Factors Associated with the Incidence of Diarrhea on Toddlers in Central Indonesia Region (IFLS 2014)
DOI:
https://doi.org/10.25311/keskom.Vol8.Iss3.1185Keywords:
Abstract
Diarrhea is the second leading cause of death in children under five in the world. Every year at least 1.7 million cases of diarrhea in children occur. This study was conducted to determine the factors associated with the incidence of diarrhea in toddlers in the Central Indonesia region. This study uses data from IFLS 5 in 2014. The sample of this study was toddlers aged 6-59 months in the provinces of Bali, West Nusa Tenggara, South Kalimantan, and South Sulawesi. The research design used was cross-sectional with a sample size of 1079 toddlers. It is known that 16.8% of children under five in Central Indonesia experience diarrhea, with the largest percentage being 17.75% in West Nusa Tenggara. Based on the results of the multivariate test, it was found that age (p-value: <0.001), gender (p-value: <0.003), and household waste management (p-value: <0.017) were associated with diarrhea. Age is the dominant factor in the incidence of diarrhea in toddlers in Central Indonesia (OR: 2.421, 95% CI = 1.739-3.370), meaning that children aged 6-23 months have a 2.4 times risk of suffering from diarrhea. This is due to the reduced immunity of the child obtained from the mother, increased growth and development of the child, and the start of weaning at that age. Strengthening understanding and commitment to implementing PIS-PK is needed to provide health information related to the prevention and treatment of diarrhea conveyed by an approach to families of children under five, thereby raising health awareness starting from the family.
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References
WHO, UNICEF. Diarrhoea: Why Children are Still Dying and What Can be Done. New York: WHO/Unicef; 2009.
WHO. Diarrhhoeal Disease [Internet]. WHO. 2017 [cited 2019 Dec 2]. Available from: www.who.int/news-room/fact-sheets/detail/diarrhoeal-disease
WHO. Global Health Observatory Data Repository [Internet]. WHO. 2018 [cited 2019 Dec 4]. Available from: https://apps.who.int/gho/data/view.main-searo.ghe1002015-CH3?lang=en
Kemenkes. Riskesdas 2013 dalam Angka. Jakarta: Kemenkes RI; 2013.
Kemenkes. Laporan Nasional Riskesdas 2018. Jakarta; 2019.
Getachew A, Guadu T, Tadie A, Gizaw Z, Gebrehiwot M, Cherkos DH, et al. Diarrhea Prevalence and Sociodemographic Factors among Under-Five Children in Rural Areas of North Gondar Zone, Northwest Ethiopia. Int J Pediatr. 2018;2018:1–8.
Getachew A, Tadie A, G.hiwot M, Guadu T, Haile D, G.cherkos T, et al. Environmental Factors of Diarrhea Prevalence among Under Five Children in Rural Area of North Gondar zone, Ethiopia. Ital J Pediatr. 2018;44(1):5–11.
Melese B, Paulos W, Astawesegn FH, Gelgeli TB. Prevalence of diarrheal diseases and associated factors among under-five children in Dale District, Sidama zone, Southern Ethiopia: A cross-sectional study. BMC Public Health. 2019;19(1):1–10.
Bukenya GB, Barnes T, Nwokolo N. Low Birthweight and Acute Childhood DDiarrhoea: Evidence of Their Association in an Urban Settlement of Papua New Guinea. Ann Trop Paediatr. 1991;11(4):357–62.
WHO. Low Birthweight: Report of a Meeting in Dhaka, Bangladesh on 14 - 17 June 1999. WHO. Geneva; 2000.
Ittiravivongs A, Songchitratna K, Ratthapalo S, Pattara-arechachai J. Effect of Low Birth Weight on Severe Childhood Diarrhea. Southeast Asian J Trop Med Public Health. 1991;22(4):557–62.
Hardi AR, Masni, Rahma. Faktor-Faktor yang Mempengaruhi Kejadian Diare pada Batita di Wilayah Kerja Puskesmas Baranglompo Kecamatan Ujung Tanah. FKM Unhas [Internet]. 2012;1–13. Available from: http://repository.unhas.ac.id/bitstream/handle/123456789/4666/Jurnal Fix Amin Rahman Hardi %28K11107156%29.pdf?sequence=1
Das JK, Tripathi A, Ali A, Hassan A, Dojosoeandy C, Bhutta ZA. Vaccines for the Prevention of Diarrhea Due To Cholera, Shigella, ETEC and Rotavirus. BMC Public Health. 2013;13(SUPPL.3).
Gashaw D, Woldemichael K, Shewanew T, Yitbarek K. What Factors Aggravate Prevalence of Diarrhea among Infants of 7-12 Months in Southern Ethiopia? Qual Prim Care [Internet]. 2017;25(5):321–5. Available from: http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=126311121&site=ehost-live
Kheirkhah D, Sharif MR, Honarpisheh P, Sharif A. The Effects of Vitamin A on Acute Watery Diarrhea in Children 1-5 Years Old. Int J Med Res Heal Sci. 2016;5(12):228–32.
