CD Disertasi
Pengendalian Berkelanjutan Penyakit Balita Di Kecamatan Bangko Kabupaten Rokan Hilir, Riau
Bangko District, Rokan Hilir Regency, most of its area consists of peatlands and is located close to the city of Bagan Siapiapi, which is the capital of Rokan Hilir Regency. The problems faced are environmental changes due to high occupancy rates resulting in poor environmental sanitation and poor clean living behavior of the people, and peatland degradation which causes fires and floods. This environmental change has an impact on public health. This impact will be felt more severely by vulnerable population groups such as toddlers, children, pregnant or breastfeeding women, people with disabilities, and the elderly. So that the health of toddlers is not disturbed, it is necessary to do research on Sustainable Disease Control in Toddlers.
This research was conducted in the operational area of the Bagan Punak Health Center (Bagan Punak Village and Labuhan Tangga Baru Village) and Bangko Health Center (Bagan Barat Village and Serusa Village), Bangko District, Rokan Hilir Regency, Riau Province from April - December 2021. This research aims to 1) Identify ecological, economic, and socio-cultural conditions. 2). Analyzing the index and status of sustainability of disease control in toddlers. 3). Identify the determinants of the sustainability of disease control in toddlers and 4). Formulate disease control policies in toddlers on an ongoing basis.
This study uses a quantitative approach. The type of data collected is a type of primary data and secondary data. Data collection methods consist of literature studies, surveys, in-depth interviews, and expert opinions. The data analysis method used is descriptive and inferential analysis with the Multidimensional Scaling (MDS) Rap-Disease control in children under five years (DCCUFY) approach.
The results of the analysis obtained that the sustainability status of Disease Control in Toddlers for the ecological dimension was Bagan Punak Sub-District at 44.5%, Bagan Barat Sub-District at 44.1%, and Serusa Village at 48.9%, (less sustainable). Labuhan Tangga Baru Village 53.3% (quite sustainable). For the economic dimension of Serusa Village 9.5% and Bagan Punak Village 23.3%, (not sustainable). Bagan Barat Village 40.0% and Labuhan Tangga Baru Village 48.6%, (less sustainable). Whereas for the socio-cultural dimension of the Bagan Punak Village it is 48.5%, (less sustainable). Bagan Barat Village 61.9%, Labuhan Tangga Baru Village 60.5%, and Serusa Village 51.3% (quite sustainable). The sustainability status of Disease Control in Toddlers in Bangko District for the ecological dimensions is less sustainable, the economy is not sustainable and the socio-culture is quite sustainable.
The leverage factor for the sustainability of Disease Control in Toddlers includes 12 attributes, namely: a). the existence of economic facilities, b). economic accessibility, c). the unemployment rate, d). poverty rate, e). clean living habits, f). environmental sanitation, g). water quality, h). environmental health counseling, i). community participation, j). traditional leaders, k). utilization of Public health center, l). building conditions.
The design of Disease Control in Toddlers (PPB), can be described in terms of functions as follows: PPB = f (SE, AE, TP, TK, SL, HB, KA, KB), which is the interaction between economic facilities (SE), economic accessibility (AE ), unemployment rate (TP), the poverty rate (TK), environmental sanitation (SL), clean living habits (HB), water quality (KA) and building conditions (KB) The draft policy formulation that must be carried out in the continuity of disease control in toddlers, namely; 1). Community Economic Improvement, 2). Environmental Health Counseling, which concerns Environmental Sanitation and Clean Living Habits, 3). Increasing the role of traditional leaders and the community regarding the importance of maintaining the health of toddlers, and 4). Construction of Clean Water Facilities
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