52 research outputs found
Modul Pegangan Kader Kesehatan Dalam Peningkatan Keberhasilan Pemberian ASI Ekslusif
No full textBuku kategori kesehatan yang berjudul Modul Pegangan Kader Kesehatan Dalam Peningkatan Keberhasilan Pemberian ASI Ekslusif merupakan buku karya dari Jumiyati dan Demsa Simbolon. Air susu Ibu (ASI) merupakan makanan terbaik bagi bayi pada awal kehidupan, tidak hanya karena ASI mengandung cukup zat gizi tetapi juga ASI mengandung antibodi yang melindungi bayi dari infeksi. Pemberian ASI sangat penting bagi tumbuh kembang yang optimal baik fisik maupun mental dan kecerdasan bayi, oleh karena itu pemberian ASI perlu mendapatkan perhatian pada ibu dan tenaga kesehatan agar proses menyusui dapat terlaksana dengan baik. Pemberian ASI eksklusif sebaiknya diberikan ASI saja tanpa makanan tambahan sampai bayi berusia 6 bulan, karena semua zat gizi yang dibutuhkan sampai umur tersebut dapat dipenuhi dari ASI saja. ASI merupakan nutrisi yang memiliki kualitas`dan kuantitas terbaik saat masa pertumbuhan 0 – 6 bulan
Berat Lahir dan Kelangsungan Hidup Neonatal di Indonesia
Get PDFNeonatal mortality rate in Indonesia was ranked as 10th highest in the world because of high prevalence of infants low birth weight. This research used Indonesia Demographic and Health Survey 2007 data with retrospective cohort design. The purposes of the research are to measure the probability ofneonatal survival according to birth weight and to identify effect of birth weight on neonatal survival. The number of sample is 11.748 infants with inclusion criteria born alive, single birth, and at least 28 days old when interviewed.The study found the cumulative probability of neonatal survival in Indonesia was 98,49% and getting lower according to birth weight, at neonatal with low birth weight is 95,68% and 89,83% at neonatal with very low weight. Birth weight modification related to maternal parity, so that the influence of birth weight on neonatal survival depent on the maternal parity. Low birth weight infants of multiparous and grandemultiparous maternal parity risk 2,9 and 3,9 times experienced death in the neonatal period compared with normal birth weight. Early interventions to prevent low birth weight and intensive care to infants with low birth weight are suggested
Faktor Risiko Tuberculosis Paru di Kabupaten Rejang Lebong
Get PDFSince 1995, eradication program of Pulmonary Tuberculosis with strategy of DOTS have been executed in Rejang Lebong District, but new patient remain to occur and showing tendency of increasing from year to year. The objective of this study is to know risk factor related to occurence of Pulmonary Tuberculosis BTA (+) in Rejang Lebong District. This research use case control study with comparison 1:1. Case is patient of Pulmonary Tuberculosis BTA (+) residing in working areas of Puskesmas Curup, Perumnas and Puskesmas Kampung Delima age >15 year, who seek medical treatment within October 2005 to May 2006, with exclusion criteria of not being relapsing TB patient. Control is neighbor of case who don't have symptom of clinical Pulmonary Tuberculosis of the same age with cases. Research was conducted in May-July 2006 with 50 cases and 50 controls. Data analysis used in this study is multivariate logistic regression. The study has found that risk factor related to occurrence of Pulmonary Tuberculosis is not BCG immunized (OR=2.855, p=0.048), source of infection (OR=2.263, p=0.046), ventilation less than 10% of wide floor (OR=4.907, p=0.004), no sunlight into the house (OR=5.008, p=0.006), interaction between smoking behavior with house density, and closeness of contact (OR=14.576, P=0.017). The most dominant factor is interaction between smoking behavior with house density
Kelangsungan Hidup Bayi di Perkotaan dan Pedesaan Indonesia
