Determinants of Diarrhea in Children aged 6-59 months in North Moyo District, Sumbawa Regency, West Nusa Tenggara 2019
Keywords:Children, diarrhea, exclusive breastfeeding, hand washing habits, the number of family members
Background : Diarrhea in children is still a health problem that occurs in the Sumbawa Regency, especially in North Moyo district, West Nusa Tenggara. The magnitude of the problem can be seen from the high morbidity and mortality due to diarrhea. Diarrhea in children can contribute to the acute burden of disease (UNICEF, 2019). Based on the Regional Health Profile of West Nusa Tenggara Province in 2018, the prevalence of diarrhea in children aged 6-59 months in North Moyo District was 28.7% higher than the national, provincial, and district levels. The purpose of this study was to find out the corelation of determinants of diarrhea in children aged 6-59 months in North Moyo District, Sumbawa Regency.
Methods : Cross sectional design was used in this study with 406 sample of children aged 6-59. Data collection was carried out by measuring weight, interview and observation.The Chi-Square test and regresi logistic were used to analysis the study.
Results : The results showed the prevalence of diarrhea in children aged 6-59 months in North Moyo District was 18.7%. Statistical analysis showed that the significant corelation was the number of family members, posyandu visits, exclusive breastfeeding, how to help children diarrhea, and washing hands with soap (pvalue <0.05). The number of family members is the dominant factor associated with diarrhea in children aged 6-59 months in North Moyo District (OR: 2.78, 95% CI 1.29-5.97, p value <0.05).
Coclucion : Make the prevention and treatment of diarrhea everybodyâ€™s responsible. Implementation of prevention and treatment is approached in an integrated way to produce a greater impact in efforts to overcome diarrhea in children.
UNICEF. Diarrhoeal disease. (2019).
Walker, C. L. F. et al. Global burden of childhood pneumonia and diarrhoea. The Lancet 381, 1405â€“1416 (2013).
Kosek, M. et al. Fecal Markers of Intestinal Inflammation and Permeability Associated with the Subsequent Acquisition of Linear Growth Deficits in Infants. Am. J. Trop. Med. Hyg. 88, 390â€“396 (2013).
UNICEF. Air Bersih, Sanitasi & Kebersihan. (2012).
Departemen Kesehatan RI. Riset Kesehatan Dasar (RISKESDAS) 2007. (2008).
Kementerian Kesehatan RI. Laporan Riset Kesehatan Dasar Indonesia 2018. (2018).
Dinas Kesehatan Provinsi NTB. Profil Kesehatan Provinsi Nusa Tenggara Barat Tahun 2018. (2018). doi:10.1017/CBO9781107415324.004
Dinas Kesehatan Kabupaten Sumbawa. Laporan Profil Kesehatan Kabupaten Sumbawa Tahun 2018. (2018).
Dowling John Malcolm & Chin-Fang Yap. Communicable Diseases in Developing Countries: Stopping the Global Epidemics of HIV/AIDS, Tuberculosis, Malaria and Diarrhea. (Palgrave Macmillan UK, 2014).
WHO. Diarrhoeal disease. (2017). doi:10.7861/clinmedicine.11-5-488
Badan Koordinasi Penanaman Modal Kabupaten Sumbawa. Peluang Investasi Daerah. (2012).
De Onis, M., Monteiro, C., Akre, J. & Clugston, G. The worldwide magnitude of protein-energy malnutrition: An overview from the WHO global database on child growth. Bull. World Health Organ. 71, 703â€“712 (1993).
Dinas Kesehatan Kabupaten Sumbawa. Laporan Tahunan Program Gizi Masyarakat Tahun 2017. (2018).
Dhiana Wiwin Rahma, Hestiningsih, R. & Yuliawati, S. Faktor risiko pola asuh terhadap kejadian diare bayi (0- 12 bulan) di wilayah kerja Puskesmas Kedungmundu Kecamatan Tembalang Kota Semarang. J. Kesehat. Masy. 5, 1689â€“1699 (2017).
