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Factors related to missed opportunities for immunization at urban and suburban primary health centers in Medan Oke Rina Ramayani; Ridwan M. Daulay; Sri Sofyani; Iskandar Z. Lubis
Paediatrica Indonesiana Vol 47 No 1 (2007): January 2007
Publisher : Indonesian Pediatric Society

Background Missed opportunites for immunization is one of theimportant causes of low immunization coverage that should beprevented.Objective To investigate missed opportunities for immunizationand related factors at urban and suburban primary health centersin Medan.Methods A cross sectional study was conducted between January-March 2004. Primary health centers in Medan were divided intourban (20 primary health centers) and suburban (19 primaryhealth centers) groups. The sample size was 109 children whovisited primary health centers for immunization. Study was doneby a questionnaire taken after infants received immunization (exitinterview).Results The proportion of missed opportunities in urban andsuburban area was 22.3% (95% CI 16.9%;27.7%) and 29.9% (95%CI 24.0%;35.2%) (P=0.191), respectively. Factors such as age ofstarting immunization, number of children more than 4, and lowparental attitude about immunization (P=0.001) were related tomissed opportunities for immunization.Conclusions There is no difference between proportion of missedopportunities at primary health centers in urban and suburbanarea. Related factors to missed opportunities for immunizationare age of starting immunization older than 3 months, number ofchildren more than 4, and low parental attitude aboutimmunization.

Parental knowledge, attitude and practice on malaria in Mandailing Natal district Syafruddin Haris; Sri Sofyani; Bidasari Lubis; Munar Lubis; Syahril Pasaribu; Iskandar Z. Lubis
Paediatrica Indonesiana Vol 47 No 4 (2007): July 2007
Publisher : Indonesian Pediatric Society

Background Malaria is still considered to be an important healthproblem in Indonesia. Malaria has been found in islands withdifferent degree of endemicity. Behavior of the community isone of the factors affecting the incidence of malaria in MandailingNatal district.Objective To know the parental knowledge, attitude, and practiceamong parents whose children suffered from malaria or not.Methods A cross sectional study was conducted in six primaryschools and one health centre in October 2004. Subjects wereparents whose children were malaria positive and malaria negativebased on laboratory examination. Sample size was 85 parents foreach group. Selected respondents were interviewed usingstructured questionnaire. Degree of knowledge, attitude, andpractice on malaria were established using scoring system withinthree categories: good, less, and poor. Data were collected andpresented using chi-square and P<0.05 was considered as a levelof significant.Results The mean age of 85 parents whose children were positivemalaria, was 38.47 years (SD 6.67) and the mean age of thosewhose children were negative malaria was 40.41 years (SD 8.05).Parentâ€™s education level was 62.9% primary school and 90% oftheir children were school-aged. There were significant differenceson parental knowledge, attitude and practice in each group(P<0.05). There was also a significant correlation betweenoccupation and knowledge, but not between parental educationlevel and parental age. Parental knowledge and attitude on theincidence of malaria in Mandailing Natal district were good,though their practice were poor.Conclusion There are significant differences on parentalknowledge, attitude and practice, between parents whose childrenwere positive and negative for malaria.

Short-term impact of acute uncomplicated malaria on the cognitive performance of school children living in an endemic area Masyitah Masyitah; Lily Rahmawati; Sri Sofyani; Munar Lubis; Iskandar Z. Lubis
Paediatrica Indonesiana Vol 49 No 2 (2009): March 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi49.2.2009.82-6

