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HUBUNGAN STATUS GIZI DAN MORBIDITAS BALITA DI 13 KABUPATEN LOKUS STUNTING DI INDONESIA TAHUN 2019 Ika Saptarini; Prisca Petty Arfines; Novianti Novianti; Yurista Permanasari
JURNAL KESEHATAN REPRODUKSI Vol 13 No 2 (2022): JURNAL KESEHATAN REPRODUKSI VOLUME 13 NOMOR 2 TAHUN 2022
Publisher : IAKMI South Tangerang Branch

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58185/jkr.v13i2.44

Abstract

Abstract Background: Acute respiratory infections (ARI) and diarrhea are still significant causes of worldwide morbidity and mortality in children under five. In addition, nutritional problems are still a health problem at the global level, even though the prevalence of nutritional problems has decreased considerably over the last few years. The presence of malnutrition will increase the chance of morbidity in children, including diarrhea and ARI. Objective: This study examines the relationship between nutritional status and morbidity in children under five in 13 stunting locus districts in Indonesia. Methods: This study used a cross-sectional design and was carried out through a quantitative approach in 13 stunting locus districts. The outcome of this study was children under five morbidities, assessed using ARI and diarrhea. The nutritional status used is stunting, wasting and underweight. In addition, this study also includes confounding variables including household, maternal and child factors. Results: This study found that stunting, wasting and being underweight did not have a significant relationship with the incidence of ARI and diarrhea. This can be due to the method of measuring morbidity through remembering. Meanwhile, drinking water sources that are not proper will increase the chances of ARI and diarrhea. Conclusion: Stunting, wasting and being underweight statistically do not significantly associate with diarrhea and ARI in children under five. Therefore, further research on the relationship between nutritional status and morbidity of children under five needs to be conducted using a better method of measuring morbidity. Keyword: nutrition status, stunting, wasting, underweight, morbidity   Abstrak Latar Belakang: Infeksi saluran pernapasan akut (ISPA) dan diare masih menjadi penyebab morbiditas dan mortalitas balita yang signifikan di seluruh dunia. Selain itu, permasalahan gizi juga masih menjadi permasalahan kesehatan di tingkat global meskipun  telah prevalensi permasalahn gizi telah cukup mengalami penurunan selama beberapa tahun terakhir.  Adanya malnutrisi akan meningkatkan peluang terjadinya morbiditas pada anak termasuk diare dan ISPA.  Tujuan: Penelitian ini bertujuan melihat hubungan status gizi dengan kesakitan pada balita di 13 kabupaten lokus stunting di Indonesia.  Metode: Penelitian ini menggunakan desain potong-lintang dan dilakukan melalui pendekatan kuantitatif dan dilaksanakan di 13 kabupaten lokus stunting. Outcome penelitian ini adalah morbiditas balita yang  dinilai menggunakan ISPA dan diare. Status gizi yang dipakai adalah stunting, wasting dan underweight. Selain itu penelitian ini juga memasukkan variabel konfounding berupa faktor keluarga, ibu dan anak. Hasil: Penelitian ini menemukan bahwa stunting, wasting dan underweight tidak memiliki hubungan bermakna dengan kejadian ISPA dan diare. Hal ini dapat disebabkan metode pengukuran morbiditas melalui metode mengingat. Sedangkan sumber air minum yang tidak layak akan meningkatkan peluang terjadinya ISPA dan diare.  Kesimpulan: Stunting, wasting dan underweight secara statistik tidak memiliki hubungan yang bermakna dengan morbiditas diare dan ISPA pada balita.  Oleh karena itu, perlu ada penelitian lebih lanjut terkait hubungan status gizi dan morbiditas balita menggunakan metode pengukuran morbiditas yang lebih baik. Kata Kunci: status gizi, stunting, wasting, underweight, morbiditas
EFEKTIFITAS KONSELING TERHADAP PENGETAHUAN IBU DALAM DETEKSI TANDA BAHAYA BAYI DAN BALITA DI INDONESIA Anissa Rizkianti; Ika Saptarini; Suparmi Suparmi; Iram Barida Maisya; Andi Susilowati; Bunga Christita Rosha
JURNAL KESEHATAN REPRODUKSI Vol 14 No 2 (2023): JURNAL KESEHATAN REPRODUKSI VOLUME 14 NOMOR 2 TAHUN 2023
Publisher : IAKMI South Tangerang Branch

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58185/jkr.v14i2.122

Abstract

Background: As part of the Integrated Management of Childhood Illnesses, the government conducted counselling on a daily monitoring, so families enable to recognize danger signs and seek medical help for sick infants and under-five children. Objective: This study aims to measure changes in mothers' knowledge about danger signs on infants and under-five children after given counseling regarding monitoring. Method: The study design used was a quasi-experiment in one group (one-group pretest-posttest) with a quantitative and qualitative approach. The quantitative sample was 320 under-five children in the selected public health centers in eight focused districts who met the inclusion criteria, consisting of mothers, caregivers, or the closest family members taking care of children, whereas the qualitative sample included four informants with classification based on monitoring practices. Counseling was conducted by local cadres who were formerly trained by the Ministry of Health team. Results: Of the 320 respondents, only 48.4% experienced better knowledge after receiving counseling. Based on the McNemar test results, respondents' knowledge level before and after counseling was not significantly different (p > 0.05). Qualitative results show that inappropriate counseling techniques and a less conducive environment affected changes in respondents' knowledge. Conclusion: To optimize the effectiveness of counseling in increasing mothers' knowledge to monitor danger signs for infants and under-five children at home, cadres are expected to design better counseling practices and create a conducive atmosphere. Keywords: counseling, monitoring, danger signs, knowledge