Susanti, W. E., Sunarsih, E. & Novrikasari. Determinan Kejadian Diare pada Anak Balita di Indonesia (Analisis Lanjut Data SDKI 2012). J. Ilmu Kesehat. Masy. 7, 64â€“72 (2016).
Bahartha, A. S. & Alezzi, J. I. Risk factors of diarrhea in children under 5 years in Al-Mukalla, Yemen. Saudi Med J (2015). doi:10.15537/smj.2015.6.11266
Soekidjo, N. Kesehatan Masyarakat, Ilmu dan Seni. (Rineka Cipta, 2011).
Mengistie, B., Berhane, Y. & Worku, A. Prevalence of diarrhea and associated risk factors among children under-five years of age in Eastern Ethiopia: A cross-sectional study. Open J. Prev. Med. 03, 446â€“453 (2013).
Beyene, S. G. & Melku, A. T. Prevalence of Diarrhea and Associated Factors among Under Five Years Children in Harena Buluk Woreda Oromia Region, South East Ethiopia, 2018. J. Public Heal. Int. 1, 9â€“26 (2018).
Karambu, S., Matiru, V., Kiptoo, M. & Oundo, J. Characterization and factors associated with diarrhoeal diseases caused by enteric bacterial pathogens among children aged five years and below attending Igembe District Hospital, Kenya. Pan Afr. Med. J. 16, (2013).
Chen, L. C. & Scrimshaw, N. S. Diarrhea and malnutrition. Interactions, Mechanisms, and Interventions. United Nations University 3, (Plenum Press, 1983).
Workie, H. M., Sharifabdilahi, A. S. & Addis, E. M. Mothersâ€™ knowledge, attitude and practice towards the prevention and home-based management of diarrheal disease among under-five children in Diredawa, Eastern Ethiopia, 2016: A cross-sectional study. BMC Pediatr. 18, (2018).
Rokkappanavar Kiran Kumar, Nigudgi, S. R. & Ghooli, S. A study on knowledge and practice of mothers of under-five children regarding management of diarrhoea in urban field practice area of MRMC, Kalaburagi, Karnataka, India. Int. J. Community Med. Public Heal. (2016). doi:http://dx.doi.org/10.18203/2394-6040.ijcmph20160637
Conant Jeff & Fadem Pam. A community guide to environmental health. (Hesperian Foundation, 2008).
Cairncross, S. et al. Water, sanitation and hygiene for the prevention of diarrhoea. Int. J. Epidemiol. 2010;39i193â€“i205 doi10.1093/ije/dyq035 (2010). doi:10.1093/ije/dyq035
Traore, E. et al. Child defecation behaviour, stool disposal practices, and childhood diarrhoea in Burkina Faso: Results from a case-control study. J. Epidemiol. Community Health 48, 270â€“275 (1994).
Benneh, G. et al. Environmental Problems and the Urban Household in the Greater Accra Metropolitan Area (GAMA)-Ghana. (Stockholm Environment Institute, 1993).
Kaltenthaler, E., Waterman, R. & Cross, P. Faecal indicator bacteria on the hands and the effectiveness of hand-washing in Zimbabwe. J. Trop. Med. Hyg. 94, 358â€“363 (1991).
Shahid, N. S., Greenough, W. B., Samadi, A. R., Huq, M. I. & Rahman, N. Hand washing with soap reduces diarrhoea and spread of bacterial pathogens in a Bangladesh village. J. Diarrhoeal Dis. Res. 14, 85â€“89 (1996).
Ehiri, J. E. et al. Critical control points of complementary food preparation and handling in eastern Nigeria. (2001).
Schmitt, R. et al. Hazards and critical control points of food preparation in homes in which persons had diarrhea in Zambia. J. Food Prot. 60, 161â€“171 (1997).
- 2021-04-30 (2)
- 2021-04-30 (1)
How to Cite
Copyright (c) 2021 Jurnal Kesehatan Komunitas
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright @2017. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted non-commercial used, distribution and reproduction in any medium