Wisnuwijoyo AP, Wisnuwijoyo
DINKES SUKOHARJO

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Journal : MANDALA of Health

ANALISIS MASALAH KESEHATAN DI KABUPATEN SUKOHARJO TAHUN 2010 Wibowo, Yudhi; AP, Wisnuwijoyo
MANDALA of Health Vol 7, No 3 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Abstract

In order for any program capable of reaching targets optimally , it requires good planning . One step that must be taken is to do a Community Health Analysis (CHA). The goal of CHA is to obtain an overview status of public health in the working area of the District Health Office Sukoharjo , Central Java Province in 2010 . This study was a descriptive observational by analyzing secondary data of Sukoharjo Health Department . How to determine the priority of the problem with the Hanlon method using four criterias : 1 ) The magnitude of the problem ; 2 ) the urgency of the problem ; 3 ) Ease of countermeasures ; 4 ) PEARL factor. Identified health problems in 2010 is maternal mortality 152.28/100.00 Live Births (LB) (target 80.41/100.000 LB) , incidence rate (IR) of DHF 51.59/100,000 population (target < 20/100.000 population ) , Case Fatality Rate (CFR) of DHF 2.3 (target <1 ) , Case Detection Rate (CDR) Acid-Fast Bacilli smear (+) 25.91 % (target 85%) , diarrhea coverage which handled 94.7 % (target 100 % ) , 567 cases of chikungunya cases is still high , the UCI 92.22 % (target 100 %) , 1 leptopsirosis new cases , 1 case comfirm AI died , the number of HIV/AIDS increased from 7 cases (2009) to 12 (2010), the incidence of stroke increased from 3,417 cases (2009) to 3,481 (2010), essential hypertension is highest prevalence of NCDs group is 35 028. The order of priority of the problem is 1) IMR ; 2) DHF ; 3) Immunization ; 4) AI ; 5) TB ; 6) Type II DM and 7) Essential Hypertension . Maternal & Child Health program is a priority issue for IMR that exceeded the national target, infectious disease dengue, AI, tuberculosis and NCDs is Type II DM and essential hypertension is also a health issue. The cause of the problem related to environmental factors and behavioral and community empowerment.
ANEMIA IBU HAMIL TRIMESTER II SEBAGAI FAKTOR RISIKO BERAT BAYI LAHIR RENDAH (BBLR), LAHIR PREMATUR DAN LAHIR MATI DI KABUPATEN SUKOHARJO JANUARI-OKTOBER 2011 Wibowo, Yudhi; TB, Rahayujati; AP, Wisnuwijoyo
MANDALA of Health Vol 7, No 1 (2014): Mandala Of Health
Publisher : Jurusan Kedokteran FK Unsoed

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Abstract

Sukoharjo, in 2010, the Infant Mortality Rate (IMR) 66.7 % occurred in the neonatal period with the largest direct cause of LBW was 26% , others 22 % , 17 % asphyxia , 12% congenital anomalies and pneumonia 9% . In 2010,  prevalence of maternal anemia was 3.92 %, but the number of Low Birth Weight (LBW) and infant mortality actually increased . This research is to prove that maternal anemia in the second trimester as risk factors of LBW , premature birth and stillbirth . Analytic observational study with a retrospective cohort study design . Subjects were all pregnant women who have given birth in the month of January to October 2011 and had no history of anemia in Trimester I. The chi-square test to examine the association of maternal anemia in the second trimester with outcomes . Binary logistic regression was used to control potential confounding variables . There are 236 women giving birth who meet the inclusion and exclusion criteria , 72 (30.5 %) were exposed group (anemic trimester 2) and 164 (69.5 %) including the unexposed group (non-anemic trimester 2). Maternal anemia in the second trimester who delivered LBW (61.9 %) , premature birth (91.2 %) and stillbirths (75 %) . Maternal anemia in the second trimester was  3.7 times increased risk for LBW (p < 0.01 , RR = 3.7 ( 2.73 to 4.99 ) , increased the risk more than 23 times for the incidence of preterm birth (p < 0,01 , RR = 23.5 (7.44 to 74.50) , but not statistically significant (p=0.08 ) and RR = 6.83 (0.72 to 64.58) for the incidence of stillbirth . After controlling for potential variable modifier is a history of LBW , preterm birth and history of the ANC , maternal anemia in the second trimester  increase more than 4 times the risk for LBW with Adjusted RR = 4.43 (2.73 to 7.18) and p < 0.01 . LBW and preterm birth is more common in pregnant women with anemia TM2 so important to have checks Haemoglobine in pregnant women according to gestational age and follow-up.