TODDLER FECES MANAGEMENT AND BASIC IMMUNIZATION ON THE INCIDENCE OF DIARRHEA: A SPATIAL ANALYSIS
Pengelolaan Feses Balita dan Imunisasi Dasar Terhadap Kejadian Diare Balita: Analisis Spasial
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Background: Diarrhea is one of the leading causes of child morbidity and mortality in low and middle-income countries. 23.8% prevalence of diarrhea was found among children under five years of age. Area-based management is required to address and provide specific interventions. Purpose: The study aims to analyze the effect of unsafe toddler feces management and incomplete primary immunization on the incidence of diarrhea using a spatial analysis in East Java, Indonesia. Methods: The data used is the 2018 Basic Health Research data. The measurement of the relationship between region and diarrhea was carried out by studying Moran's I index. Lisa Cluster Map and the Lisa Significance Map were also studied to understand distribution and significance. The regression used is OLS regression, spatial lag, and spatial error. The best model is assessed by comparing various parameters. Data were analyzed using GeoDA. Results: Moran's I result shows an index value of 0.489 with a pseudo-value of 0.001 (p <0.05) and a z-value of 3.7515. Lisa Cluster Map shows seven high-high category areas, five low-low category areas, and one high-low category area. Lisa's Significance Map shows six areas p=0.05, three areas p=0.01, and four areas p=0.001. The unsafe management of toddler feces and incomplete primary immunization related to diarrhea shows a significance of p<0.05. By comparing the R square, log-likelihood, p(sign), and sigma square values, the better model is the spatial lag model. Conclusion: The unsafe toddler feces management and incomplete primary immunization related to diarrhea.
Hidajah AC, Astutik E. Analysis of diarrhea management in children under two years old in Indonesia. J Berk Epidemiol [Internet]. 2023;11(2):198–204.
Viegelmann GC, Dorji J, Guo X, Lim HY. Approach to diarrhoeal disorders in children. Singapore Med J. 2021;62(12):623–9.
Hartman RM, Cohen AL, Antoni S, Mwenda J, Weldegebriel G, Biey J, et al. Risk factors for mortality among children younger than age 5 years with severe diarrhea in low- and middle-income countries: findings from the world health organization-coordinated global rotavirus and pediatric diarrhea surveillance networks. Clin Infect Dis. 2022 Jul;ciac561.
Black R, Fontaine O, Lamberti L, Bhan M, Huicho L, El Arifeen S, et al. Drivers of the reduction in childhood diarrhea mortality 1980-2015 and interventions to eliminate preventable diarrhea deaths by 2030. J Glob Health. 2019;9(2):1–9.
Brintz BJ, Howard JI, Haaland B, Platts-Mills JA, Greene T, Levine AC, et al. Clinical predictors for etiology of acute diarrhea in children in resource-limited settings. PLoS Negl Trop Dis. 2020 Oct;14(10):e0008677.
At Thobari J, Sutarman, Mulyadi AWE, Watts E, Carvalho N, Debellut F, et al. Direct and indirect costs of acute diarrhea in children under five years of age in Indonesia: Health facilities and community survey. Lancet Reg Heal - West Pacific. 2022;19:100333.
Bauleth MF, Mitonga HK, Pinehas LN. Epidemiology and factors associated with diarrhoea amongst children under 5 years of age in Engela district in the Ohangwena region, Namibia. African J Prim Heal Care Fam Med. 2020;12(1):a2361.
Kurniawati MR, Astutik E. Socioeconomic factors associated with diarrhea among children under five years in Indonesia. J Berk Epidemiol [Internet]. 2023;2(11):170–9.
Ministry of Health Republic Indonesia. A look at developments in diarrhea in Indonesia. 2019.
Derseh BT, Tafese NM, Panari H, Bilchut AH, Dadi AF. Behavioral and environmental determinants of acute diarrhea among under-five children from public health facilities of Siyadebirena Wayu district, north Shoa zone, Amhara regional state, Ethiopia: Unmatched case-control study. PLoS One. 2021;16(11 November):1–14.
Fontoura VM, Graepp-Fontoura I, Santos FS, Santos Neto M, Tavares HS de A, Bezerra MOL, et al. Socio-environmental factors and diarrheal diseases in under five-year old children in the state of Tocantins, Brazil. PLoS One. 2018 May;13(5):e0196702.
Diva JA, Windani C, Rahayuwati L, Kosim. Correlation between basic immunization status and IHC visits to stunting incidents on toddlers. J Nurs Care. 2023;6(1):56–66.
Ministry of Health Republic Indonesia. Results of basic health research in 2018. Kementrian Kesehat RI. 2018;53(9):1689–99.
East Java Health Service. East Java health profile 2018. 2019;
Chissaque A, de Deus N, Vubil D, Mandomando I. The epidemiology of diarrhea in children under 5 years of age in Mozambique. Curr Trop Med Reports. 2018;5(3):115–24.
Almasi A, Zangeneh A, Ziapour A, Saeidi S, Teimouri R, Ahmadi T, et al. Investigating global spatial patterns of diarrhea-related mortality in children under five . Vol. 10, Frontiers in Public Health . 2022.
Raza O, Mansournia MA, Foroushani AR, Holakouie-Naieni K. Exploring spatial dependencies in the prevalence of childhood diarrhea in Mozambique using global and local measures of spatial autocorrelation. Med J Islam Repub Iran. 2020;34(1).
Nilima, Kamath A, Shetty K, Unnikrishnan B, Kaushik S, Rai SN. Prevalence, patterns, and predictors of diarrhea: a spatial-temporal comprehensive evaluation in India. BMC Public Health. 2018;18(1):1288.
Ghosh K, Chakraborty AS, SenGupta S. Identifying spatial clustering of diarrhoea among children under 5 years across 707 districts in India: a cross sectional study. BMC Pediatr. 2023;23(1):272.
D’Mello MK, Badiger S, Sudeep Kumar, Kumar N, D’Souza N, Purushothama J. Geospatial analysis and hotspots of diarrheal cases among under-five children within a rural district of Karnataka, India . Biomedicine. 2022 Jul;42(3 SE-Original Research Articles):594–9.
Getachew A, Tadie A, G.Hiwot M, Guadu T, Haile D, G.Cherkos T, et al. Environmental factors of diarrhea prevalence among under five children in rural area of North Gondar zone, Ethiopia. Ital J Pediatr. 2018;44(1):95.
Azage M, Kumie A, Worku A, Bagtzoglou AC. Childhood diarrhea exhibits spatiotemporal variation in Northwest Ethiopia: A SaTScan Spatial statistical analysis. PLoS One. 2015 Dec;10(12):e0144690.
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