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FAKTOR-FAKTOR YANG BERPENGARUH TERHADAP RISIKO KEHAMILAN “4 TERLALU (4-T)” PADA WANITA USIA 10-59 TAHUN (ANALISIS RISKESDAS 2010) H, Puti Sari; Hapsari, Dwi; Dharmayanti, Ika; Kusumawardani, Nunik
Media Penelitian dan Pengembangan Kesehatan Vol 24, No 3 Sep (2014)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

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Abstract

Abstrak Tujuan penulisan ini adalah mengidentifikasi faktor-faktor tidak langsung yang dapat mempengaruhi risiko kehamilan. Desain penelitian cross sectional. Data yang dianalisis merupakan data hasil Riset Kesehatan Dasar (Riskesdas) tahun 2010 yang telah dilaksanakan oleh Badan Litbangkes. Unit analisis adalah ibu atau wanita usia subur (WUS) yang pernah melahirkan minimal 1 anak dalam kurun waktu 5 tahun terakhir sampai dengan saat wawancara. Analisis dilakukan dengan menggunakan metode logistik regresi untuk mengetahui faktor yang paling dominan. Berdasarkan hasil analisis ditemukan bahwa variabel yang paling dominan dalam hubungan antara faktor tidak langsung dengan kejadian fisiko kehamilan 4-T (terlalu tua, terlalu muda, terlalu banyak dan terlalu dekat) adalah variabel tempat tinggal  (desa/kota),  tingkat  pendidikan,  status  ekonomi,  dan  keinginan  hamil.  Ibu  yang  tinggal  di perdesaan berpeluang 1,1 kali berisiko kehamilan 4T, sementara ibu yang berpendidikan rendah (SD ke bawah) berpeluang 1,4 kali untuk mengalami risiko kehamilan. Ibu dari keluarga miskin berpeluang 1,3 kali mengalami risiko kehamilan, sedangkan ibu yang sulit akses ke pelayanan kesehatan berpeluang 1,9 kali berisiko hamil dengan kondisi 4-T, dan ibu yang tidak/belum ingin hamil berpeluang 4,9 kali mengalami risiko kehamilan. Masalah risiko kehamilan lebih mungkin terjadi pada kelompok ibu yang tinggal di perdesaan, dengan tingkat pendidikan dan ekonomi rendah, dan kesulitan akses ke fasilitas kesehatan serta belum atau tidak menginginkan kehamilannya. Oleh sebab itu diperlukan pemerataan program jamkesmas agar keluarga tidak mampu dan yang tinggal di perdesaan semakin mudah untuk mendapat  pelayanan  kesehatan.  Selain  itu  memprioritaskan  pembangunan  fasilitas  kesehatan  dan penyediaan tenaga kesehatan di perdesaan, dan juga penyuluhan tentang cara mengatur kehamilan yang sehat.Kata kunci : risiko kehamilan, WUS, 4-TAbstract The purpose of this paper is to identify factors that may indirectly affect the risk of pregnancy. Crosssectional study design. The data is from the Basic Health Research (Riskesdas) in 2010 which has been implemented by the National Health Research, Ministry of Health. The unit of analysis is the mothers or women of childbearing age (WUS) who had delivered at least one child within a period of 5 years up to the time of the interview. The analysis was performed by using logistic regression to determine the most dominant factor. Based on the analysis found the most dominant variable in the relationship between the indirect factors associated with the incidence of pregnancy risk 4-T (too old, too young, too many and too often) is variable residency (rural/urban), level of education, economic status, access to health facility and desire of pregnancy. Mothers who live in rural areas are likely 1.1 times have the chance of pregnancy risk, while mothers with low education (elementary school and below) 1.4 times as likely to experience a pregnancy risk. Then, mothers of poor families having a chance to experience 1.3 times the risk of pregnancy, whereas mothers who have difficult access to health services were likely 1.9 times at risk of pregnancy with 4-T conditions, and women who did not want to get pregnant were likely to experience 4.9 times the risk of pregnancy. Risk of pregnancy problems is more likely to occur in the group of women who live in rural areas, with low levels of education and the economy, and the difficulty of access to health facilities and does not want her pregnancy. Therefore, it requires health insurance or “jamkesmas”in order to provide an equal health services for poor people and those who living in rural areas. In addition to prioritize the provision of health facilities and health workers in rural areas, as well as counseling on how to manage a healthy pregnancy.Keywords : risk of pregnancy, fertility.
Asma pada Anak di Indonesia : Penyebab dan Pencetusnya Dharmayanti, Ika; Hapsari, Dwi; Azhar, Khadijah
Jurnal Kesehatan Masyarakat Nasional Vol. 9 No. 3 Februari 2015
Publisher : Faculty of Public Health Universitas Indonesia

