Abstract

Pneumonia merupakan penyebab kematian tertinggi pada anak di Indonesia setelah diare. Pengendalian pneumonia dapat dilakukan dengan peningkatan cakupan imunisasi campak, pertusis, Streptococcus pneumoniae (Spn), dan Haemophilus influenzae b (Hib). Vaksin Spn dan Hib belum masuk ke dalam kategori imunisasi wajib di Indonesia. Vaksin campak lebih memiliki pengaruh langsung terhadap pneumonia dibandingkan dengan vaksin pertusis. Pemberian imunisasi yang disertai pemberian vitamin A akan meningkatkan titer antibodi pada anak. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian imunisasi campak dan vitamin A terhadap kejadian pneumonia. Metode penelitian adalah potong lintang dengan menggunakan 13.062 data anak yang terdapat pada data Survei Demografi dan Kesehatan Indonesia tahun 2012. Data dianalisis dengan menggunakan uji regresi poisson. Hasil analisis menunjukkan prevalensi pneumonia pada anak di Indonesia adalah 5.4%, cakupan imunisasi campak sebesar 82.6%, dan cakupan pemberian vitamin A sebesar 74.9%. Pemberian imunisasi campak disertai dengan pemberian vitamin A dapat mencegah terjadinya kejadian pneumonia pada anak usia 12 – 59 bulan sebesar 26,5%. Pemberian imunisasi campak yang disertai dengan pemberian vitamin A dapat digunakan sebagai tindakan pencegahan dalam upaya penurunan kejadian pneumonia. Pneumonia is the major cause of child death in Indonesia after diarrhea. Increasing coverage of measles, pertusis, Streptococcus pneumoniae (Spn) and Haemophilus influenzae b (Hib) immunization substantially can control pneumonia. Spn and Hib vaccines have not been included in category of mandatory immunization in Indonesia. Measles vaccine has more direct effect on prevention of pneumonia than pertusis vaccine. Providing immunization followed by providing vitamin A will increase the specific antibody titer among children. This study aimed to determine effects of measles vaccine and vitamin A to pneumonia incidence among toddlers. Method of study was cross sectional using 13,062 data of children drawn from 2012 Indonesia Demographic and Health Survey. Data were analyzed using poisson regression test. Analysis results showed that prevalence of pneumonia among Indonesian children was 5.4%, measles immunization coverage was 82.57%, and vitamin A supplementation coverage was 74.9%. Furthermore, providing measles immunization and vitamin A could prevent pneumonia incidence among toddlers (12 – 59 months old) up to 26.5%. Providing measles immunization then followed by providing vitamin A can be used as a preventive action in attempt to decrease pneumonia incidence.

References

1. Said M. Pengendalian pneumonia anak-balita dalam rangka pencapaian MDG 4. Buletin Jendela Epidemiologi. September 2010; 3: 16-21.

2. United Nations [homepage in internet]. The Millennium Development Goals report 2011. New York; 2012 [cited 2015 Jan 5]. Available from: http://www.un.org/millenniumgoals/reports.shtml

3. UNICEF, WHO. Ending preventable child deaths from pneumonia and diarrhoe by 2025, the integrated global action plant for pneumonia and diarrhoe (GAPPD). France: World Health Organization, UNICEF; 2013.

4. Walker CF, Rudan I, Liu L,Theodoratou KE, Bhatta ZA, O’Brien KL, et al. Global burden of childhood pneumonia and diarrhoae. The Lancet. 2013; 381 (9875): 1405–16.

5. Central Bureau of Statistics (CBS) Indonesia, collaboration with the National Population and Family Planning, the Ministry of Health and ICF International. Indonesia Demographic and Health Survey 2007. Calverton, Maryland, USA: CBS and Macro Internasional; 2008.

6. Rudan I. Epidemiology and etiology of childhood pneumonia. Bulletin of the World Health Organization. 2008; 86: 408-16.

7. Kementerian Kesehatan Republik Indonesia. Pedoman pengendalian infeksi saluran pernafasan akut. Jakarta: Kementerian Kesehatan Republik Indonesia; 2012.

8. Widodo N. Lingkungan fisik kamar tidur dan pneumonia pada anak balita di Puskesmas Kawalu Kota Tasikmalaya. Kesmas: Jurnal Kesehatan Masyarakat Nasional. 2007; 2 (2): 64-8.

9. Bhutta ZA, Das JK, Walker N, Rizvi A, Campbell H, Rudan I, et al. Interventions to address deaths from childhood pneumonia and diarrhoea equitably: what works and at what cost? The Lancet. 2013; 381(9875): 1417–29.

10. Weber M, Fransisca H. Aksi global melawan pneumonia pada anak. Buletin Jendela Epidemiologi. September 2010; 3: 11-5.

11. UNICEF, WHO. Pneumonia the forgotten killer of children. France: World Health Organization, UNICEF; 2006.

12. Central Bureau of Statistics (CBS) Indonesia, collaboration with the National Population and Family Planning, the Ministry of Health and ICF International. Indonesia Demographic and Health Survey 2012. Calverton, Maryland, USA: CBS and Macro International; 2013.

13. Greenland S, Robins JM, Pearl J. Confounding and collapsibility in causal inference. Statistical Science. 1999; 14: 29–46.

14. Martin R, James AD. A comparison of two methods for estimating prevalence ratios. BMC Medical Research Methodology. 28 February 2008 [cited 2013April 20];147-9. Available from: http://bmcmedresmethodol.biomedcentral.com/articles/10.1186/1471-2288-8-9 .

15. Ranuh IGN. Buku imunisasi di Indonesia. Jakarta: Ikatan Dokter Anak Indonesia (IDAI); 2001.

16. Riza Y. Faktor-faktor yang berhubungan dengan kejadian ISPA pada balita di desa Warujaya Kecamatan Parung Kabupaten Bogor Tahun 2002 [magister thesis]. Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia; 2005.

17. Kilabuko JH, Nakai S. Effects of cooking fuels on acute respiratory infections in children in Tanzania. International Journal of Environmental Research and Public Health. 2007; 4(4): 283 – 8.

18. Anwar A, Dharmayanti I. Pneumonia pada anak balita di Indonesia. Kesmas: Jurnal Kesehatan Masyarakat Nasional. 2014; 8 (8): 359 - 65.

19. Machmud R. Pengaruh kemiskinan keluarga pada kejadian pneumonia balita di Indonesia. Kesmas: Jurnal Kesehatan Masyarakat Nasional. 2009; 4 (1): 36 - 41.

20. Sutrisna B. Faktor risiko pneumonia pada balita dan model penanggulangannya [PhD Dissertation]. Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia; 1993.

21. UNICEF. WHO. Global Action Plan for Prevention and Control of Pneumonia (GAPP). France: World Health Organization, UNICEF; 2009.

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