Nur Alam Fajar
Faculty of Public Health, Sriwijaya University

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The Effect of Environtment Characteristics on Diarrhea Occurrence Among Children Under Five in Palembang Amrina Rosyada; Dini Arista Putri; Nur Alam Fajar
Jurnal Ilmu Kesehatan Masyarakat Vol. 10 No. 2 (2019): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (314.63 KB) | DOI: 10.26553/jikm.2019.10.2.126-131

Abstract

Diarrhea is still a public health problem in developing countries such as Indonesia because morbidity and mortality rates are still high in these areas. A morbidity survey conducted by the Diarrhea Department of the Ministry of Health in Indonesia between 2000 and 2010 shows rising incidences of diarrhea in children. In 2000, Incidence Rate (IR) diarrhea incidents occurred in 301/1000 members of the population, and this increased to 411/1000 in 2010. Cases of diarrhea have become dangerous when suffered by infants because the mortality rate will increase because weaker immunity than olders. Environmental factors such as water, waste, and toilet contribute greatly to cases of diarrhea; therefore, in this research, we analyze environmental characteristics’ effects on the incidence of diarrhea in infants in Palembang. This study uses a mixed-method design combining quantitative data collection using secondary data from the Department of Health with qualitative data collection using in-depth interviews of Palembang’s local government and health center personnel in the districts with the highest and lowest cases of diarrhea. Quantitative data analysis are visualized in the form of a map, while qualitative data are analyzed using content analysis. The results show that Ilir Timur I has the highest incidences of diarrhea while the Sako district has the lowest. Based on the results of the analysis, Ilir Timur I has more cases of diarrhea largely because of its non-working area health centers. Sako has the fewest cases of diarrhea because the clinics, doctors, and midwives in private practice in the region of Sako do not report the cases, as well as because of factors related to access remote health centers. Therefore, interventions based on health data for diarrhea need to be restyled for a drastic reduction of diarrhea cases.
ASSOCIATION BETWEEN THE INCIDENCE OF DIARRHEAL DISEASES AND ENVIRONMENTAL RISK FACTORS: A SYSTEMATIC REVIEW: A Systematic Review Anita Riantina Anita; Yuanita Windusari; Novrikasari; Elvi Sunarsih; Nur Alam Fajar
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 12 No. 1 (2024): JAMBI MEDICAL JOURNAL: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v12i1.29418

Abstract

Background : Diarrheal disease is the occurrence of feces (bowel movements) whose soft consistency tends to be liquid and occurs more than 3 times a day. The prevalence of diarrhea in Indonesia is 9.8% with 14.5% causing death. Risk factors for diarrhea include food, environmental and human behavior. . Method : Research design using systematic review method. With the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta Analysis) method through article searches sourced from Google scholar and Pubmed. The inclusion criteria in this writing are original research articles published within the last 5 years, starting from 2018 – 2023. Results : This study shows that sewage has a close relationship with the incidence of diarrhea (P = 0.001), as well as drinking water sources, especially in terms of water sources, availability of water sources and bacteriological quality of water. Unqualified wastewater disposal conditions are 3.7 times greater risk for diarrhea (PR: 3.7, CI: 1.159 – 11.937), there is a significant relationship between family waste management and diarrhea incidence. In addition to environmental risk factors, there are other factors, namely the level of education of middle and upper middle mothers, exposure to information and family income levels also have a relationship with the incidence of diarrhea in both children and the elderly Conclusion : Risk factors that have a significant influence on the incidence of diarrhea are environmental factors, exposure to information and family income level. The dominant environmental factors in this study are sewage disposal (latrines), clean water sources/clean water quality, wastewater disposal. Keywords : diarrhea, environmental factors, personal hygiene, bivariate