Wahyuni E, Dermawan S. Hubungan Asupan Seng Dan Vitamin a Dengan Kejadian Diare Pada Anak Umur 1-5 Tahun. Holistik J Kesehat. 2018;12(3):136–45.
Anteneh ZA, Andargie K, Tarekegn M. Prevalence and Determinants of Acute Diarrhea among Children Younger than Five Years Old in Jabithennan District, Northwest Ethiopia, 2014. BMC Public Health [Internet]. 2017;17(1):1–8. Available from: http://dx.doi.org/10.1186/s12889-017-4021-5
Puspitasari AD, Nuryani DD, Sary L. Hubungan Kondisi Saluran Pembuangan Air Limbah, Sarana Air Bersih Dan Jamban Dengan Kejadian Diare Pada Balita Di Wilayah Kerja Puskesmas Simpang Agung Kecamatan Seputih Agung Lampung Tengah. J Dunia Kesmas. 2015;4(3):157–62.
UNICEF. One is Too Many, Ending Child Death from Pneumonia and Diarrhoea [Internet]. New York: UNICEF; 2016. 25 p. Available from: https://data.unicef.org/wp-content/uploads/2016/11/UNICEF-Pneumonia-Diarrhoea-report2016-web-version_final.pdf
Fufa WK, Gebremedhin GB, Gebregergs GB, Mokonnon TM. Assessment of Poor Home Management Practice of Diarrhea and Associated Factors among Caregivers of Under-Five Years Children in Urban and Rural Residents of Doba Woreda, Ethiopia: Comparative Cross-Sectional Study. Int J Pediatr. 2019;2019:1–12.
WHO. Readings on diarrhoea: Student manual [Internet]. World Health Organization Geneva. 1992. 1–143 p. Available from: http://apps.who.int/iris/bitstream/10665/40343/1/9241544449.pdf
Soenarto Y, Aman AT, Bakri A, Waluya H, Firmansyah A, Kadim M, et al. Burden of Severe Rotavirus Diarrhea in Indonesia. J Infect Dis. 2009;200(s1):S188–94.
Parwata WSS, Sukardi W, Wahab A, Soenarto Y. Prevalence and Clinical Characteristics of Rotavirus Diarrhea in Mataram, Lombok, Indonesia. Paediatr Indones. 2016;56(2):118.
New York State Office of Children and Family Services. Children Development Guide. 2015.
Mihrete TS, Alemie GA, Teferra AS. Determinants of Childhood Diarrhea among Underfive Children in Benishangul Gumuz Regional State, North West Ethiopia. BMC Pediatr [Internet]. 2014;14(102):1–9. Available from: BMC Pediatrics
Jarman AF, Long SE, Robertsin SE, Nasrin S, Alam NH, McGregor AJ, et al. Sex and Gender Differences in Acute Pediatric Diarrhea: A Secondary Analysis of the DHAKA Study. J Epidemiol Glob Health. 2018;8(2):8–12.
Susanti WE, et al. Determinan Kejadian Diare pada Anak Balita di Indonesia (Analisis Lanjut Data SDKI 2012). J Ilmu Kesehat Masy. 2016;7(1):64–72.
WHO. Addressing Sex and Gender in Epidemic-Prone Infectious Diseases. Geneva: WHO; 2007.
Nwaoha AF, Ohaeri CC, Amaechi EC. Prevalence of diarrhoea, and associated risk factors, in children aged 0-5 years, at two hospitals in Umuahia, Abia, Nigeria. UNED Res J. 2017;9(1):7–14.
Path. Malnutrition and Diarrheal Disease. Path. 2016;
Munos MK, Fischer Walker CL, Black RE. The Effect of Rotavirus Vaccine on Diarrhoea Mortality. Int J Epidemiol. 2010;39(SUPPL. 1).
Purnamasari D, Mufdlilah M. Factors Associated with Failure of Exclusive Breastfeeding Practice. J Heal Technol Assess Midwifery. 2018;1(1):17–22.
Hussein H. Prevalence of Diarrhea and Associated Risk Factors in Children Under Five Years of Age in Northern Nigeria: A Secondary Data. Anal Niger Demogr Heal Surv [Internet]. 2017;(May). Available from: http://www.diva-portal.org/smash/get/diva2:1106657/FULLTEXT01.pdf
WHO, UNICEF. Progress on Drinking Water and Sanitation: Special Focus on Sanitation. UNICEF, New York and WHO, Geneva, 2008. USA: WHO; 2009.
Permenkes. Peraturan Menteri Kesehatan Republik Indonesia Tentang Sanitasi Total Berbasis Masyarakat. Nomor 3 Tahun 2014 Indonesia; 2014 p. 1–40.
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