Abstract
Background: Pneumonia is the leading cause of infection-related death in children globally. East Java, Indonesia, is one of the provinces with the discovery achievement of pediatric pneumonia cases under 70%. Nganjuk Regency, located in East Java, has low discovery achievement of pediatric pneumonia cases (34.64%). Nganjuk Regency also requires an up-to-date study to determine the current state of pneumonia risk factors. Objective: This study aimed to examine the occurrence of pneumonia in toddlers and its risk factors in Nganjuk Regency East Java, Indonesia. Methods: The design of this study was a cross-sectional using a rapid survey. The participants of this study were 210 housewives or other adult household members having children under five in Nganjuk Regency. The study procedure began by collecting data from seven districts wherein each district comprised 30 houses that were chosen purposely. Data analysis was carried out using bivariate and multivariate analysis. The data were analyzed using the statistical software STATA. Results: This study revealed that 18 (7.96%) toddlers had developed pneumonia. The main risk factors for pneumonia among toddlers in Nganjuk Regency were the nutritional status of toddlers (OR=6.787; 95%CI=1.417-32.525; p=0.017), house cleaning (OR=3.381; 95%CI=1.160-9.851; p=0.026), and room occupancy density (OR=4.191; 95%CI=1.371-12.809; p=0.012). Conclusion: The incidence of toddler pneumonia can be reduced by educating mothers about pneumonia and its risk factors, monitoring toddler growth and nutritional status, and conducting routine surveillance of toddler pneumonia alongside sanitation inspections.Keywords:Children; Pneumonia; Risk Factors; Survey
References
Alvionita, V., Sulfatimah, S., Astuti, A., & Nurfitri, N. (2022). Hubungan Status Gizi Dan Status Imunisasi Dengan Kejadian Pneumonia Pada Bayi. Ahmar Metastasis Health Journal, 1(4). https://doi.org/10.53770/amhj.v1i4.92
Bourke, C. D., Berkley, J. A., & Prendergast, A. J. (2016). Immune Dysfunction as a Cause and Consequence of Malnutrition. Trends in Immunology. 37(6), 386-398, https://doi.org/10.1016/j.it.2016.04.003Dewiningsih, U. (2018). Faktor Lingkungan dan Perilaku Kejadian Pneumonia Balita Usia 12-59 Bulan. HIGEIA (Journal of Public Health Research and Development),2(3).
Ebeledike, C., Ahmad, T., & Martin, S. D. (2023). Pediatric Pneumonia (Nursing). StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK568682
Ehsanul Huq, K. A. T. M., Moriyama, M., Matsuyama, R., Chisti, M. J., Rahman, M. M., & Alam, N. H. (2021). Clinical characteristics and underlying factors related to recovery from severe pneumonia in under-five children with or without malnutrition treated at health care facilities in Bangladesh. Children, 8(9). https://doi.org/10.3390/children8090778
Fadl, N., Ashour, A., & Yousry Muhammad, Y. (2020). Pneumonia among under-five children in Alexandria, Egypt: a case-control study. The Journal of the Egyptian Public Health Association, 95(1), 14. https://doi.org/10.1186/s42506-020-00043-0 children in Alexandria, Egypt: a case-control study. Journal of the Egyptian Public Health Association,95(14). https://doi.org/10.1186/s42506-020-00043-0
Health Office East Java Province. (2023). Health Profile of East Java Province Year 2023/Profil Kesehatan Provinsi Jawa Timur 2023. Retrieved from www.dinkesjatengprov.go.id
Howie, S. R. C., Schellenberg, J., Chimah, O., Ideh, R. C., Ebruke, B. E., Oluwalana, C., … Mulholland, K. (2016). Childhood pneumonia and crowding, bed-sharing and nutrition: A case-control study from The Gambia. International Journal of Tuberculosis and Lung Disease, 20(10). https://doi.org/10.5588/ijtld.15.0993
Mardani, R., Wardani, H., & Gayatri, R. (2016). Hubungan Faktor Lingkungan Fisik Rumah Status Pendidikan Ibu Dan Status Pekerjaan Ibu Terhadap Kejadian Pneumonia Balita Di Wilayah Kerja Puskesmas. Sport Science and Health, 1(3), 233–242.