Get PDFInfant's survival in Indonesia is still low, as showed by the highest IMR level in ASEAN, intermediate rock condition and highly varied. This research's aim is to des- cribe infant's survival in Indonesia's urban and rural area, also various factors related. This research is using SDKI 2002-2003 data. Sample's amount 11.588 infant, consist of 4.769 infant in urban and 6.819 infant in rural. Method of analysis used in this study is life table and cox regression. This research found probability infant's survival in urban (98, 59%) higher than in rural (97, 54%) and infant's mortality proportion in rural is twice higher than in urban. On first month age (neonatal mortali- ty) infant's survival time probability was decline, and for higher age infant's survival time probability is still low, but not as low as the first month age. In urban area, infant's survival time probability is even lower than in rural. There are determinant factors which are related to infant's survival in rural and urban. In urban, factors which are related to infant's survival are birth weight, breast feeding period and birth assistance. Meanwhile in rural area, the factors of are antenatal care, birth weight, birth assistance, birth queue number, breast feeding period and bearing place. Infant condition when the baby born is determinant factors which is related significantly with infant's survival, first breast feeding period is dominant factor which is related with infant's survival
Model Prediksi Indeks Massa Tubuh Remaja Berdasarkan Riwayat Lahir dan Status Gizi Anak
Get PDFUsia remaja merupakan salah satu kelompok umur rentan terhadap masalah gizi sebagai akibat riwayat lahir dan status gizi buruk sebelumnya yang konsekuensinya buruk dalam daur hidup berikutnya. Penelitian ini menggunakan data Indonesia Family Life Survey (IFLS) dengan desain studi longitudinal, bertujuan memperoleh model prediksi IMT remaja berdasarkan riwayat lahir dan status gizi anak. Sampel berjumlah 837 Balita dipilih secara multistage random sampling. Riwayat lahir diukur dari berat lahir dan umur kehamilan. Pengukuran status gizi dilakukan mulai Balita sampai remaja (15 - 19 tahun). Analisis menggunakan regresi logistik multinomial. Rata-rata berat lahir bayi perempuan 147 gram lebih rendah dibandingkan bayi laki-laki. Terdapat 7,4% berat bayi lahir rendah, dengan prevalensi tertinggi pada perempuan (9,3%). Terdapat masalah gizi ganda pada Balita yaitu 47% stunting, 29,7% underweight, 10% wasting, dan 13,9% gemuk/obesitas. Sebesar 51,7% Balita mengalami gangguan pertumbuhan dengan stunting sebagai kontribusi terbesar. Risiko remaja gemuk/obesitas diprediksi dari kelahiran prematur, stunting usia 8 - 12 tahun, dan gemuk/obesitas usia 8 - 12 tahun. Risiko remaja kurus diprediksi dari IMT kurus saat berusia 5 - 9 tahun dan usia 8 - 12 tahun. Perlu intervensi yang diprioritaskan pada remaja perempuan untuk mencegah kelahiran prematur dan fetal programming, serta evaluasi program Pemberian Makan Tambahan (PMT) pada Balita yang lebih memfokuskan pada penambahan berat badan tanpa mempertimbangkan tinggi badan.Adolescents is one of the age groups vulnerable to nutritional problems as a result of poor birth history and nutritional status, and then have bad consequences the next life cycle. Research using data Indonesia Family Life Survey (IFLS) with longitudinal study designs to predict adolescent body mass index based on the history of birth and child nutritional status. Sample consisted of 837 children selected by multistage random sampling. History of birth measured from birth weight and gestational age. Measurement of nutritional status was conducted from under five years children to adolescence (15 - 19 years). Analysis using multinomial logistic regression. Average birth weight women 147 grams lower than men. There is a 7.4% LBW, with the highest prevalence in women (9.3%). There are multiple nutritional problems are 47 % stunting, 29.7% underweight, 10% wasting, and 13.9% overweight/ obesity. 51.7% of children under five years of growth faltering, stunting as the highest contribution. The risk of overweight/ obesity adolescent can be predicted from the premature birth, stunted aged 8 - 12 years, and overweight/ obese aged 8 - 12 years. Risk of underweight adolescents predicted from underweight aged 5 - 9 years and 8 - 12 years. It should be prioritized intervention in young women to prevent preterm birth, as well as the evaluation of the supplementary feeding programs are more focused on weight gain without considering the height
Effect of the poor health insurance on birth status and stunting in children under-two years old in Indonesia (data analysis IFLS 1993-2007)
Get PDFBackground. One of the policies to address health and nutrition
issues is Health Insurance Program for the Poor (ASKESKIN)
imposed by the Decree of the Minister of Health of the Republic
of Indonesia number 1241/MENKES/SK/XI/2004 as mandated
by National Social Security System. However, coverage is still
low, which is expected to have an impact on the birth status
and nutritional status of children under-two years old.
