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Mintardaningsih Mintardaningsih
Department of Child Health, Universitas Padjadjaran Medical School/Dr. Hasan Sadikin Hospital, Bandung, West Java
Health Professions Medicine & Pharmacology

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Community trials on case management of acute respiratory infections (ARI) in rural villages Cissy B. Kartasasmita; Mintardaningsih Mintardaningsih; O. Rosmayudi; A. U. Suardi; H. Sukandar
Paediatrica Indonesiana Vol 41 No 9-10 (2001): September 2001
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (188.739 KB) | DOI: 10.14238/pi41.5.2001.260-3

Abstract

A community trial was conducted in two rural subdistricts in Subang, West Java, Indonesia, i.e., Cisalak as the intervention area and Sagalaherang as reference area. The study aimed to evaluate the usefulness new version of case management on acute respiratory tract infections (ARI). All babies born between January and December 1994 were enrolled in the study, and followed for 6 to 12 months. The field workers visited the babies every 2 weeks. They examined the babies and interviewed mothers about ARI symptoms, by using a pretested questionnaire. During that period 969 babies were born, 53.3% in Cisalak and 46.7% in Sagalaherang; 548 of them were followed for 12 months; however, only 263 among them had complete data. The morbidity of ARI increased with increasing age; there was no difference between those two study areas. The prevalence of ARI at the age of less than 3 months was 35.1% and 32.7%; between 4 to 6 months 49.9% and 45.3%; between 7 to 9 months 47.0% and 45.9% ; and between 10 to 12 months 53.7% and 50%, for Cisalak and Sagalaherang, respectively. Nevertheless, the mortality in Sagalaherang was higher than in Cisalak  (118 per 1000 and 78 per 1000, respectively), and the pneumonia-related deaths were 64.8% and 52.5%, respectively. The age specific death rate for pneumonia was high among babies of less than 3 months of age, i.e., 68.5% and 57.2%, respectively. We conclude that mothers and primary health care workers in rural areas should be taught and encouraged to use case management of ARI, and monitoring and evaluation of the application is needed.
Knowledge, Attitude and Practice on Acute Respiratory Infections among Mothers in Two Rural Areas in Subang Subdistrict, West Java, Indonesia Cissy B. Kartasasmita; Mintardaningsih Mintardaningsih; Anna Alisjahbana; Oma Rosmayudi; S. Hadyana
Paediatrica Indonesiana Vol 39 No 11-12 (1999): November - December 1999
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (5511.758 KB) | DOI: 10.14238/pi39.11-12.1999.293-301

Abstract

A survey was conducted in 2 rural villages in Indonesia. This study was a part of a one-year intervention study on case management of acute respiratory infections (ARI) in infants of less than 12 months old in Cisalak (VI, intervention village) and Sagalaherang (V2, control village). The aim of the study is to know the knowledge, attitude and practice (KAP) on ARI among rural villages mothers. All pregnant women and mothers with child below five years resided in those villages were included in the study. Trained field interviewers visited and interviewed mothers on several questions related to ARI using pretested questionnaire. A total of 436 and 576 mothers, with a mean age of25.4 (SD=5.7) and 26.5 (SD=5.4) years from VI and V2 respectively, were included. Most mothers had traditional beliefs that the cause of ARI was bad wind (77.3% and 73.8%, respectively), only 1.8% and 9.2% mothers know that ARI is caused by microorganisms. However, they believe that the disease is infectious (59.9% and 79.7%). Therefore, most mothers were aware and gave medication (66.5% and 36.3%) or brought the child to village health center (23.6% and 57.1%). The problems for seeking a medical help are transportation, distance and ignorance. As conclusion, we found that the present knowledge on ARI was in adequate, thus more information are needed for mothers to solve the ARI problems in rural villages.
Co-Authors A. U. Suardi Anna Alisjahbana Cissy B. Kartasasmita H. Sukandar O. Rosmayudi Oma Rosmayudi S. Hadyana