World Health Organization through tuberculosis (TB) control averted up to six million deaths and cured thirty-six million people in 1995-2008, but had less success in reducing TB incidence, especially in thirteen high burden countries, including Indonesia. Therefore, TB control will need to have more emphasis on the issues of social determinants, as social determinants affect TB's incidence directly and/-or through TB's risk factors. This study aimed to identify a significant effect of social determinants and the risk factors of TB incidence. The research setting was at twenty-seven primary health centers and one hospital that have implemented the Directly Observed Treatment Short Course (DOTS) strategy in Bandar Lampung municipality, Indonesia. Respondents of this research were 238 smear-positive TB patients as case group and 238 patients without TB as control group. Research variables consisted of "social determinants", "housing condition", "household food security" and "health access" which were set as latent variables and measured through their indicators. Data had been collected by using questionnaire and then was analyzed with Structural Equation Modeling using SmartPLS 2.0 software. The result showed that "social determinants" through "housing condition" and "household food security" affected "TB incidence". Moreover, "social determinants", "housing condition" and "household food security" can be used to explain 34.1% variation of "TB incidence". In conclusion, the knowledge can be used to support the TB control program, particularly to implement the DOTS strategy together with improving social determinants, housing condition and household food security.
Indonesia ranks third as a country with the highest stunting prevalence in Southeast Asia in 2017. Bandar Lampung, is one of the cities with a high prevalence of stunting; and Teluk Betung Selatan Subdistrict is an area with the highest prevalence of stunting in Bandar Lampung. This study aims to analyze the relationship between socioeconomic factors and food security on the incidence of stunting in children under five years. This study is a case-control study, with a case sample of 50 families who have stunted children under five years and the control sample is 50 families who have normal children under five years. The research variables included socioeconomic factors (education and income), food security factors (family food insecurity and food diversity), and the incidence of stunting, which were then analyzed by Chi-Square. The results showed that there was a relationship between socioeconomic factors and family food insecurity to the incidence of stunting. Therefore, stunting control programs need to involve these two factors in the intervention to reduce stunting in children under five years.
ABSTRAKGangguan ekologi sebagai akibat perubahan tutupan hutan menjadi penggunaan lahan lainnya dapat mempengaruhi iklim mikro dan berdampak terhadap angka kesakitan malaria. Malaria merupakan penyakit yang disebabkan infeksi protozoa dari genus Plasmodium melalui vektor nyamuk betina Anopheles sp. Faktor lingkungan berperan dalam resiko penularan malaria berkaitan dengan habitat perkembangbiakan vektor.Tujuan penelitian ini adalah menetapkan pengaruh perubahan penggunaan lahan terhadap angka kesakitan malaria. Penelitian dilakukan mulai bulan Maret-September 2015. Dinamika perubahan penggunaan lahan tiap kabupaten/kota diidentifikasi melalui interpretasi citra landsat tahun 2002, 2009, dan 2014 dengan metode klasifikasi terbimbing dan menghasilkan persentase luas penggunaan lahan, sedangkan dampaknya terhadap angka kesakitan malaria dianalisis menggunakan model regresi linier berganda. Optimasi parameter model menggunakan software statistik. Hasil penelitian membuktikan bahwa variabel yang berpengaruh nyata positif terhadap angka kesakitan malaria yaitu luas hutan mangrove dan jumlah penduduk, sedangkan variabel yang berpengaruh nyata negatif yaitu luas rawa dan tenaga kesehatan. Variabel yang tidak berpengaruh nyata terhadap angka kesakitan malaria antara lain hutan negara, hutan rakyat, lahan terbangun, lahan kering, penggunaan lain, kepadatan penduduk, curah hujan, rumah tak layak, urbanisme, dan fisiografis.Kata kunci : penggunaan lahan, angka kesakitan malaria ABSTRACT Ecological disruption as a result of changes in the area of forest cover to other land uses can affect the microclimate and impact toward malaria morbidity. Malaria is an infectious disease caused by protozoa a genus of Plasmodium that transmitted by female
Indonesia has a geographical, geological, hydrological, and demographic situation prone to disasters with a relatively high frequency, thus requiring systematic, integrated, and coordinated disaster management. The disasters that occurred until 2020 were dominated by hydro-meteorological natural disasters such as floods, landslides, hurricanes, droughts to forests, and land fires (BNPB, 2021). The purpose of this study is to identify innovation models for regional government services in disaster mitigation. This study uses a qualitative descriptive method with data collection techniques, namely literature studies, FGDs, and interviews with related disaster mitigation innovations at the research location. The field findings illustrate that the SDIS innovation implemented by Sleman Regency is among the best innovations in handling volcanic eruptions. This innovation has been initiated since 2016 and continues to be refined. In the city of Semarang, specifically for flood disasters, the Early Warning System tool was installed at several points as the best innovation in flood management. However, difficulties were installing it at certain points due to geographical contours that were impossible. Meanwhile, for Sumedang Regency, their innovation through the SITABAH application still needs further development to become the best innovation in landslide mitigation due to limitations in infrastructure and human resources. In addition, the application is still one-way. Of the three disaster mitigation innovation models, the SDIS innovation is an innovation that has been successfully implemented by the Regional Disaster Management Agency of Sleman Regency. Especially on the "My distance and Merapi" feature, which can be accessed online, this innovation model can be replicated in other areas.