Objective. To prove that membership of a health insurance
for the poor (ASKESKIN) has effect on birth status and the
incidence of stunting of children under-two years old in
Indonesia.
Method. The research is using the positivist paradigm, the
data is analysed using cross-sectional study based on
Indonesian Family Life Survey (IFLS) in 1993-2007. The samples
were all children under two years who were randomly netted
in IFLS1 (1993) until IFLS4 (2007), with inclusion criteria
biological children, living with parents, single live birth and
birth, the data available on birth weight, gestational age,
anthropometry. Univariate, bivariate and logistic regression
mutivariat using 3 sets of data to identify the effect of health
insurance ownership to birth weight (n = 3956), gestational
age (n = 4998) and the incidence of stunting (n = 4504).
Results. Ownership of health insurance affects LBW, preterm
and stunting. Children under two years old from family that
have health insurance other than ASKESKIN are protected
from LBW (OR, 95 % CI = 0.61; 0.43 to 0.88). However, there
was no difference risk of LBW among children under two
years old from families with ASKESKIN and those without any
health insurance. (OR, 95 % CI = 0.92; 0.52 to 1.61) (model 1).
Children from ASKESKIN family has a risk factor for the
prevalence of preterm (OR, 95 % CI: 1.74; 1.14 to 2.66) (model
2). Children from families that have health insurance other
than ASKESKIN are protected from stunting (OR, 95 % CI =
0.78, 0.62 to 0.98), but there is no difference in risk of stunting
among children from families with ASKESKIN compared to
children from famililies that do not have health insurance (OR,
95 % CI = 1.01; 0.69 to 1.47) (model 3).
Conclusion. Policy makers need to evaluate the Community
Health Insurance Program (ASEKSKIN). The Maternal Children
Health and Nutrition intervention was done with less emphasis
on promotive and preventive efforts. People utilize curative
measures only when problems occur in relation to the health
and nutrition of mothers and children
Pengaruh Kepemilikan Jaminan Kesehatan Masyarakat Miskin terhadap Status Kelahiran dan Kejadian Stunting pada Baduta Indonesia (Analisis Data IFLS 1993 – 2007)
Get PDFBackground. One of the policies to address health and nutrition issues is Health Insurance Program for the Poor (ASKESKIN) imposed by the Decree of the Minister of Health of the Republic of Indonesia number 1241/MENKES/SK/XI/2004 as mandated by National Social Security System. However, coverage is still low, which is expected to have an impact on the birth status and nutritional status of children under-two years old. Objective. To prove that membership of a health insurance for the poor (ASKESKIN) has effect on birth status and the incidence of stunting of children under-two years old in Indonesia. Method. The research is using the positivist paradigm, the data is analysed using cross- sectional study based on Indonesian Family Life Survey (IFLS) in 1993-2007. The samples were all children under two years who were randomly netted in IFLS1 (1993) until IFLS4 (2007), with inclusion criteria biological children, living with parents, single live birth and birth, the data available on birth weight, gestational age, anthropometry. Univariate, bivariate and logistic regression mutivariat using 3 sets of data to identify the effect of health insurance ownership to birth weight (n = 3956), gestational age (n = 4998) and the incidence of stunting (n = 4504). Results. Ownership of health insurance affects LBW, preterm and stunting. Children under two years old from family that have health insurance other than ASKESKIN are protected from