Jayanti, Nur
Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Effects of Predisposing, Enabling, and Reinforcing Factors on Completeness of Child Immunization in Pamekasan, Madura Jayanti, Nur; Sulaeman, Endang Sutisna; Pamungkasari, Ety Poncorini
Journal of Epidemiology and Public Health Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: According to WHO Weekly Epidemiological Record, Indonesia ranked fourth the lowest country in immunization coverage after India, Nigeria, and Democratic Republic of Congo. Likewise, Pamekasan District in Madura was one of districs in East Java with the lowest immunization coverage. This study aimed to determine the effects of predisposing, enabling, and reinforcing factors on completeness of child immunization, using PRECEDE and PROCEED model and health belief model.Subjects and Method: This was an observational analytic study with case control design. This study was carried out at 4 community health centers in Pamekasan District, Madura, East Java, in March to April, 2017. A sample of 135 mothers who had infants aged 10 to 12 months were selected for this study by fixed disease sampling. The dependent variable was completeness of immunization use. The independent variables were maternal education, attitude towards immunization, perceived susceptibility, perceived severity, perceived benefit, perceived barrier, self efficacy, family support, and distance to health service. The data were collected by questionnaire and analyzed using path analysis.Results: Perceived barrier (b= -0.5; 95% CI = -1.5 to 0.4; p= 0.255) and distance to health service (b= -1.0; 95% CI= -2.0 to -0.1; p= 0.037) had a negative effect on completeness of immunization. Perceived susceptibility (b= 1.1; 95% CI= 0.2 to 2.0; p= 0.022), perceived severity (b= 1.5; 95% CI= 0.5 to 2.5; p= 0.003), perceived benefit (b= 0.7; 95% CI= -0.1 to 1.6; p= 0.110), and self efficacy (b= 0.6; 95% CI= -0.3 to 1.5; p= 0.193) had a positive effect on completeness of immunization. Perceived susceptibility was affected by maternal education (b= 1.0; 95% CI= 0.3 to 1.7; p= 0.005). Perceived severity was affected by maternal education (b= 0.9; 95% CI= 0.5 to 1.6; p= 0.018) and attitude towards immunization (b= 1.0; 95% CI= 0.3 to 1.8; p= 0.007). Perceived benefit was affected by family support (b= 0.7; 95% CI= -0.1 to 1.4; p= 0.078). Likeliwise, self efficacy was affected by family support (b= 0.6; 95% CI = 0.1 to 1.3; p= 0.134).Conclusion: Perceived barrier and distance to health service have a negative effect on completeness of immunization. Perceived susceptibility, perceived severity, perceived benefit, and self efficacy have a positive effect on completeness of immunization.Keywords: completeness of immunization, PRECEDE and PROCEED model, health belief modelCorrespondence: Nur Jayanti. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: Yanti_nurjayanti13@yahoo.co.id. Mobile: +6282233829768.Journal of Epidemiology and Public Health (2017), 2(2): 106-118https://doi.org/10.26911/jepublichealth.2017.02.02.02
Hubungan Tingkat Pengetahuan Ibu tentang Pemberian Nutrisi yang Tepat dengan Status Gizi Berdasarkan Grafik KMS pada Balita di Desa Batukerbuy Kecamatan Pasean Kabupaten Pamekasan Jayanti, Nur
Ovary Midwifery Journal Vol 1 No 1 (2019): August 2019
Publisher : Akademi Kebidanan Aifa Husada Madura

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Nutrition is a process of organisms using food consumed normally through the process of absorption, transportation, storage, metabolism and expenditure of substances that are not used to maintain life, growth and normal function of organs and produce energy. One of the nutritional status of children under five is influenced by factors of socio-economic conditions, including maternal education, employment of mothers, number of children, knowledge and parenting, as well as the overall economic condition of parents. This research was conducted to find out whether there was a relationship between family socio-economic conditions on the nutritional status of children under five. Whereas in the districts of July 2016, there were 163 children under five. There were 7 children who experienced malnutrition, and 21 children who experienced malnutrition and 135 children experienced good nutrition (82.82%). The purpose of this study was to determine the relationship of the level of knowledge of mothers about the provision of proper nutrition with nutritional status based on Kms graphs on toddlers in Batukerbuy Village, Pasean Subdistrict, Pamekasan Regency in 2018. This research is a kind of correlative description with a quantitative approach. The study was conducted in Batukerbuy village, Pasean Subdistrict, Pamekasan Regency, from March to May 2018. Subsequent collection using Simple Random Sampling with a total sample of 126 mothers who have children under five. The dependent variable is the nutritional status of children based on the KMS graph and the dependent variable is the level of knowledge of mothers in providing nutrition. The dependent and independent variables are measured using questionnaires and KIA books. Data analysis using the Spearman rank rank test. From the analysis of partial test obtained value r value = 0,026 < a = 0,05. means that there is a relationship between mother's knowledge about providing appropriate nutrition with nutritional status based on KMS in infants. This is supported by mother's knowledge, information and experience. Nutritional status of toddlers is strongly influenced by the knowledge of mothers about providing appropriate nutrition, so it is expected that the community, especially mothers who have toddlers can increase knowledge from counseling and information about nutrition from health centers and other media.