Factors Associated with Diarrhea Events in Toddlers Aged 6-59

Months in Teluknaga Health Center in 2019

Wulan Suci Nadia and Devi Angeliana Kusumaningtiar

Department of Public Health, Faculty of Health and Sciences, Universitas Esa Unggul, Indonesia

Keywords: Diarrhea, Education Capital, Knowledge Capital, Hand Washing Behavior, Asi Exclusive, Nutritional Status,

Cross-Sectional.

Abstract: Diarrhea was the incidence of bowel movements with a more liquid consistency than usual, with a frequency

of three times or more within a 24 hour period. In Puskesmas Teluknaga in getting cases of diarrhea in infants

in 2018 increased by 16.80% from 2017. While in the last month data of February 2019, cases of diarrhea in

infants were found as much as 54.93% of cases. This study aims to determine facto factors associated with

the occurrence of diarrhea 6-59 months in Puskesmas Teluknaga Year 2019. This type of research is

quantitative descriptive with cross-sectional approach. The population is mothers who have children in

Puskesmas Teluknaga. Samples were taken as many as 80 respondents using systematic random sampling

technique performed included analysis of univariate and bivariate analysis using the Chi-Square test. The

research results obtained factors associated with the incidence of diarrhea are maternal education (0,001),

Pengetahuan Capital (0,000) and Asi Exclusive (0,003).

1 PRELIMINARY

Diarrheal disease is still one of the major causes of

morbidity and mortality. Almost all geographical

regions of the world and all age groups attacked

diarrhea, but a severe disease with high mortality

mainly found in infants and toddlers. Diarrhea was

the incidence of bowel movements with a more liquid

consistency than usual, with a frequency of three

times or more within a 24 hour period. Diarrhea is

environmentally based disease caused by infectious

microorganisms include bacteria, viruses, parasites,

protozoa, and is transmitted by the fecal-oral route.

Diarrhea may affect any age group both toddlers,

children and adults with various social groups (WHO,

2017).

According to the World Health Organization

(WHO) diarrhea is the leading cause of death and 5%

of morbidity worldwide, approximately 2.2 million

people worldwide die due to diarrhea, the largest

population occurs in infants, especially in developing

countries. In Southeast Asia mortality due to diarrhea

as much as 8.5% and Africa, diarrhea is responsible

7.7% of all deaths. Worldwide approximately 1.1

billion people lack access to clean water sources and

2.4 billion people lack basic sanitation. Nearly 1.7

billion cases of diarrhea occur in children with a

mortality rate of about 525,000 children under five

every year(WHO, 2017).

Diarrheal disease is still a public health problem

in developing countries such as Indonesia, because of

its morbidity and mortality are still high. Morbidity

survey conducted by the Sub-Directorate of Diarrhea,

the Ministry of Health from 2000 s / d in 2010, the

tendency incidence rises. In 2000 IR Diarrhea

301/1000 of the population, in 2003 rose to 374/1000

population, 2006 rose to 423/1000 population and the

population in 2010 to 411/1000. Extraordinary

Events (KLB) diarrhea is still often the case, the CFR

is still high. In 2017, outbreaks of diarrhea occurs 21

times throughout 12 provinces, 17 districts/cities.

Polewali Mandar, Pohuwato, Central Lampung and

Merauke each outbreak occurs 2 times. Number of

patients 1,725 people and 34 deaths (CFR

1.97%)(MoH RI, 2017).

According to the results in a group of diseases

Riskesda infectious diseases, diarrhea is the No. 1

cause of death in infants post-neonatal (31.4%) and

children under five (25.2%) whereas in all age groups

is the No. 4 cause of death (13.2% ) in 2007 and

according to the results of the study of health

problems in 2011 based on the life cycle of diarrheal

disease to the death of No. 2 in the postneonatal

infants (17.4%) and in children under five (13.3%).

Based Riskesdas in 2013, the incidence of diarrhea in

Nadia, W. and Kusumaningtiar, D.

Factors Associated with Diarrhea Events in Toddlers Aged 6-59 Months in Teluknaga Health Center in 2019.

DOI: 10.5220/0009825703970405

In Proceedings of the 1st International Conference on Health (ICOH 2019), pages 397-405

ISBN: 978-989-758-454-1

397

infants was 6.7%. The incidence of diarrhea in all age

groups is 3.5%, while the period prevalence of

diarrhea in all ages was 7.0%. From the results of data

collection through the recapitulation monthly reports

of diarrhea in the Tangerang region, indicating that

based on the results of activities Diarrhea Rapid

Survey conducted in 2015, ("Profiles District Health

Bureau," 2017)

According to research in 2017 Nurfita correlation

with the incidence of exclusive breastfeeding infant

diarrhea (Nurfita, 2017), According to research

Hartati & Nurazila. in 2018 there is a relationship

with the mother's knowledge of toddler diarrhea and

there is also a relationship with a parent education

diarrhea in infants (Hartati & Nurazila, 2018).

According to other studies also show that there is

a significant association between maternal behavior

with the incidence of diarrhea infants, toddlers will be

at risk by 5.44 times more likely to suffer from

diarrhea in mothers who behave badly compared to

mothers who behaved (Nuraeni, 2012), In addition,

other studies also indicate that there is a relationship

between nutritional status of children with diarrhea in

infants(Irawan, 2016).