LBW (OR, 95 % CI = 0.61; 0.43 to 0.88). However, there was no difference risk of LBW among children under two years old from families with ASKESKIN and those without any health insurance. (OR, 95 % CI = 0.92; 0.52 to 1.61) (model 1). Children from ASKESKIN family has a risk factor for the prevalence of preterm (OR, 95 % CI: 1.74; 1.14 to 2.66) (model 2). Children from families that have health insurance other than ASKESKIN are protected from stunting (OR, 95 % CI = 0.78, 0.62 to 0.98), but there is no difference in risk of stunting among children from families with ASKESKIN compared to children from famililies that do not have health insurance (OR, 95 % CI = 1.01; 0.69 to 1.47) (model 3). Conclusion. Policy makers need to evaluate the Community Health Insurance Program (ASEKSKIN). The Maternal Children Health and Nutrition intervention was done with less emphasis on promotive and preventive efforts. People utilize curative measures only when problems occur in relation to the health and nutrition of mothers and children. Latar belakang. Salah satu kebijakan untuk mengatasi masalah kesehatan dan gizi adalah Program Jaminan Pemeliharaan Kesehatan bagi Masyarakat Miskin (PJKMM) yang diberlakukan dengan Surat Keputusan Menteri Kesehatan Republik Indonesia (SK Menkes RI) No. 1241/Menkes/SK/XI/ 2004 sebagai amanat UU No. 40/2004 tentang Sistem Jaminan Sosial Nasional (SJSN). Namun cakupannya masih rendah, yang diperkirakan berdampak pada masih tingginya masalah riwayat kelahiran dan status gizi baduta. Tujuan. Membuktikan pengaruh kepemilikan jaminan kesehatan masyarakat miskin terhadap status kelahiran dan kejadian stunting baduta Indonesia. Metode. Penelitian menggunakan paradigma positivist dengan pendekatan crossectional study berdasarkan data Indonesia Family Life Survey (IFLS) tahun 1993-2007. Sampel adalah seluruh bayi dan baduta yang secara random terjaring dalam IFLS1 (1993) sampai IFLS4 (2007), dengan kriteria inklusi anak kandung, tinggal dengan orang tua, lahir hidup dan lahir tunggal, tersedia data berat lahir, umur kehamilan, antropometri. Analisis univariat, bivariat dan regresi logistik mutivariat menggunakan 3 set data untuk mengidentifikasi pengaruh kepemilikan Jaminan kesehatan terhadap berat lahir (n=3956), umur kehamilan (n=4998) dan kejadian stunting (n=4504). Hasil. Kepemilikan jaminan kesehatan berpengaruh terhadap BBLR, prematur dan stunting. Bayi dari keluarga peserta jaminan kesehatan Non-ASKESKIN terproteksi dari BBLR (OR;95% CI= 0,61; 0,43-0,88). Namun tidak ada perbedaan risiko BBLR antara bayi dari keluarga peserta Askeskin dan yang tidak memiliki jaminan kesehatan (OR;95% CI =0,92; 0,52-1,61) (model 1). Kepemilikan ASKESKIN sebagai faktor risiko kejadian prematur (OR, 95% CI: 1,74; 1,14-2,66) (model 2). Anak dari keluarga peserta jaminan kesehatan Non-ASKESKIN terproteksi dari kejadian stunting (OR;95% CI =0,78; 0,62-0,98), namun tidak ada perbedaan risiko stunting antara anak dari keluarga peserta ASKESKIN dengan anak dari keluarga yang tidak memiliki jaminan kesehatan (OR;95% CI =1,01; 0,69-1,47) (model 3). Kesimpulan. Penentu kebijakan perlu melakukan evaluasi pada program Jaminan Kesehatan Masyarakat (keluarga miskin), karena intervensi KIA dan Gizi yang dilakuan kurang menekankan pada upaya promotif dan prefentif, sehingga utilisasi masyarakat lebih pada upaya kuratif bila terjadi masalah Kesehatan dan Gizi pada ibu dan anak
Mekanisme Hubungan Sosial Ekonomi, Pemanfaatan Pelayanan Kesehatan dan Kehamilan Risiko Tinggi terhadap Prevalensi Panjang Badan Lahir Pendek (KESMAS: Jurnal Kesehatan Masyarakat Nasional Vol.9 No.3, Februari 2015)
