The etiology of Low Birth Weight (LBW) in Murung Raya is still unclear. This study aimed to find out the relationship between environmental and health behavior risk factors of LBW in Murung Raya. 150 women were recruited through the incidence data 2013-2014, and the questionnaires, medical records, and geographic data were measured by McNemar, ANOVA, logistic, IRR, MI, z (Gi), and NNI tests. Bivariate analysis showed significant correlation of LBW with TBA care OR= 10, drinking popa OR= 5, smoking OR= 6.1, and accessibility OR = 2.3, with adjusted OR for TBA care OR= 32.78, ANC OR= 27.52 revealing trend lines with ANOVA F=49, and clustering RR=7, MI >0 (four clusters), z (Gi) >1 (two high clusters), and NNI>1 (two high clusters). The spatial analysis provided greater statistical power to detect an effect that was not apparent in the case-control study. This study suggests that preventions, interventions and treatment for LBW not only be conducted by the current epidemiology approach but also by new modern geographic positioning analysis. Abstrak Etiologi Berat Lahir Rendah (BBLR) di Murung Raya masih belum jelas. Penelitian ini bertujuan untuk mengetahui hubungan antara faktor risiko perilaku lingkungan dan kesehatan dari BBLR di Murung Raya. 150 wanita direkrut melalui data kejadian 2013-2014, dan kuesioner, catatan medis, dan data geografis diukur dengan McNemar, ANOVA, logistik, IRR, MI, z (Gi), dan tes NNI. Analisis bivariat menunjukkan korelasi signifikan BBLR dengan perawatan
Tracer study is one of the studies that need to be done regularly to find out the relevance level between academic programs organized by an educational institution (study program) with the needs on the field, in the end will be a reference to the study program to create competitive advantage through the opinion of the alumni. This research uses a quantitative descriptive method. The Sampling method used purposive sampling method. In this, research will be seen completed the alumni career that includes alumni who go on education, the reason for continuing education alumni, alumni cumulative achievement index, waiting time to work, alumni satisfaction, and suitability between the field of education and employment. Tracer study results produce a number of conclusions and implementation suggestions that are very useful for improving the learning.
Kota Pekanbaru dan Kabupaten Pelalawan ditetapkan sebagai wilayah Kejadian Luar Biasa (KLB) flu burung setelah terjadi kasus Flu Burung yang menyebabkan kematian warga. Terjadinya KLB dipengaruhi oleh faktor Lingkungan, Perilaku dan Pelayanan Kesehatan. Dilihat dari tingkat kegawatannya kasus ini harus segera diantisipasi sehingga tidak semakin meluas dan meresahkan masyarakat. Oleh karena itu perlu diketahui faktor yang cenderung mempengaruhi terjadinya penularan Flu Burung, sehingga masyarakat bisa lebih waspada terhadap segala kemungkinan penularan Virus H5N1. Rancangan Penelitian adalah Dekriptif Eksploratif dalam bentuk studi kasus. Subjek penelitian adalah semua penderita positif Avian Influenza dan pengelola program flu burung Kota Pekanbaru dan Kabupaten Pelalawan, yang dipilih secara purposive sampling. Hasil penelitian menunjukkan faktor lingkungan yang dominan cenderung terjadi pada keluarga yang melakukan aktivitas beternak unggas dan kasus ini cepat diatasi. Upaya penanggulangan oleh pemerintah untuk kasus yang berhubungan dengan unggas sudah mempunyai Standar Opersional Prosedur yang jelas sehingga kasus cepat teratasi. Faktor perilaku yang dominan mempengaruhi terjadinya kasus flu burung ialah pada keluarga yang mempunyai kebiasaan menggunakan pupuk kotoran unggas dan kebiasaan orang tua membawa anaknya ketempat beresiko terjadinya flu burung.
