Individual and Housing Environment Risk Factors Related to Malaria in Punduh Pedada, Pesawaran District of Lampung Province in 2010

The design of this study is the cross sectional with survey methods. The population was households in Sukajaya Punduh, Kampung Baru, Pulau Pahawang, Sukarame, Kota Jawa, Bawang, Sukamaju, and Pagar Jaya in Punduh Pedada with a sample of 414 persons from 82 households, selected through multistage cluster sampling. The results showed that the incidence of malaria infection prevalence in sub Punduh Pidada is 52.2% and the type of plasmodium is  P. vivax. Knowledge, perception, use of mosquito nets, use of anti-mosquito drugs, the use of wire gauze, cover the body, activities outside the home that night and the job is the individual risk factors. Housing conditions, environmental brood of mosquitoes, cattle raising and the distance of the house with a brood is a residential environmental risk factors. Proposed research is to improve the behavior of individuals and improve the environment held by the community worked together with all stakeholders

Pelayanan Kesehatan Ibu dan Kematian Neonatal

Indonesia bersama seluruh negara berkembang berupaya mencapai kesepakatan Millenium Development Goals (MDGs) dengan salah satu sasaran menurunkan angka kematian neonatal dari 20 per 1.000 kelahiran hidup menjadi 15 per 1.000 kelahiran hidup. Penelitian ini bertujuan mengetahui hubungan pelayanan kesehatan ibu dengan kematian neonatal di Kabupaten Lampung Timur tahun 2011. Penelitian dengan desain studi kasus kontrol ini mengamati kasus ibu yang mengalami kematian neonatal dan kontrol ibu yang tidak mengalami kematian neonatal. Analisis multivariat menemukan pelayanan antenatal dan pertolongan persalinan berhubungan secara signifikan dengan kematian neonatal, setelah mengendalikan variabel umur ibu dan riwayat kehamilan (OR = 16,32; nilai p = 0,000); dan (OR = 18,36; nilai p = 0,31). Bayi yang dilahirkan dari Ibu dengan pelayanan antenatal tidak lengkap berisiko mengalami kematian neonatal 16,32 dan 18,36 kali lebih besar daripada bayi yang dilahirkan. Ibu dengan pelayanan antenatal lengkap dan penolong persalinan profesional. Tidak ada hubungan penolong persalinan dengan kematian neonatal, setelah mengontrol variabel pelayanan antenatal, umur ibu, riwayat kehamilan, riwayat penyakit, dan riwayat persalinan. Disarankan meningkatkan kualitas pelayanan antenatal dengan memerhatikan faktor umur ibu dan riwayat persalinan, mengembangkan kegiatan audit maternal perinatal serta meningkatkan keterampilan petugas penolong persalinan.All developing countries including Indonesia seek to reach agreement the Millennium Development Goals (MDG\u27s). It is objectives include reducing neonatal mortality by 25 percent from 20 per 1,000 live birth to 15 per 1,000 live births. This study aimed to determine the relationship of maternal health services with neonatal mortality in East Lampung District in 2011. This study used case control design to compare between the groups of mother whom have neonatal deaths (cases) and neonatal life (control) in East Lampung District in 2011. The result on antenatal care variables found that antenatal care and birth attendant had significant correlation with neonatal death, after controlling age and pregnancy history variable (p value = 0.000, OR = 16.32; p value = 0.31, OR = 18.36). The babies from mothers who did not get completed prenatal care risk of 16.32 times have neonatal death than babies born from mothers who received completed maternal care. There was no association between neonatal mortality and birth attendant, after controling variables of antenatal care, maternal age, pregnancy history, medical history and chilbirth history. Based on this study, it is suggested to increase activity of maternal perinatal audit, improve the quality of antenatal care, maternal delivery, and develop other support activities to prevent neonatal mortality in East Lampung District

Hubungan Perilaku Pencarian Pengobatan dengan Tuberkulosis Paru di Sulawesi Utara

Background: Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. Health seeking behavior is one of the factors that influence the incidence of pulmonary tuberculosis. The purpose of this study to determine the relationship with the incidence of treatment-seeking behavior of Tuberculosis in North Sulawesi province based on basic health research in 2010. Method: The design of this study used a descriptive approach correlative. The research sample is total sampling of all basic health research respondent data in 2010 in the province of North Sulawesi aged ≥15 years amounts to 2319 respondents. The analytical method used univariate and bivariate. Results: The results showed the incidence of pulmonary TB in North Sulawesi province is 11 people (14.1%), and respondents who continued treatment of TB program eight (10.3%). Conclusion: There was a relationship between the incidence of treatment-seeking behavior of pulmonary TB (p=0.037)