ANALISIS SPASIAL DIARE AKUT ANAK USIA 5-14 TAHUN DI KABUPATEN KULON PROGO

• Main Authors: , Ratna Wijayanti, , Prof. dr. M.Juffrie, SpAK, Ph.D
• Format: Theses and Dissertations NonPeerReviewed
• Published: [Yogyakarta] : Universitas Gadjah Mada 2013
• Subjects: ETD
• Online Access: https://repository.ugm.ac.id/119566/; http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=59569
• Institution: Universitas Gadjah Mada

Background:Diarrhea is a disease that caused 4% people deaths in worldwide, mostly children in developing countries. In Indonesia, diarrhea remains a public health problem, in terms of morbidity and mortality as well as the outbreaks. Research on diarrhea and its risk factors, especially among children under five years have been conducted, but studies in people over the age of five years have not been a lot done. Diarrhea majority attacking children aged under five years, the most common cause is rotavirus. Last 3 years data in the district of Kulonprogo mentioned that diarrhea is more common in aged overfive years, mostly bacterial causedand related to the issue of environmental sanitation and water quality. Objective:To determine the role of environmental sanitation conditions, demography, topography and rainfall as risk factors for acute diarrhea in patients 5-14 years old in the District Kulonprogo in year 2011. Method:An observational analytic conducted to this study with spatial analysis using cross-sectional design to identify, analyze the incidence of acute diarrhea in patients 5-14 years old who live in the area and were hospitalized in the district Kulonprogo associated with village sanitation, demography, topography and rainfall. Results:Lowest latrine coverage was 5.88% in the Village DepokPanjatan, lowest clean water coverage was 27.12% in the Village Banjaroyo Kalibawang, highest ownership of cattle sheds proportion was 72.10% in the Village Jangkaran Temon, densest villages population was46 people per km 2 in the Village Nomporejo Galur, the highest height average of village was 650 m above sea level in the Village Ngargosari Samigaluh. Results of spatially weighted regression analysis (spatial error model) using GeoDa shown that high population density causes high incidence rate of acute watery diarrhea (p=0.0067) but not for dysentery (p=0.9887). Very low and very high rainfall lead to the high of incidence rate. Conclusion:In children aged 5-14 years in the District Kulonprogo in 2011, the high population densities lead to high incidence rate of acute watery diarrhea but not for dysentery. The high incidence rate of acute diarrhea caused by very low and very high rainfall.