No full textProbability of Non-compliance to the Consumption of Iron Tablets in Pregnant Women in Indonesia: Probability of Non-compliance to the Consumption of Iron Tablets in Pregnant Women in Indonesia
No full textIntroduction: The low non-compliance to the consumption of Iron Tablets in pregnant women is an obstacle in the implementation of government programs to prevent and overcome the anemia problems in pregnant women. This study was conducted to determine the probability of non-compliance of pregnant women in the consumption of iron tablets in Indonesia.
Methods: A cross-sectional study using the 2017 IDHS data. The sample was 12,466 women of childbearing age 15-49 years in Indonesia who consumed Iron Tablets during their last pregnancy. Univariate analysis used proportion measure, the bivariate analysis using chi-square test and multivariate used binary logistic regression test. Statistical analysis using SPSS-26 software.
Results: The level of non-compliance to the consumption of Iron Tablets during pregnancy in Indonesia is only 48.47%. The risk factors for quantity (p = 0.000, OR 2.085), and quality (p = 0.000, OR 1.655) Antenatal Care (ANC) was not good, examiners were pregnancy not health workers (p = 0.000, OR 1.816), residence in rural areas (p = 0.000, OR 1.262), and very poor socioeconomic status (p value= 0.000, OR 2.041) were significantly related to non-compliance with Iron Tablets consumption. The probability of non-compliance to the consumption of Iron Tablets in pregnant women with risk factors is 88%.
Conclusion: Quantity of ANC and socioeconomic have a high influence on compliance to consumption of iron tablets, so it is important to bring nutrition workers at ANC activities to educate pregnant women about the benefits, side effects, and ways of consumption of iron tablets, reactivate supervisors for consumption of iron tablets, increase access health services in rural areas and families with low socioeconomic status, as well as providing free health care programs for the poor. 
RELATIONSHIP FAMILY AND MATERNAL FACTORS WITH INFANT AND YOUNG CHILD FEEDING AGE 6-23 MONTHS IN INDONESIA
Get PDFThe Infant and Young Child Feeding (IYCF) programs aim to improve the nutritional and health status, growth and development, and survival of children in Indonesia. Knowing the relationship between maternal factors and family factors in feeding infants and children under 6-23 months. This study used secondary data and analysis of the 2017 Indonesian Demographic and Health Survey (IDHS). The research design used was an analytic observational design using a cross-sectional type to determine the relationship between maternal factors and family factors in feeding infants and toddlers 6-23 months. The sample used is 4869 with a minimum sample of 790 samples. The unit of analysis for this study was all children who were born alive from all live births from mothers who had children under five years of age 6-23 months and children who were born alive and were the last child of a mother who had already had a birth. Data analysis used univariate, bivariate, and multivariate analysis. Multivariate analysis using multivariate logistic regression. The results found that most of the children had the practice of IYCF not according to the recommendations (72.2%). Factors related to IYCF practices are a place of residence, socioeconomic, parity, mother's education, and mother's age, while the most dominant factor related to IYCF practice is socioeconomic. It is necessary to improve education, socialization, and movements toward families, so that the community, especially mothers with children aged 6-23 months
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