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Abstract

AbstrakAsma merupakan penyakit kronis yang dapat mengganggu kualitas hidup. Hingga saat ini, jumlah penderita asma semakin meningkat termasuk di Indonesia. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang berhubungan dengan kejadian asma dan pencetus asma pada anak usia 6 - 14 tahun di Indonesia. Metode yang digunakan adalah potong lintang dengan menggunakan data Riset Kesehatan Dasar (Riskesdas) 2013 di 33 provinsi di Indonesia. Variabel bebas adalah karakteristik responden, faktor lingkungan dan perilaku merokok anak dan orangtua. Hasil analisis menunjukkan bahwa jenis kelamin laki-laki, kondisi sosial ekonomi rendah, riwayat asma pada orangtua, anak yang merokok atau pernah merokok, dan orangtua yang merokok atau pernah merokok adalah faktor risiko yang berhubungan secara signifikan dengan tinggi kejadian asma pada anak (p < 0,05). Sedangkan variabel yang tidak berhubungan secara bermakna (p > 0,05) adalah usia, kepadatan hunian, bahan bakar memasak, penerangan dalam rumah, dan penanganan sampah. Lima pencetus utama asma pada anak adalah udara dingin, flu dan infeksi, kelelahan, debu, dan asap rokok. Oleh karena itu, orangtua harus mendorong anak untuk bergaya hidup sehat agar anak terhindar dari serangan asma. AbstractAsthma is a chronic disease that can interfere the quality of life. Up to now, the prevalence of asthma is increasing including in Indonesia. This study aimed to identify factors related to the incidence and triggers of asthma in children aged 6 - 14 years in Indonesia. The method used was cross section using 2013 Basic Health Research (Riskesdas) data in 33 provinces over Indonesia. The independent variables are the characteristics of respondents, environmental factors and smoking behavior of children and parents. The analysis result shows that male sex, low socio-economic status, parental asthma record, children and parental smoking are the risk factors significantly related to the increasing prevalence of asthma incidence in children (p < 0,05); meanwhile, age, housing density, cooking fuel, home lighting and waste handling are the other variables significantly not related (p > 0,05). Five potential triggers of asthma in children are cold weather, flu and infections, fatigue, dust and tobacco smoke. Therefore, parents have to encourage their children to get a healthy lifestyle in order to prevent them from asthma attack.
Asma pada anak Indonesia: Penyebab dan Pencetus Dharmayanti, Ika; Hapsari, Dwi; Azhar, Khadijah
Jurnal Kesehatan Masyarakat Nasional Vol. 9 No. 4 Mei 2015
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (168.798 KB) | DOI: 10.21109/kesmas.v9i4.738