Background In Indonesia, malaria remains a public healthproblem. In North Sumatra between 2000 and 2004, an estimated50,670 clinical cases occurred every year, leading to the deathsof 9-10 people per year.Objectives To determine the short-term impact of acute uncompli-cated malaria on the cognitive performance of school children.Methods A prospective study was conducted on students at fourelementary schools in Madina, North Sumatra, Indonesia, fromAugust 15 to September 3, 2006. Subjects were classified intomalaria and non-malaria groups based on microscopically confirmedblood smears; they were selected by means of random sampling.Cognitive performance was measured with two examination paperson mathematics and Indonesian language before and two weeksafter artesunate and amodiaquin treatment for three days in themalaria group. Independent or paired t-tests were used to analyzedifferences in mean scores of cognitive performance.Results From 925 children examined, 384 suffered from malaria.One-hundred and thirty three children were recruited from themalaria group and 132 children were recruited from the non-malaria group. There was no difference in the distribution ofgeneral characteristics of the subjects. There was a significantdifference in cognitive performance between the malaria andnon-malaria groups (P<0.0001) before and after treatments. Inthe malaria group, there was a significant difference in cognitiveperformance before (mean 38.9; SD 15.19) and after treatment(mean 72.9; SD 10.41) with P<O.OOOl.Conclusion Acute uncomplicated malaria significantly affectsthe cognitive performance of school children living in a malaria-endemic area.

Behavior of elementary schoolchildren with iron deficiency anemia after iron therapy Rina A.C. Saragih; T. Mirda Zulaicha; Sri Sofyani; Bidasari Lubis; Iskandar Z. Lubis
Paediatrica Indonesiana Vol 49 No 5 (2009): September 2009
Publisher : Indonesian Pediatric Society

Background Some studies had been performed to determine theassociation between iron status and children's behavior yet it isstill controversial.Objective To investigate whether iron therapy has an effect onthe behavior of children with iron deficiency anemia (IDA).Method A randomized placebo-controlled clinical trial wasconducted in Labuhan Batu on November 2006-April2007. IDAwas defined as Hb < 12 g/dl, MCHC< 31%, ROW index > 220and Mentzer index> 13. Elementary school children (6-12 yearsold) with IDA were randomly assigned to the treatment groupwith a daily therapy of 6 mg iron/kg/day or placebo group for three months. The subjects' behavior was evaluated with child behavior check list (CBCL) before and six months after intervention.Results After six months, 110 subjects completed the therapy.Scores of CBCL in iron group after intervention were internalizing42.64 (SO 9.95), externalizing 37.13 (SO 9.04) & total score 38.24 (SO 10.20). There was significant decreased on externalizing and total problems score in the treatment group after intervention (P< 0.05). However, there was no significant difference on scores between groups.Conclusion Iron therapy had significantly decrease CBCL scoreon externalizing and total problems in the treatment group,however there was no significant difference on scores if comparedwith placebo group.

Influence of educative game instrument on children's motor development in child day care Lucie Permana Sari; Sri Sofyani; Bistok Saing; Iskandar Z. Lubis
Paediatrica Indonesiana Vol 48 No 6 (2008): November 2008
Publisher : Indonesian Pediatric Society

Background Child day care center is an institution functioning tohelp families to fulfil their child's need by providing stimulation witheducative game instrument (EGI) while they work outside home.Objectives To evaluate motor development of children at child daycare center with EGI stimulation compared with that of childrenwithout stimulation.Methods An experimental study using pretest-posttest control groupdesign was cartied out on children aged 2 to 5 years old, at Islamic CenterDay Care Center (without EGI) and Tanah-Besi Day Care Center inTebing Tinggi (with EGI for six months). Inclusion criteria: healthy,well-nourished children aged 2 to 5 years with informed consent, nodevelopmental delay (confirmed by Denver-II developmental screeningtest). Exclusion criteria: pre term birth children. Forty subjects wereselected by means of simple random sampling. Research data weretaken with Cronbach's motor skills scale. Subjects consisted of 3 to 4years old children, mostly four years old.Results Motor skills scores (mean; SD) of the Islamic CenterDay Care Center group and Tanah-Besi Day Care Center groupbefore stimulation were 104.9; 10.37 and 104.7; 5.47 (P=0.923),respectively, and after stimulation 105.2; 9.56 and 135.3; 7.67 (P<0.001), respectively. Motor skills scores (mean; SD) of Tanah-BesiDay Care Center group before and after stimulation were 104.7; 5.4 7and 135.3; 7.67 (P< 0.001) respectively. Motor skill dimensions score(mean; SD) ofTanah-Besi Day Care Center group before and afterstimulation: speed 28.9; 1.75 and 38.8; 2.79, stability 22.3; 1.02 and30.6; 1.57, accuracy 20.3; 1.15 and 26.7; 1.63, strength 33.3; 1.55and 39.1; 1.68, respectively with P< 0.001.Conclusions There is a significant difference in motor skillsscores and motor skill dimensions of children who receive EGIstimulation compared to those who do not.

