RESPONS I BU TERHADAP DEMAM BERDARAH DENGUE DI WILAYAH PUSKESMAS PANDANARAN, KARANGAYU DAN BANDARHARJO KOTA SEMARANG

Abstract

Background: The High Mortality Dengue Hemorrhagic Fever (DHF) in children because of many reasons. One of them is due to delay to refer. I o prevent the seriousness of the disease, mother has to has a high alertness, know the clinical sign of DI-IF, can give the first aid and decide to refer soon to hospital before late. The objectives of this study are to know the differences of mother's response of DHF and other their influence factors in three endemic areas Method: the study type is cross sectional study in Pandanaran health center area (high endemic area), Karangayu health centre (middle endemic area) and Bandarharjo health centre (low endemic area) in Semarang city. Subject is 90 mothers (consist of 30 respondents each from three health centres) of children whose join the cohort study 'Collaboration study on Dengue Indonesia-Netherlands' in Semarang. Data were collected by interview using structured questionnaire for four months. Data were analysed by chi square test and multiple logistic regression. Result: There was a significant difference of mother's response (p < 0.001) in three endemic areas. The best response was respondent from Karangayu (32.2%) health center; second was respondent from Pandanaran health center (17.8%) and the worst was respondent from Bandarharjo health center (17.8%). The level of first aid and awareness to refer respondents in Bandarharjo health center were the worst compare to respondents irl other two health centers. The risk factor of bad response was mother who has children > 6. The risk of this mother five times than mother who has children < 6 Summary: The best response was respondent from Karangayu health center; second was respondent from Pandanaran health center and the worst was respondent from Bandarhaijo health center. The response of mother who has children > 6 was five times worse than mother who has children < 6. Latar belakang: Mortalitas Demam Berdarah Dengue (DBD) pada anak masib disebabkan keterlambatan merujuk. Untuk menceuah keparahan DBD saat dirujuk maka seorang ibu harus memiliki kewaspaan tinggj bahaya DBD, dapat mengenali gejala DBD, memberi pertolongan pertama, dan keputusan segera merujuk anak ke RS/dokter sebelum menjadi parah. Tujuan penelitian adalah mengetahui perbedaan respons ibu terhadap DBD dan faktor-faktor pengaruh lain di 3 wilayah endemis DBD Metode penelitian : Penelitian observasional belah lintang di wilayah kerja Puskesnias Pandanaran (endemis tinggi), Karangayu (endemis sedang). dan 13andarharth (endemis rendah) Semarang. Subyek adalah thu dari anak yang mengikuti studi kohort "Penelitian bersama Indonesia-Netherlands" di tiga wilayah tersebut. Analisa data mengunakan uji X', dan uji regresi logistik berganda. Has& Dari 90 responden ibu, setiap wilayah 30 ibu. Hasil analisis didapatkan perbedaan bermakna tingkat respons ibu (p<0.00 I ) di 3 wilayah endernis. Peringkat respons terbaik adalah responden Karangayu (32.2%), kedua Pandanaran (17.8%), dan terburuk Bandarharjo (17.8%). Responden Bandarharjo tingkat pertolongan pertama dan kesadaran merujuknya paling buruk dibanding 2 wilayah lain. Faktor risiko terhadap respons buruk yaitu ibu dengan jumlah anak > 6 berisiko 5.0 kali lebih tinggi menjadi respons buruk dibanding jumlah anak 5 6. Kesimpulan: Peringkat respons terbaik adalah responden Karangayu, kedua Pandanaran, dan terburuk Bandarharjo. Thu dengan jumlah anak > 6 mernpunyai pengaruh paling bermakna menjadi respons buruk.