scholarly journals Prevalence and determinants of pentavalent booster immunization in children aged three to five years in Denpasar, Bali

2019 ◽  
Vol 7 (1) ◽  
pp. 20
Author(s):  
Ni Rai Sintarini ◽  
Komang Ayu Kartika Sari ◽  
I Gusti Agung Trisna Windiani ◽  
Anak Agung Sagung Sawitri

Background and purpose: Pentavalent booster immunization coverage in  Denpasar City is reported to be relatively low. This study aims to determine the prevalence and determinants of pentavalent immunization uptake.Methods: A cross-sectional study was conducted in one banjar (hamlet) which was selected purposively in the work area of Public Health Centre (PHC) I West Denpasar, Bali Province. Banjar was selected with consideration of the diversity of local residents and migrants. All mothers who had children aged 3-5 years (138 people) in the banjar were chosen as respondents. Interviews were conducted in each respondent's house with variables included age, education, employment, parity, region of origin, knowledge on immunization, perception of susceptibility to and severity of disease, perceptions of benefits and barriers to immunization, sources of information, family support and acceptance of immunization. Data analysis was performed with poisson regression to determine the determinants of pentavalent booster immunization.Results: The majority of respondents were aged <30 years, high school education or above, unemployed, had 1-2 children and were from Bali. The proportion of respondents who reported that their children had been given pentavalent immunization in children aged three to five years was found to be 78.3%. Immunization prevalence was found to be higher in the population that originated from Bali (82.1%). Determinants of pentavalent immunization are perceptions of benefits (APR=4.78; 95%CI: 1.35-16.96), and more sources of information (APR=1.21; 95%CI: 1.04-1.41).Conclusion: The prevalence of pentavalent booster immunization is found to be lower than the average prevalence of the Bali Province but higher than the reported coverage of Denpasar City. The determinants of immunization acceptance was perception of high benefits and more sources of information. Information dissemination on the benefits of pentavalent booster immunization in children needs to be enhanced through health workers and various media to increase the coverage of pentavalent immunization.

Author(s):  
Hadafiah Hadafiah ◽  
Sunarsih Sunarsih ◽  
Erwin Azizi Jayadipraja ◽  
Putu Suri Saraswati ◽  
Sartini Risky

Background: Indonesia has the highest prevalence of Non-Communicable Disease (NCD)in 2013. NCD which is always listed in the top 10 diseases in Southeast Sulawesi is hypertension and diabetes mellitus. NCD Integrated Post is an effort to detect and overcome the early presence of NCD threat factors. However, there has been a decrease in the prevalence of integrated post visits from 2017 to 2018 at the Barangka Public Health Centre. The purpose of this study was to analyze the utilization of NCD Integrated Post in the work area of ??Barangka Health Centre in Buton Regency. Methods: This type of research uses a cross-sectional study design. This study was conducted from November to December 2019. The population in this study were all people in the work area of ??Barangka Health Centre, Buton Regency in 2018 with ages> 15 to 59 years, namely 3,584 people. The number of the samples was 134 respondents. A questionnaire was used as the method of data collection. Results: The results showed that the chi square of cadre support X2 count =36,460> X2 table value = 3,841 and health status is X2 count = 32,308> table X2 value = 3,841. Therefore, all variables are influencing the utilization of NCD Integrated Post. Conclusion: Health status and cadre influenced significantly the community in utilizing NCD Integrated Post at the Barangka Health Centre in Buton Regency.


NSC Nursing ◽  
2021 ◽  
pp. 20-33
Author(s):  
Lia Artika Sari ◽  
Yuli Suryanti ◽  
Enny Susilawati

Introduction: The low number of deliveries assisted by midwives or health workers is an indicator of the low utilization of health facilities by mothers in labor. This study analyzes the factors related to the utilization of childbirth in health facilities in the Sungai Lokan Community Health Center Work Area, Tanjung Jabung Timur Regency. Materials and Methods: This research is an analytic observational using a cross-sectional approach involving 74 participants. The research was conducted from January to July 2019 in the Sungai Lokan Health Center Work Area, Tanjung Jabung Timur Regency. Results: The results showed that the factor of the utilization of childbirth in health facilities was related to family culture (p = 0.0001) and family support (p = 0.003), while the service access factor was not related (p = 0.364). Conclusion: The role of health workers in socializing the importance of utilizing health facilities as a place of delivery is significant in reducing maternal mortality Keywords: Health Facilities; Family Culture; Family Support; Access To Services


2021 ◽  
Vol 5 (1) ◽  
pp. 263-270
Author(s):  
Pandu Sandika ◽  
Nur Afrinis ◽  
Emdas Yahya