Ministry of Health Indonesia. (2011). Minister of Health Regulation No. 1077 of 2011 about Guidelines for Indoor Air Sanitation in Houses. Retrieved from http://hukor.kemkes.go.id/uploads/produk_hukum/PMK No. 1077 ttg Pedoman Penyehatan Udara Dalam Ruang Rumah.pdf
Nikmah, A., Rahardjo, S. S., & Qadrijati, I. (2017). Indoor Smoke Exposure and Other Risk Factors of Pneumonia among Children Under Five in Karanganyar, Central Java. Journal of Epidemiology and Public Health. 3(1): 25-40.https://doi.org/10.26911/jepublichealth.2018.03.01.03
Ningsih, N. I., Salimo, H., & Rahardjo, S. S. (2019). Factors Associated with Pneumonia in Children Under Five after Earthquake: A Path Analysis Evidence from West Nusa Tenggara, Indonesia. Journal of Epidemiology and Public Health, 4(3), 234–246. https://doi.org/10.26911/jepublichealth.2019.04.03.11
Ragwar, V., & Brown, M. (2023). Causal factors of childhood pneumonia high mortalities and the impact of community case management on child survival in Sub-Saharan Africa: a systematic review. Public Health, 223. 131-138. https://doi.org/10.1016/j.puhe.2023.07.033
Rahayuningrum, D. C., & Nur, S. A. (2021). Hubungan Status Gizi Dan Status Imunisasi Dengan Kejadian Infeksi Saluran Pernafasan Akut Pada Balita Kota Padang. Jurnal Kesehatan Mesencephalon, 7(1), 56–62. https://doi.org/10.36053/mesencephalon.v7i1.247
Saragih, P., Eskana Sihombing, V., & Boni Yolanda Pardede, I. (2022). Factors that cause the increase of pneumonia in Indonesia. AMCA Journal of Community Development, 2(1), 31–33. https://doi.org/10.51773/ajcd.v2i1.116
Sutriana, V. N., Sitaresmi, M. N., & Wahab, A. (2021). Risk factors for childhood pneumonia: a case-control study in a high prevalence area in Indonesia. Clinical and Experimental Pediatrics, 64(11), 588–595. https://doi.org/10.3345/cep.2020.00339
UNICEF. (2020). Kenali 6 Fakta tentang Pneumonia pada Anak. UNICEF Indonesia. Retrieved from https://www.unicef.org/indonesia/id/kesehatan/cerita/kenali-6-fakta-tentang-pneumonia-pada-anak
Wahyuni, M., Hardianti, S., & Sartika, R. D. (2023). Literature Study Relationship Between Physical Condition of The House and Occupancy Density With The Incidence of ISPA Disease In Toddlers. Jurnal Ilmu Kesehatan, 11(1), 9–24. https://doi.org/10.30650/jik.v11i1.3720
World Health Organization. (2017). Household (Indoor) Air Pollution. Retrieved from https://www.who.int/news-room/fact-sheets/detail/household-air-pollution-and-health?gclid=CjwKCAiAvoqsBhB9EiwA9XTWGb--ZjxDp44Te9bBwWYpuFZVpO01y9bUpnC1WYxSTvbcrMaZjxYWdxoCUMoQAvD_BwE
World Health Organization. (2021). Pneumonia. Retrieved from https://www.who.int/news-room/fact-sheets/detail/pneumonia
Zhou, W., Zuo, X., Li, J., & Yu, Z. (2016). Effects of nutrition intervention on the nutritional status and outcomes of pediatric patients with pneumonia. Minerva Pediatrica 68(1):5-10.
Zhuge, Y., Qian, H., Zheng, X., Huang, C., Zhang, Y., Zhang, M., … Sundell, J. (2018). Residential risk factors for childhood pneumonia: A cross-sectional study in eight cities of China. Environment International,116,uop 83-91. https://doi.org/10.1016/j.envint.2018.03.022
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