Knowledge, attitude, and practice of underfive children stimulation of working and nonworking mothers Trie Hariweni; Muhammad Ali; Sri Sofyani; Iskandar Z Lubis
Paediatrica Indonesiana Vol 44 No 2 (2004): March 2004
Publisher : Indonesian Pediatric Society

Objective To assess and compare knowledge, attitude, and prac-tice of underfive children stimulation of working and nonworkingmothers and to determine the correlation between knowledge, at-titude, practice of stimulation and mothersâ€™ ages, educational level,number of children, and number of underfive children.Methods A cross-sectional study was performed in PT. IndofoodSukses Makmur, Tanjung Morawa, Medan from October 2002 un-til November 2002. Respondents were female workers havingunderfive children assigned as working mothers and wives of maleworkers (with similar inclusion criteria) assigned as nonworkingmothers. Selected respondents were interviewed using a struc-tured questionnaire. Sample size for each group was 58. Knowl-edge, attitude, and practice of stimulation were classified as good,less, and poor.Results There were 131 mothers interviewed. There were no sig-nificant differences in the ages, educational level, number of chil-dren, and number of underfive children. Good knowledge of stimu-lation of the working and nonworking mothers were 64.6% and97%, respectively; good attitude toward stimulation were 95.4%and 27.3%, respectively, while good practice of stimulation were58.5% and 22.7%, respectively. These differences were statisti-cally significant.Conclusion There were significant differences in knowledge, atti-tude, and practice of underfive children stimulation between work-ing and nonworking mothers. The knowledge of stimulation of theworking mothers was worse than that of the nonworking mothersand the attitude and practice of the working mothers were betterthan those of the nonworking mothers

Knowledge, attitude, and practice of working and non-working mothers concerning immunization of underfive children Muhammad Ali; Ifan Eka Saputra; Adillida Adillida; Sri Sofyani; Iskandar Z Lubis
Paediatrica Indonesiana Vol 44 No 3 (2004): May 2004
Publisher : Indonesian Pediatric Society

Objective To compare the knowledge and attitude of working moth-ers (WM) and non-working mothers (NWM) concerning immuniza-tion in children.Methods A cross sectional study was conducted on February, 18-23, 2002 at PT. Olagafood Industri, a noodle manufacture in TanjungMorawa, Medan. Subjects were female workers and non-workingwives of male workers who had under-five-year children. Motherswere interviewed using a questionnaire. Sample size for each groupwas 38. Degree of knowledge, attitude, and practice concerningimmunization were classified into good, insufficient, and bad.Results Mothersâ€™ age, educational level, and childrenâ€™s age werecomparable between the two groups. Ten WM and 8 NWM hadgood knowledge concerning immunization, which did not differ sig-nificantly (p>0.05). Good attitude toward immunization was foundin 25 WM and 12 NWM; it was a statistically significant difference(p<0.05). The practice of immunization showed similar result asthe attitude. The age of mothers had a significant relationship withthe degree of knowledge and practice, but not with attitude.Conclusion Degree of knowledge about immunization betweenWM and NWM are comparable, but differences exist in their atti-tude and performance

Gangguan mood pada remaja Des Infrando; Sri Sofyani; Widiastuty dr
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 1 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

Show Abstract | Download Original | Original Source | Check in Google Scholar

Mood disorder is a psychiatric problem which arise from depression disorder. Depression case in adolescent is a strong prediction to get depression in adulthood. About 1.5-2.5% in prepuberty and become 4-5% in adolescence. During some generation, had been known that sadness and desperation also can happen in child and adolescent, but concept about mood disorder need more time to be accepted as generally.Keywords : mood disorder; adolescent

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