Complementary feeding of breastmilk to infants aged less than 6 months can cause health problems such as constipation, diarrhea and allergies. It will have an impact on the nutritional status of the infant. The purpose of this study was to determine the relationship between motivation and mother occupation with complementary feeding of breastmilk to infants under the age of 6 months in Naga Beralih village the work area of Community Health centre Kampar Utara in 2020. This type of research was analytic with cross sectional design. The population of this research was mothers who have infants aged 0-6 months in Naga Beralih village, the working area of Community Health centre Kampar Utara, totaling 41 people. Data collection tools in this study used a questionnaire. Data analysis in this study used univariate and bivariate analysis with chi square. The results showed that most of the respondents have high motivation in giving complementary breastfeeding, most of the respondents work, most of the respondents give complementary foods to infant under the age of 6 months. There was a relationship of motivation with complementary feeding with p value of 0.001. There was a work relationship with the provision of complementary feeding under the age of 6 months in Naga Beralih village the work area of Community Health centre Kampar Utara in 2020 with a p value of 0.002. For health workers, in order to increase education about the importance of complementary breastfeeding by forming classes for infants and toddlers to provide information and demonstrations, especially regarding the amount of complementary breastfeeding, types of food and timing of complementary feeding.


2008 ◽  
Vol 23 (2) ◽  
pp. 150-155 ◽  
Author(s):  
Antoine Guedeney ◽  
Christophe Foucault ◽  
Eva Bougen ◽  
Beatrice Larroque ◽  
France Mentré

AbstractObjectivesThe objectives of this study were (1) to evaluate the prevalence of relational withdrawal behaviour in infants aged 14–18 months attending a public health centre in Paris, (2) to check some identified risk factors for relational withdrawal behaviour in this population.MethodsA cross-sectional study was conducted in infants aged 14–18 months attending a child health screening centre during the year 2005.ResultsA total of 640 children were included in the study. Thirteen percent of the 640 infants (n = 83, 95% CI [10.4%; 15.6%]) had an ADBB score at 5 and over 5 on the ADBB. There was a clear relationship between withdrawal behavior and having psychological difficulties as reported by parents, and between withdrawal and developmental delay. Withdrawal was also significantly associated with being a boy, with living in risk conditions (e.g. child being in joint custody, or with living in a foster family), with being adopted, or with being a twin. More withdrawn infants were taken care of at home.ConclusionSustained relational withdrawal behaviour was linked with developmental disorders and psychopathology and not with SES, ethnical origin or rank of birth. The scale could be used in screening early psychopathology in infants aged 2–24 months of age.


PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0252798
Author(s):  
Akinola Ayoola Fatiregun ◽  
Laura Nic Lochlainn ◽  
Lassané Kaboré ◽  
Modupeola Dosumu ◽  
Elvis Isere ◽  
...  

Background Despite efforts to improve childhood immunization coverage in Nigeria, coverage has remained below the national acceptable level. In December 2019, we conducted an assessment of Missed Opportunities for Vaccination (MOV) in Ondo State, in Southwest Nigeria. The objectives were to determine the magnitude of, explore the reasons for, as well as possible solutions for reducing MOV in the State. Methods This was a cross-sectional study using a mixed-methods approach. We purposively selected 66 health facilities in three local government authorities, with a non-probabilistic sampling of caregivers of children 0–23 months for exit interviews, and health workers for knowledge, attitudes, and practices (KAP) surveys. Data collection was complemented with focus group discussions and in-depth interviews with caregivers and health workers. The proportion of MOV among children with documented vaccination histories were determined and thematic analysis of the qualitative data was carried out. Results 984 caregivers with children aged 0–23 months were interviewed, of which 869 were eligible for inclusion in our analysis. The prevalence of MOV was 32.8%. MOV occurred among 90.8% of children during non-vaccination visits, and 7.3% during vaccination visits. Vaccine doses recommended later in the immunization series were given in a less timely manner. Among 41.0% of health workers, they reported their vaccination knowledge was insufficient. Additionally, 57.5% were concerned about and feared adverse events following immunization. Caregivers were found to have a low awareness about vaccination, and issues related to the organization of the health system were found to contribute towards MOV. Conclusions One in three children experienced a MOV during a health service encounter. Potential interventions to reduce MOV include training of health workers about immunization policies and practices, improving caregivers’ engagement and screening of vaccination documentation by health workers during every health service encounter.


