilities (p=0.027), and floor cleanliness (p=0.011) with the incidence of diarrhea in children under five years old at the Gianyar District Health Center, Bali. Meanwhile, there was no significant relationship between clean water facilities (p=0.316), fecal disposal facilities (p=0.503), and mother's behavior (p=0.254) with the incidence of diarrhea in children under five years old at the Gianyar District Health Center, Bali. The most influential factor was exclusive breastfeeding (p= 0.006). Keywords : diarrhea, children, risk factor, cross sectional, breastfeeding
Faktor-Faktor yang Mempengaruhi Kejadian Stunting pada Anak Usia 2-5 Tahun di Puskesmas Ubud 1 Gianyar Ni Kadek Ratih Riska Yanti; Komang Triyani Kartinawati; I Wayan Darwata
AMJ (Aesculapius Medical Journal) Vol. 2 No. 1 (2022): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

[Factors Influencing The Incidence Of Stunting In Children Aged 2-5 Years At The Ubud 1 Gianyar Public Health Center] Stunting is a chronic nutritional disease caused by inadequate nutritional intake during the growth period. The diagnosis of stunting is made if the Z-score of length or height per age is less than -2 SD (Standard Deviation) based on the WHO child growth standard. This study aims to explain the factors that influence the incidence of stunting in children aged 2-5 years at the Ubud 1 Gianyar Public Health Center. This research was carried out in the working area of the Ubud 1 Health Center, Gianyar in January-June 2022. This study was a quantitative analytic study with a case-control design, which used 60 samples, consisting of 30 cases and 30 controls. Sampling was collected with a consecutive sampling technique, where all subjects who met the inclusion criteria were included in the study until the required number of samples were met. Data was collected by measuring height, interviews and filling out questionnaires. The research was analyzed by univariate, bivariate, and multivariate. Based on the Chi-square test, there was a significant relationship between the level of feeding patterns (p-value 0.038), exclusive breastfeeding pattern (p-value 0.000), parental education (p-value 0.001), infectious diseases (p-value 0.019). However the utilization of health services could not be measured in this study. This study concluded that the nonexclusive breastfeeding pattern was the most influential factor in the incidence of stunting compared to other risk factors (odds ratio = 9,333). Further research is needed with a mixed method approach in order to obtain better analytical results in assessing the effect on stunting. Keywords : stunting, children 2-5 years, risk factors, case-control