DETERMINANTS OF THE INCIDENCE OF DIARRHEA IN TODDLERS AGED 12-59 MONTHS IN JAYAPURA CITY
Determinan Kejadian Diare Pada Balita Usia 12-59 Bulan di Kota Jayapura
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Background: Diarrhea in toddlers can be more deadly compared to other ages because the percentage of fluid in the baby’s body is greater. In 2023, data from 14 health centers in Jayapura City showed that diarrhea consistently ranked among the top 10 diseases, particularly at Abepura and North Jayapura Health Centers. Purpose: This study aims to analyze the determinants of diarrhea incidence, including risk factors, among toddlers in Jayapura City. Methods: A cross-sectional design was applied with a sample of 192 toddlers aged 12–59 months selected through accidental sampling. Inclusion criteria were mothers of toddlers aged 12–59 months, residing in the community health center working area, and willing to participate. Exclusion criteria included toddlers with congenital or chronic diseases, mothers not serving as primary caregivers, and uncooperative respondents. Data were collected using questionnaires and processed with SPSS software. Univariate and bivariate analyses employed the chi-square test, while multivariate analysis used multiple logistic regression. Results: Exclusive breastfeeding (p = 0.00) and maternal attitude (p=0.01) were significantly related to diarrhea incidence. Exclusive breastfeeding was identified as the main determinant, with p = 0.00 and an Exp(B) value of 4.32. Conclusion: Exclusive breastfeeding is the key determinant of diarrhea incidence among toddlers aged 12–59 months in Jayapura City.
Ministry of Health of the Republic of Indonesia. National action plan for pneumonia and diarrhea control 2023-2030. Directorate General of Disease Prevention and Control. 2023.
Nasrin D, Blackwelder WC, Sommerfelt H, Wu Y, Farag TH, Panchalingam S, et al. Pathogens associated with linear growth faltering in children with diarrhea and impact of antibiotic treatment: the Global Enteric Multicenter Study. J Infect Dis. 2021;224(Supplement_7):S848–55.
Wang P, Asare E, Pitzer VE, Dubrow R, Chen K. Associations between long-term drought and diarrhea among children under five in low-and middle-income countries. Nat Commun. 2022;13(1):3661.
Irjayanti A, Irmanto M, Wibowo TF. Analysis of risk factors for diarrhea in toddlers in the working area of the North Jayapura Community Health Center. J Kesehat Lingkung Indones. 2024;23(1):1–9.
Fitrah NE, Neherta M, Sari IM. Analysis of factors related to the incidence of diarrhea in toddlers. J Ilm Permas J Ilm STIKES Kendal. 2024;14(1):183–94.
Machava NE. Factors of foodborne diarrhea in children under five years of age in Marracuene and Kamaxaqueni Districts Maputo Mozambique. University of Pretoria (South Africa); 2023.
Siddiqui FJ, Belayneh G, Bhutta ZA. Diarrheal disease and enteric pathogens. in: nutrition and infectious diseases. Nutrition. Cham: Springer International Publishing; 2021. p. 219–41.
Health Development Policy Agency (BKPK). Indonesian Health Survey (SDKI) in Figures 2023. 2023.
Jayapura Health Office. RJayapura Diarrhea Monthly Report. 2023.
Abepura Community Health Center. Profile of Abepura Community Health Center, Jayapura. 2023.
North Jayapura Community Health Center. Profile of North Jayapura Community Health Center. 2023.
Fatima M, Ünsal Ö. Geospatial analysis of diarrhoea determinants among children under five in Pakistan using Multiscale Geographically Weighted Regression (MGWR). Appl Geogr. 2024;172:103434.
Safaryna AM, Putri LN, Isfandiari MA. Hygiene as risk factors for diarrhea among toddlers in Mulyorejo Primary Health Center, Surabaya. Period Epidemiol Journal/Jurnal Berk Epidemiol. 2024;12(3).
