Effect of The Integrated Health Post and Other Factors on The Risk of Development Disorder among Children under Fivein Kubu Raya, West Kalimantan


Lolita1), Yulia Lanti Retno Dewi2) , Bhisma Murti1)

 

1)Masters Program in Public Health, Universitas Sebelas Maret

2)Faculty of Medicine, Universitas Sebelas Maret

 

ABSTRACT

Background: The first five years of life are critical for child development. The process of child development can include everything from sensory awareness and fine motor skills to language and socialization ability. It is influenced by a child’s genetic makeup, environment, and cognitive skills. The purpose of data analysis was to examine effect of the integrated health post and other factors on the risk of development disorder among children under five in Kubu Raya, West Kalimantan.

Subjects and Method:This was a cross sectional study carried out at 25 integrated health posts in Kubu Raya District, West Kalimantan, from November to December 2018. A sample 200 of children under five was selected by simple random sampling. The dependent variable was child development disorder. The independent variables were maternal age at marriage, ma­ter­­nal education, parental income, parenting style, birth weight, birth length, child development monitoring, child development inter­ven­tion, and integrated health post strata. The data were collected by questionnaire and ana­lyzed by a multiple logistic regression.

Results: The risk of child development disorder was increased by early marriage (b= 2.72; 95% CI=1.17 to 4.2; p= 0.001), but was decreased by high maternal education (b= -2.03; 95% CI= -3.43 to -0.63; p=0.004), high family income (b= -3.50; 95% CI= 5.09 to 1.92; p<0.001), proper parenting style (b= -2.45; 95% CI= -3.90 to -1.01; p= 0.001), nor­mal birth weight (b= -2.57; 95% CI= -3.98 to -1.15; p<0.001), normal birth length (b=-2.63; 95% CI= -4.17 to -1.08; p= 0.001), child development monitoring (b= -2.48; 95% CI= -4.17 to -0.78; p= 0.004), and child development intervention (b= -2.97; 95% CI= -4.59 to -1.35; p<0.001).

Conclusion: The risk of child development disorder is increased by early maternal age at marriage, but is decreased by maternal education, high family income, proper paren­ting style, normal birth weight, normal birth length, child development monitoring, and child development intervention.

Keywords: child development, disorder, integrated health post, children under five

Correspondence: Lolita. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia.Email: Patricialolita25@gmail.com. Mobile: 082328463344

DOIhttps://doi.org/10.26911/theicph.2019.03.21

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