Faktor yang Berhubungan dengan Kejadian Diare pada Balita di Wilayah Indonesia Tengah (IFLS 2014)
DOI:
https://doi.org/10.25311/keskom.Vol8.Iss3.1185Kata Kunci:
Balita, Diare, PIS-PK, Usia, Indonesia bagian TengahAbstrak
Diare merupakan penyebab kematian kedua tertinggi pada balita di dunia. Setiap tahunnya setidaknya 1,7 juta kasus diare pada anak terjadi. Penelitian ini dilakukan untuk mengetahui faktor-faktor yang berhubungan dengan kejadian diare pada balita di wilayah Indonesia Tengah. Penelitian ini menggunakan data Indonesia Family Life Survey (IFLS) 5 tahun 2014. Sampel penelitian ini adalah balita usia 6-59 bulan di Provinsi Bali, Nusa Tenggara Barat, Kalimantan Selatan dan Sulawesi Selatan. Desain penelitian yang digunakan adalah cross sectional dengan jumlah sample 1079 balita. Diketahui sebanyak 16,8% balita di wilayah Indonesia Tengah mengalami diare, dengan persentase terbesar 17,75% di Nusa Tenggara Barat. Berdasarkan hasil uji multivariat didapatkan variabel usia (p-value <0,001), jenis kelamin (p-value <0,003), dan penanganan sampah rumah tangga (p-value <0,017) berhubungan dengan diare. Usia merupakan faktor dominan kejadian diare pada balita 6-59 bulan di wilayah Indonesia Tengah (OR: 2,421, CI 95%= 1,739-3,370), artinya balita usia 6-23 bulan beriko 2,4 kali menderita diare. Hal ini disebabkan oleh berkurangnya kekebalan tubuh anak yang didapat dari ibu, masa tumbuh kembang anak yang pesat dan dimulainya penyapihan pada usia tersebut. Penguatan pemahaman dan komitmen pengimplementasian Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) diperlukan untuk memberikan informasi kesehatan terkait pencegahan dan pengobatan diare tersampaikan dengan pendekatan kepada keluarga balita, sehingga memunculkan kesadaran kesehatan mulai dari lingkungan keluarga.
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Referensi
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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