Jurnal Berkala Epidemiologi
Vol. 12 No. 1 (2024): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)

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

Nur Anisah Rahmawati (Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia)
Mahmudah Mahmudah (Department of Epidemiology, Biostatistics, Population Studies and Health Promotion, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia)
Arief Wibowo (Department of Epidemiology, Biostatistics, Population Studies and Health Promotion, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia)
Diah Indriani (Department of Epidemiology, Biostatistics, Population Studies and Health Promotion, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia)
Erni Rosita Dewi (School of Nursing and Midwifery, Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Chelmsford Essex United Kingdom)
Vina Firmanty Mustofa (Department of Epidemiology, Biostatistics, Population and Health Promotion, Faculty of Public Health, Universitas Airlangga)



Article Info

Publish Date
26 Jan 2024

Abstract

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.

Copyrights © 2024






Journal Info

Abbrev

JBE

Publisher

Subject

Immunology & microbiology Public Health

Description

The scope of JBE are Epidemiology of Communicable Disease, Epidemiology of Non-communicable Disease, Tropical Disease, Epidemiology Surveillance, Management Outbreak, Epidemiology of Preventable Disease, and Epidemiology of ...