Abstract

AbstrakAsma merupakan penyakit kronis yang dapat mengganggu kualitas hidup.Hingga saat ini, jumlah penderita asma semakin meningkat termasuk diIndonesia. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang berhubungan dengan kejadian asma dan pencetus asma pada anak usia 6 - 14 tahun di Indonesia. Metode penelitian adalah desain potong lintang dengan menggunakan data Riset Kesehatan Dasar tahun 2013 di 33 provinsi di Indonesia. Variabel bebas adalah karakteristik responden, faktor lingkungan, dan perilaku merokok anak dan orangtua. Hasil analisis menunjukkan bahwa jenis kelamin laki-laki, kondisi sosial ekonomi rendah, riwayat asma pada orangtua, anak yang merokok atau pernah merokok, dan orangtua yang merokok atau pernah merokok adalah faktor risiko yang berhubungan secara signifikan dengan tinggi kejadian asma pada anak (nilai p < 0,05). Sedangkan variabel yang tidak berhubungan secara bermakna (nilai p > 0,05) adalah usia, kepadatan hunian, bahan bakar memasak, penerangan dalam rumah, dan penanganan sampah. Lima pencetus utama asma pada anak adalah udara dingin, flu dan infeksi, kelelahan, debu, dan asap rokok. Oleh karena itu, orangtua harus mendorong anak untuk bergaya hidup sehat agar anak terhindar dari serangan asma.AbstractAsthma is a chronic disease that can disrupt quality of life. Up to now, thenumber of asthma is more increasing including in Indonesia. This studyaimed to identify factors related to the incidence and triggers of asthmaamong 6 - 14 year-old children in Indonesia. Method of study was cross sectional design using 2013 Basic Health Research data in 33 provinces over Indonesia. Independent variables were characteristics of respondents, environmental factors and smoking behavior of children and parents.Theanalysis result showed that male sex, low socio-economic status, parentalasthma record, children and parental smoking were the risk factors significantly related to the increasing prevalence of asthma incidence among children (p value < 0.05). Meanwhile, age, housing density, cooking fuel, home lighting and waste handling were the other variables significantly not related (p value > 0.05). Five potential triggers of asthma in children are cold weather, flu and infections, fatigue, dust and tobacco smoke. Therefore, parents should encourage their children to get a healthy lifestyle in order to prevent them from asthma attack.
Pengaruh Akses ke Fasilitas Kesehatan terhadap Kelengkapan Imunisasi Baduta (Analisis Riskesdas 2013) Nainggolan, Olwin; Hapsari, Dwi; Indrawati, Lely
Media Penelitian dan Pengembangan Kesehatan Vol 26, No 1 Mar (2016)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

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Abstract

AbstrakAkses terhadap fasilitas kesehatan dengan situasi dan kondisi geografis merupakan tantanganyang cukup besar didalam pemberian pelayanan immunisasi secara merata di seluruh Indonesia.Tujuan penelitian ini adalah untuk mengetahui pengaruh akses fasilitas kesehatan dengan statusimunisasi dasar lengkap pada baduta berusia 12-23 bulan di Indonesia pada tahun 2013. Penelitianini menggunakan rancangan cross sectional dan analisis statistik dilakukan dengan menggunakanregresi logistik berganda. Berdasarkan hasil analisis multivariat menunjukkan adanya hubungan yangbermakna (P value=0,001) antara waktu tempuh ke fasilitas kesehatan UKBM (OR=1,23); waktu tempuh(P value=0,000) ke fasilitas kesehatan non UKBM (OR=1,80) dengan kelengkapan imunisasi anakbawah dua tahun (baduta) setelah dikontrol oleh variabel umur ibu pendidikan ibu, pekerjaan ibu, statussosial ekonomi keluarga, dan wilayah tempat tinggal. Diperlukan upaya dan peran serta pemerintah danmasyarakat untuk meningkatkan aksesibilitas penduduk terhadap fasilitas kesehatan terutama fasilitasupaya kesehatan berbasis masyarakat (UKBM) untuk meningkatkan cakupan kelengkapan imunisasidasar di seluruh Indonesia.Kata Kunci: imunisasi dasar lengkap, baduta, UKBM, non UKBM, Indonesia AbstractAccess to health facilities with geographic circumstances are considerable challenges in the provisionof immunization services throughout Indonesia. The purpose of this study is to determine the effectof access to health facilities to complete basic immunization status at children age 12-23 months inIndonesia in 2013. This study used a cross-sectional design and statistical analysis is done by usingmultiple logistic regression. Based on the results of multivariate analysis showed a significant association(P value=0.001) between the travel time to health facilities UKBM (Community Based Health Efforts)with Odds Ratio/OR = 1.23; and travel time (P value = 0.000) to non UKBM health facilities (OR = 1.80)with the completeness of immunizing children under two years (baduta) after controlled by maternalage, maternal education, maternal occupation, family socio economic status and place of residence.Required effort and the role of the government and the community to improve the accessibility of thepopulation to health facilities, especially facilities-based public health efforts (UKBM) to improve thecompleteness of basic immunization coverage in Indonesia.Keywords : complete basic immunization, infant, UKBM, non UKBM, Indonesia
NEEDS FOR COUNSELLING IN COMMUNICATION OF FAMILY PLANNING PROGRAM IN DECENTRALIZATIM ERA IN PURBALINGGA Puspita, Dyah Retna; Wahyuningsih, Eri; Hapsari, Dwi
Jurnal KMP (Jurnal Komunikasi Pembangunan) Vol. 12 No. 1 (2014): Februari 2014
Publisher : Institut Pertanian Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (316.304 KB) | DOI: 10.29244/jurnalkmp.12.1.%p