2021 ◽  
Vol 15 (2) ◽  
pp. 267-273
Author(s):  
Santalia Banne Tondok ◽  
Emirensiana Watu ◽  
Wahyuni Wahyuni

Validity instrument european quality of life (EQ-5D-5L) Indonesian version to assess the quality of life patient with tuberculosis Background: Tuberculosis is an infectious disease that can cause death and easily contract droplets through the air. Tb sufferers will experience some clinical symptoms that indirectly improve their quality of life. Measuring the cauldron of living bags in patients with tuberculosis is still rare in Indonesia, especially by using the Instrument European Quality of Life  EQ-5D-5L Indonesian version.Purpose: To determine the validity and reliability of the EQ-5D-5L instrument with the Indonesian version of the utility set index as an alternative to measuring the quality of life of TB patients in Indonesia.Method: A cross-sectional study with an observational approach, conducted on patients with tuberculosis at Sentani Jayapura public health centre cover area I, using the Indonesian version of the EQ-5D-5L instrument.Results: Based on  Pearson Correlation tests on 5 EQ-5D-5L domains showed a significant value of 0.000 on each question item and was declared valid with a correlation value between ≥ 0.60-0.80, while the reliability test obtained a Cronbach Alpha value of 0.799. Overall the EQ-5D-5L instrument is accurate and reliable. Tool EQ-5D-5L Indonesian version can be used to assess the quality of  TB patients in Indonesia with a value of  Pearson Correlation r = > 0.50 and  Cronbach Alpha  0.799 (> 0.70).Conclusion: The EQ-5D-5L instrument with the Indonesian version of the utility set index can be used to assess the quality of life of TB patients in Indonesia.Keywords : Patient; Tuberculosis; Quality of Life; InstrumentPendahuluan: Tuberkulosis merupakan penyakit menular yang dapat menyebabkan kematian dan mudah tertular oleh droplet melalui udara. Penderita TB akan mengalami beberapa gejala klinis yang secara tidak langsung mempengaruhi kualitas hidup mereka. Mengukur kualitas hidup pada penderita tuberkulosis masih jarang dilakukan di Indonesia terutama dengan menggunakan instrumen European Quality of Life EQ-5D-5L versi Indonesia.Tujuan: Mengetahui validitas dan reliabilitas instrumen EQ-5D-5L dengan index utility set versi Indonesia sebagai alternatif mengukur kualitas hidup pasien TB di Indonesia.Metode: Menggunakan rancangan cross sectional dengan pendekatan observasi. Tempat penelitian di Puskesmas Sentani Kabupaten Jayapura, dilakukan padan pasien TB kategori I, menggunakan instrumen EQ-5D-5L versi Indonesia.Hasil: Berdasarkan uji Pearson Correlation pada 5 domain EQ-5D-5L menunjukkan nilai yang signifikan yaitu 0.000 pada tiap item pertanyaan dan dinyatakan valid dengan nilai korelasi antara ≥ 0.60-0.80, sedangkan uji reliabilitas diperoleh nilai Cronbach Alpha 0.799. Secara keseluruhan instrumen EQ-5D-5L adalah valid dan reliabel. Instrumen EQ-5D-5L versi Indonesia dapat di gunakan untuk menilai kualitas pasien TB di Indonesia dengan nilai Pearson Correlation r = > 0.60 dan Cronbach Alpha 0.799 (> 0.70).Simpulan: Instrumen EQ-5D-5L dengan index utility set versi Indonesia dapat digunakan untuk menilai kualitas hidup pasien TB di Indonesia. 


2018 ◽  
Vol 2 (1) ◽  
pp. 31-50
Author(s):  
Muhammad Shafquat Amin ◽  
Inayat Thaver ◽  
Muhammad Imran

AbstractBackground: Vaccination prevents significant amount of childhood deaths around the globe. Pakistan is vaccinating children through EPI since 1978 against 10 diseases. Pakistan is facing difficulties in achieving goal of vaccine coverage due to multiple factors. Researches reveal that human resource, poor equipment and training of health care personnel are important for successful immunization programme. Current study was conducted to assess the routine immunization coverage among children of age 12-23 months in Rahimyar Khan district, Punjab, Pakistan and to identify factors that affect uptake of routine immunization in Rahimyar Khan district, Punjab, Pakistan.Materials and Methods: It was a cross sectional study which was conducted in Rahimyar Khan from Oct 2016-Jan 2017. A total of 378 mothers having children of age 12-23 months were interviewed through structured questionnaire. Total 12 (six rural and six urban) Union Councils of district Rahimyar Khan were selected through random sampling. For household selection, random area of union council was selected, and bottle was rotated to select first house, then every Nth (5th) house were approached for sample until required sample size was obtained. Data was analysed by SPSS 22.0. Chi Square test was used to explore association between independent variables and outcome variable.Results: A total of 378 mothers of children age 12-23 months were interviewed. About 66.10% children were found fully immunized. Measles- II vaccine coverage was 60.8% while 78% were immunized against BCG vaccines. Mother’s educational status, occupation and father’s educational status, occupations were observed to the significantly affect the immunization coverage of children. The monthly household income, age of children and area of residence also significantly affected the immunization coverage of children. Other factors such as the child gender, ethnicity, religion, type of family and number of children did not significantly affect the immunization coverage. Majority of respondents’ perception were place of delivery and community health workers play role to enhance the vaccination coverage.Conclusion: The study concluded that the majority (66.10%) of children were completely immunized within recommended time. The reasons of vaccine refusal and lower immunization coverage areas can be countered by overcoming the factors such as place of delivery, theory of knowledge, general public motivation and well-planned infrastructure at National and local level.