Flückiger M, Ludwig M. Temperature and risk of diarrhoea among children in sub-Saharan Africa. World Dev. 2022;160:106070.
Santika NKA, Efendi F, Rachmawati PD, Has EMM, Kusnanto K, Astutik E. Determinants of diarrhea among children under two years old in Indonesia. Child Youth Serv Rev. 2020;111:104838.
Carr LE, Virmani MD, Rosa F, Munblit D, Matazel KS, Elolimy AA, et al. Role of human milk bioactives on infants’ gut and immune health. Front Immunol. 2021;12:604080.
Laksono AD, Wulandari RD, Nugraheni E, Ipa M, Rohmah N, Bela SRA, et al. Risk Factors for stunting among children under 2 years with single mothers: a cross-sectional study in Indonesia. Glob Soc Welf. 2024;1–10.
Lakew G, Yirsaw AN, Bogale EK, Andarge GA, Getachew D, Getachew E, et al. Diarrhea and its associated factors among children aged under five years in Madagascar, 2024: a multilevel logistic regression analysis. BMC Public Health. 2024;24(1):2910.
Manetu WM, M’masi S, Recha CW. Diarrhea disease among children under 5 years of age: a global systematic review. Open J Epidemiol. 2021;11(03):207–21.
Risnasari A, Azhary M. The relationship between measles vaccination and the incidence of pneumonia and diarrhea in toddlers in Indonesia. Journals Ners Community. 2023;13(2):237–46.
Sani SL, Achadi EL. Child feeding practice, sanitation hygiene, and other factors of diarrhea in children aged 6-23 months in Indonesia: analysis of IDHS 2017. J Biometrika dan Kependud. 2023;12(1).
Tampubolon CH, Wija IBEU, Ronny R. Description of knowledge, attitudes, and practices of mothers who have toddlers against diarrhea. J Complement Altern Med Res. 2022;19(1):69–77.
Momoh FE, Olufela OE, Adejimi AA, Roberts AA, Oluwole EO, Ayankogbe OO, et al. Mothers’ knowledge, attitude and home management of diarrhoea among children under five years old in Lagos, Nigeria. African J Prim Heal Care Fam Med. 2022;14(1):3119.
Wahab MJ, Faris SH. Mothers’ knowledge about prevention of diarrhea in children under five years at the Eastern Al Hamza city. Int J Health Sci (Qassim). 2022;(I):10408–16.
Ridawati ID, Nugroho B. Relationship between mothers’ attitudes with diarrhea prevention in toddlers. Str J Ilm Kesehat. 2020;9(2):998–1005.
Thobari JA, Damayanti W, Mulyadi AWE, Haposan JH, Setiyaningrum A, Indraguna S, et al. Improving knowledge, attitude, and perception towards childhood diarrhea using interactive discussion in Kulon Progo community. J Pengabdi Kpd Masy (Indonesian J Community Engag. 2021;7(2):103–11.
Mogharab V, Rajput S. Factors associated with diarrhea in children under 12 years of age referred to Ostad Motahari hospital of Jahrom in 2020. J Fam Med Prim Care. 2022;11(10):6170–6.
Soboksa NE, Olkeba BK, Negassa B, Hareru HE, Gudeta DB. Unsafe fecal disposal practices in children and the nexus with childhood diarrhea in low-and middle-income countries: a systematic review and meta-analysis. J Water, Sanit Hyg Dev. 2022;12(11):742–54.
Indah FPS, Cardiah T, Rahmat A, Sulandjari K, Andiyan A, Hendayani N. Effect of community-based total sanitation program with diarrhea incidents in toddler at communities near rivers. Mater Today Proc. 2022;63:S349–53.
Firmansyah RRT, Murti B, Prasetya H. A meta-analisis of correlation between diarrhea and stunting in children under five. J Epidemiol Public Heal. 2023;8(1):88–97.
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