Abstract

AbstractThis study examined the husbands? perspective about family  planning counseling in Purbalingga District. Target of this study were 30 husbands who experienced gender role shifting. Data obtained through interview and focus group discussions. Results of this  research were: first, they initially had experience of gender role conflict; second, they never involved in family planning counseling whereas they need information about family harmony, reproductive health, child development and other related issues.Keywords: family planning counseling, gender role shift, gender role conflict
GANGGUAN PERTUMBUHAN DAN DEFISIT BERAT BADAN PADA BALITA DI PERKOTAAN DAN PEDESAAN Muljati, Sri; Hapsari, Dwi; Budiman, Basuki
GIZI INDONESIA Vol 28, No 2 (2005): September 2005
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

GROWTH FAILURE AND BODY WEIGHT DEFICIT OF UNDERFIVE CHILDREN IN URBAN AND RURAL AREASThe prevalence of malnutrition in Indonesia in 2003 is 19 percents; three percents of them are severe malnutrition. Study on the age beginning deviation of growth failure and the extent of the deficit in body weight of underfive children in Indonesia is scarce. We analysed 1694 records of children underfive year old from National Household Survey (SKRT) having complete data in weight, height and age. The study revealed that 42.9% children underfives suffered from growth failure, in which the magnitude was greater in rural than urban e.i. 53.8% and 46.2% respectively growth failure started. In the age 4 months, infant begins deficit his her body weight and the peak of the deficit is infant in six months e.i 21.05%. This analysis supports international finding that deviation in growth failure begin at 4 month for Indonesian children should be consideredKeywords: under five year children, growth
Asma pada anak Indonesia: Penyebab dan Pencetus Dharmayanti, Ika; Hapsari, Dwi; Azhar, Khadijah
Jurnal Kesehatan Masyarakat Nasional Vol. 9 No. 4 Mei 2015
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (168.798 KB) | DOI: 10.21109/kesmas.v9i4.738