<span lang="EN-US">Low birth weight (LBW) is a significant public health problem in the world. It was estimated globally by the World Health Organization (WHO) that prevalence of LBW was 15% of all births. In Murung Raya district LBW cases remain high. This paper aimed to identify and discuss the relationship between environmental risk factors with LBW in Murung Raya.A spatial analysis was conducted with 150 women as the total participantswho were recruited through the incidence data in 2013-2014. The questionnaires, medical records, and geographic data were measured by Stata software, ArcGis, SatScan, and Geoda. The study results indicated there was significant correlation between health behavior and environmental variables with the strength of external neighborhood effect across LBW risk factors. </span><span lang="EN-US">More intense clustering of high values (hot spots) was found through the spatial analysis showing that most of the cases were located near the defined buffer zone. This research demonstrates that the spatial pattern analysis provided greater statistical power to detect an effect that was not apparent in the previous epidemiology studies.</span>
AbstrakKota Pekanbaru dan Kabupaten Pelalawan ditetapkan sebagai wilayah Kejadian Luar Biasa (KLB) flu burung setelah terjadi kasus Flu Burung yang menyebabkan kematian warga. Terjadinya KLB dipengaruhi oleh faktor Lingkungan, Perilaku dan Pelayanan Kesehatan. Dilihat dari tingkat kegawatannya kasus ini harus segera diantisipasi sehingga tidak semakin meluas dan meresahkan masyarakat. Oleh karena itu perlu diketahui faktor yang cenderung mempengaruhi terjadinya penularan Flu Burung, sehingga masyarakat bisa lebih waspada terhadap segala kemungkinan penularan Virus H5N1. Rancangan Penelitian adalah Dekriptif Eksploratif dalam bentuk studi kasus. Subjek penelitian adalah semua penderita positif Avian Influenza dan pengelola program flu burung Kota Pekanbaru dan Kabupaten Pelalawan, yang dipilih secara purposive sampling. Hasil penelitian menunjukkan faktor lingkungan yang dominan cenderung terjadi pada keluarga yang melakukan aktivitas beternak unggas dan kasus ini cepat diatasi. Upaya penanggulangan oleh pemerintah untuk kasus yang berhubungan dengan unggas sudah mempunyai Standar Opersional Prosedur yang jelas sehingga kasus cepat teratasi. Faktor perilaku yang dominan mempengaruhi terjadinya kasus flu burung ialah pada keluarga yang mempunyai kebiasaan menggunakan pupuk kotoran unggas dan kebiasaan orang tua membawa anaknya ketempat beresiko terjadinya flu burung. Kata kunci : KLB, Studi Kasus, Faktor Lingkungan, Faktor Perilaku AbstractPekanbaru City and Pelalawan Regency has specified as avian flu case extraordinary occurance regional after there were happend as Avian flu case that made citizen death. It happened due to various factors; Environment, habits and health services. It is important to know factors which deal with avian flu infection at human in Pekanbaru City and Pelalawan Regency which can cause death. Thereby, people can be more attentive to all possibility of H5N1 Virus Infection. Descriptive Explorative is used as a method to understand the issues raised. The population of this reseach is all positive patients affected avian influenza, distefully the information obtained from selected purposively. This research showed that the main factor affecting avian influenza was environmental factor, from activities doing poultry farming. This case quickly overcomes which reducing the risks of death case. Goverment is suggested to aware with poultry hace which has to occupies standard operating procedure enable this case quickly overcame. While for the dominant influence of habits factor, tend to became of that family that having habit to use dist poultry manure for plant flower activity, dispitefully, the parent habits that brough their child the region which risk of avian influenza case. Key word : Outbreaks, Case Studies, Environmental Factors, Behavioral Factor PendahuluanFlu burung adalah penyakit menular yang disebabkan oleh virus influenza tipe A dan ditularkan oleh unggas. Penyakit flu burung yang ditularkan oleh virus Avian Influenza jenis H5N1 pada unggas dikonfirmasikan telah
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