2019 ◽  
Vol 3 (1) ◽  
pp. 28
Author(s):  
Sheira Taflah Putri Handana ◽  
Diyah Eka Andayani ◽  
Ninik Mudjihartini

Background and ObjectivesVitamin E is a lipid soluble vitamin which obtain only through diet. Vitamin E has many functions including antioxidant and well known to prevent lipid peroxidation in membrane cell. Vitamin C helps to regenerate vitamin E back into non radical. Vitamin E and C intake among vulnerable group such as lactating mother still uncleared especially in Jakarta. The aim of this study to determine level of vitamin E and C intake among lactating mothers in JakartaMethods60 lactating mothers aged 20–40 years old in 1–6 months postpartum were recruited on Grogol Petamburan and Cilincing Public Health Centre in Jakarta. This cross sectional study held from March 2019 until April 2019. Vitamin E and C dietary intake were collected with semi quantitative food frequency questionnaire. Descriptive analysis was used in this study.ResultsThis study showed that median value  of vitamin E intake was 6.50 (1.20-43.10) gram/day with 91.7% subjects does not meet vitamin E recommended daily intake (RDA) recommendation (19 gram/day), otherwise 70% vitamin C intake was above RDA recommendation (100 gram/day) with median value is 120.05 (23.0-479.2) gram/day.ConclusionVitamin E intake among lactating mothers in Jakarta was not adequate and far below RDA recommendation but vitamin C intake among lactating mothers in Jakarta was adequate and met RDA recommendation.


2019 ◽  
Vol 14 (2) ◽  
pp. 163
Author(s):  
Alfi Syahar Yakub ◽  
Iwan Sain ◽  
Sukma Saeni

Preeclampsia is the onset of hypertension with proteinuria due to pregnancy, after 20 weeks' gestation or immediately after delivery. These symptoms can occur before 20 weeks if trophoblastic disease occurs. This study aims to determine the relationship between age and maternal parity with the incidence of pre-eclampsia in pregnant women in the work area of the Puskesmas Mangasa, Makassar City. The research design used in this study was descriptive analytic research with a cross sectional study design. Conducted from July to October 2018, with a sample of 70 respondents. In this study showed that there was no relationship between the age of pregnant women and the incidence of preeclampsia with a value of p (1.00)> 0.05 and there was no relationship between parity and the incidence of preeclampsia with a value of p (1.00)> 0.05. It is recommended for health workers to be intensive in detecting the presence of preeclampsia in pregnant women and counseling about the importance of routine antenatal care to as early as possible be aware of the risk of the occurrence of preeclampsia-eclampsia in pregnancy and for further researchers, further research is needed to find factors related to the incidence of preeclampsia so that the results are in accordance with the theory, such as parity, hypertension history and Antenatal Care examination.


2018 ◽  
Vol 4 (1) ◽  
pp. 40-45
Author(s):  
Herlina Simanjuntak ◽  
Fika Ayu Maynia

The proportion of the use of KB (family planning program) by early marriage women  is low . The aimed of this studi is to identify related factors to contraception use among  early marriage women in Banjarsari village, district of Sukatani, Bekasi regency. A cross sectional study was done involving 53 women with early marriage, sampling by total sampling. The subject which sample criteria were interviewed using questionnaires to obtain data of the use of contaception, knowledge, education level, occupation, support of husband and information sources. The data were analyzed in both univariate and bivariate using chi square test. The findings show that most of contraceptive users were women with early marriage knowledgeable (86.2%) with p value of 0.001, experiencing higher education (76.9%) with p value of 0,004, supported by husband (92.9%) with p value of 0.000 and getting information from health workers (87.2%) with p value of 0.000. The conclusion of this study show that knowledge, education level, support of husband and sources of information are factors relating to the use of contraception among early marriage women.


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