Abstract

AbstrakAsma merupakan penyakit kronis yang dapat mengganggu kualitas hidup. Hingga saat ini, jumlah penderita asma semakin meningkat termasuk di Indonesia. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang berhubungan dengan kejadian asma dan pencetus asma pada anak usia 6 - 14 tahun di Indonesia. Metode penelitian adalah desain potong lintang dengan menggunakan data Riset Kesehatan Dasar tahun 2013 di 33 provinsi di Indonesia. Variabel bebas adalah karakteristik responden, faktor lingkungan, dan perilaku merokok anak dan orangtua. Hasil analisis menunjukkan bahwa jenis kelamin laki-laki, kondisi sosial ekonomi rendah, riwayat asma pada orangtua, anak yang merokok atau pernah merokok, dan orangtua yang merokok atau pernah merokok adalah faktor risiko yang berhubungan secara signifikan dengan tinggi kejadian asma pada anak (nilai p < 0,05). Sedangkan variabel yang tidak berhubungan secara bermakna (nilai p > 0,05) adalah usia, kepadatan hunian, bahan bakar memasak, penerangan dalam rumah, dan penanganan sampah. Lima pencetus utama asma pada anak adalah udara dingin, flu dan infeksi, kelelahan, debu, dan asap rokok. Oleh karena itu, orangtua harus mendorong anak untuk bergaya hidup sehat agar anak terhindar dari serangan asma.AbstractAsthma is a chronic disease that can disrupt quality of life. Up to now, the number of asthma is more increasing including in Indonesia. This study aimed to identify factors related to the incidence and triggers of asthma among 6 - 14 year-old children in Indonesia. Method of study was cross sectional design using 2013 Basic Health Research data in 33 provinces over Indonesia. Independent variables were characteristics of respondents, environmental factors and smoking behavior of children and parents.The analysis result showed that male sex, low socio-economic status, parental asthma record, children and parental smoking were the risk factors significantly related to the increasing prevalence of asthma incidence among children (p value < 0.05). Meanwhile, age, housing density, cooking fuel, home lighting and waste handling were the other variables significantly not related (p value > 0.05). Five potential triggers of asthma in children are cold weather, flu and infections, fatigue, dust and tobacco smoke. Therefore, parents should encourage their children to get a healthy lifestyle in order to prevent them from asthma attack.
PERHITUNGAN FERTILITAS MENGGUNAKAN METODE ANAK KANDUNG: ANALISIS LANJUT DATA RISKESDAS 2013 Indrawati, Lely; Hapsari, Dwi; Nainggolan, Olwin
Populasi Vol 24, No 2 (2016)
Publisher : Pusat Studi Kependudukan dan Kebijakan, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (265.099 KB) | DOI: 10.22146/jp27230

Abstract

Total Fertility Rate (TFR) is the average number of children born alive by a number of women at the end of their reproductive period. TFR is one indicator of health development, especially maternal health in the country. Therefore, target of reducing the birth rate is still prioritized in RPJMN 2015-2019. Indirect method is more appropriate to calculate TFR, such as own-method children. Population of this study is women and their children in the same househoold with women of childbearing aged 15-49 years and children under five who live with their parents as sampling unit. Children under five in this analysis are the biological children while step children will be included in order to enhance the number children. The calculation based on 2013 Riskesdas (Riset Kesehatan Dasar) shows higher TFR compared to 2012 DHS (Demographic and Health Survey) which was 3.2 at national level. ASFR (Age Specific Fertility Rate) pattern shows highest fertility rate for age of 20-24, while it was second for age 15-19. The important implication is that family planning program has to concentrate on this age groups, such as by increasing age of the first marriage. 
GANGGUAN PERTUMBUHAN DAN DEFISIT BERAT BADAN PADA BALITA DI PERKOTAAN DAN PEDESAAN Muljati, Sri; Hapsari, Dwi; Budiman, Basuki
GIZI INDONESIA Vol 28, No 2 (2005): September 2005
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (131.831 KB)

Abstract

GROWTH FAILURE AND BODY WEIGHT DEFICIT OF UNDERFIVE CHILDREN IN URBAN AND RURAL AREASThe prevalence of malnutrition in Indonesia in 2003 is 19 percents; three percents of them are severe malnutrition. Study on the age beginning deviation of growth failure and the extent of the deficit in body weight of underfive children in Indonesia is scarce. We analysed 1694 records of children underfive year old from National Household Survey (SKRT) having complete data in weight, height and age. The study revealed that 42.9% children underfives suffered from growth failure, in which the magnitude was greater in rural than urban e.i. 53.8% and 46.2% respectively growth failure started. In the age 4 months, infant begins deficit his her body weight and the peak of the deficit is infant in six months e.i 21.05%. This analysis supports international finding that deviation in growth failure begin at 4 month for Indonesian children should be consideredKeywords: under five year children, growth