Mothers' personal and domestic hygiene and diarrhoea incidence in toddlers in Bandar Lampung, IndonesiaBackground: Diarrhea is still the second highest cause of child mortality in the world after pneumonia. Diarrhea is related to various factors. Maternal behavior and environmental sanitation are factors that are highly associated with the occurrence of diarrhea in infants.Purpose: To determine of the relationship between mother behavior and sanitation with the incident of diarrhea on toddlers in Kangkung Village Bumi Waras District Bandar Lampung City.Methods: This study was an observational analytic study with cross sectional approach, conducted in Kangkung Village, Bumi Waras District, Bandar Lampung City in October and November 2019. The sample were all toddlers and their mothers and taken with proportional random sampling technique. The research data were collected using the observation checklist method and questionnaire filling, then the data were analyzed using the chi square test.Results: Finding the proportion of diarrhea incidence was of 29.4% and without-diarrhea was of 70.6%. The results showed that the mother's hand washing behavior (p = 0.035), boiling drinking water (p = 0.036) and the availability of clean water (p = 0.049) were related to the incidence of diarrhea in toddlers. While the availability of feces disposal (p = 0.078), availability of waste disposal (p = 0.068) and waste water disposal facilities (p = 1,000) are not related to diarrhea.Conclusion: Obtaining several factors that are closely related to the incidence of diarrhea, with the behavior of the mother such as handwashing habits, provision of drinking water, and the availability of clean water that meets the requirements. While other factors such as the disposal of feces, garbage disposal, and waste water disposal, there have no relationship with the incidence of diarrhea among toddlers.Suggestion: The need for activities that involve the community from the family level, neighborhood groups to local government supported by the health department, health centers, schools with the aim of changing the behavior of community .Keywords: Mothers' Personal; Domestic Hygiene; Diarrhoea Incidence; ToddlersPendahuluan: Diare masih menjadi penyebab kematian balita tertinggi kedua di seluruh dunia setelah pneumonia. Penyakit diare berkaitan dengan berbagai faktor. Perilaku ibu dan sanitasi lingkungan menjadi faktor yang sangat terkait dengan kejadia diare pada balita.Tujuan: Mengetahui hubungan antara perilaku ibu dan sanitasi dengan kejadian diare pada balita di Kelurahan Kangkung, Kecamatan Bumi Waras, Kota Bandar Lampung.Metode: Penelitian analitik observasional dengan pendekatan cross sectional, dilakukan di Kelurahan Kangkung, Kecamatan Bumi Waras, Kota Bandar Lampung pada bulan Oktober dan November 2019. Sampelnya seluruh balita dan ibunya, diambil dengan Teknik proportional random sampling. Data penelitian dikumpulkan dengan metode checklist observasi dan pengisian lembar angket, kemudian dilakukan analisis data menggunakan uji chi kuadrat.Hasil: Didapatkan proporsi kejadian diare sebanyak 29,4% dan yang tidak diare 70,6%. Adapun hubungan faktor-faktor terkaitnya didapatkan; perilaku cuci tangan ibu (p = 0,035), memasak air minum (p= 0,036) dan ketersediaan air bersih (p= 0,049) berhubungan dengan kejadian diare pada balita. Sedangkan ketersediaan pembuangan tinja (p= 0,078), ketersediaan pembuangan sampah (p= 0,068) dan sarana pembuangan air limbah (p= 1,000) tidak berhubungan dengan diare.Simpulan: Didapatkan beberapa faktor yang berhubungan erat antara kejadian diare pada balita, dengan perilaku ibunya seperti kebiasaan cuci tangan, penyediaan air minum, dan ketersediaan air bersih yang memenuhi syarat. Sedangkan faktor lainnya seperti pembuangan tinja, pembuangan sampah, dan pembuangan air limbah, tidak didapatkan hubungan dengan kejadian diare pada balita.SARAN: Perlunya kegiatan yang melibatkan masyarakat dari tingkat keluarga, rukun tetangga sampai pemerintahan desa yang didukung oleh dinas kesehatan, puskesmas, sekolah dengan tujuan merubah perilaku PHBS masyarakat.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.