Teluknaga Health Center is the first level health

center located at Jalan Kampung Melayu Raya No.32,

Kp. Malay East, Teluknaga, Tangerang. Diarrhea

tends to increase every year and includes 10 issues the

biggest disease in Puskesmas Teluknaga Tangerang

District, this disease affects all age groups, especially

toddlers. In 2016, cases of diarrhea toddlers are found

and dealt with by the health center Teluknaga as many

as 940 cases of an increase in 2017 in 1319 cases and

re-increased by 2018 ie 1852 cases or 16.80% and the

last month's data of February 2019 which contained

162 visits toddler ("Profiles Health Center

Teluknaga," 2017).

2 RESEARCH METHOD

This research uses a quantitative approach with a

view to getting the picture by studying the correlation

or relationship between independent variables and the

dependent variable. This study uses a cross-sectional

design for this study data collection is done at the

same time. The research was conducted in February

until August 2019.

The sample in this study are mothers who have

children (systematic random sampling). The number

of samples in this study was as many as 80 samples.

The results of this study were analyzed using the Chi-

Square test.

3 RESULTS

3.1 Univariate Analysis

Table 1: Distribution Diarrhea, Education Capital,

Knowledge Capital, Hand Washing Behavior, exclusive

breastfeeding, nutrition status in Puskesmas Teluknaga

2019.

No.

type Analysis

Number (n) Percentage

Diarrhea

80 100%

Diarrhea

53 66.3%

not Diarrhea

27 33.8%

2 Mother

80 100%

Low

51 63,7%

High

29 36.3%

3 knowledge

80 100%

Less

37 46.3%

Well

43 53.8%

Hand Washing

Behavior

80 100%

Not good

27 33.8%

Well

53 66.3%

Exclusive

breastfeeding

80 100%

Exclusive

breastfeeding

28 35.0%

Not exclusive

breastfeeding

52 65.0%

6 Nutritional

80 100%

Abnormal

18 22.5%

Normal

62 75.5%

3.1.1 Distribution Overview Diarrhea

Toddler in Puskesmas Teluknaga 2019

From the table above it can be seen that out of 80

respondents toddler hit by diarrhea with the highest

proportion in the amount of 53 infants (66.3%), while

the rest are not of diarrhea that 27 infants (33.8%).

3.1.2 Overview Distribution of Capital

Education in PHC Teluknaga 2019

From the table above it can be seen that out of 80

respondents, the level of education of respondents in

Puskesmas Teluknaga with the highest proportion of

respondents with lower education were 51 people

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398

(63.7%) while the remaining 29 had higher education

(36.3%)

3.1.3 Overview Distribution of Knowledge

Capital in Puskesmas Teluknaga 2019

From the above table can be seen that the highest

proportion of respondents ie 80 respondents good

knowledge totaling 43 people (53.8%). whereas the

lack of knowledge many as 37 people (46.3%)

3.1.4 Distribution Overview Hand Washing

Behavior in Puskesmas Teluknaga 2019

From the table above it can be seen that out of 80

respondents are the highest proportion of respondents

with good behavior as many as 53 people (66.3%).

While the rest are not good behavior as much as 27

people (33.8%).

3.1.5 Exclusive Breastfeeding Picture

Toddler in Puskesmas Teluknaga 2019

From the table above it can be seen that the highest

proportion of 80 respondents that are not exclusive

breastfeeding at 52 infants (65.0%), while the

remaining 28 infants (35.0%) of exclusive

breastfeeding.

3.1.6 Distribution Picture Toddler

Nutritional Status in Puskesmas

Teluknaga 2019

From the table above it can be seen that from a total

of 80 respondents, the highest proportion who had a

normal nutritional status that is equal to 62 infants

(75.5%) while the rest is not normal that 18 infants

(22.5%).

3.2 Bivariate Analysis

Table 2 Relationship Education Capital, Knowledge

Capital, Hand Washing Behavior, exclusive

breastfeeding, nutrition status with Genesis Ages 6-

59 Months Toddler Diarrhea in Puskesmas Teluknaga

2019.

Table 2: Bivariate Analysis.

No. Variables Category

Diarrhea

Total

P-Valu e PR (95% CI)Yes, Diarrhea Not Diarrheaa

1 Mother education

N % N % N %

Low (No school,

elementary, junior)

41 80.4 10 19.6 51 100

0,001

1.943

(1,234-

3,059)

High (School, D3, PT) 12 41.4 17 58.6 29 100

2 Knowledge Capital

Lack of knowledge 36 97.3 1 2.7 37 100

0,000

2,461

(1,694-

3,576)

Good knowledge 17 39.5 26 60.5 43 100

Hand Washing

Behavior

Behavior Not Good 19 70.4 8 29.6 27 100

0.759

1.097

(0,799-

1,506)

Good behavior 34 64.2 19 35.8 53 100

Exclusive

breastfeeding

Not exclusive

breastfeeding

41 78.8 11 21.2 52 100

0,003

1.840

(1,173-

2,886)

Exclusive

breastfeeding

12 42.9 16 57.1 28 100

5 Nutritional status

Abnormal 12 66.7 6 33.3 18 100

1,000

1,008

(0,695-

1,463)

Normal 41 66.1 21 33.9 62 100

Factors Associated with Diarrhea Events in Toddlers Aged 6-59 Months in Teluknaga Health Center in 2019

399

3.2.1 Mother's Relationship with Genesis

Education Age 6-59 Months Toddler

Diarrhea in Puskesmas Teluknaga

2019

According to table 2 it can be seen that the highest

proportion of respondents with lower education is 41

(80.4%). While higher education is 12 people

(41.4%). Based on the test results with chi-square

statistic is 0.001 or (p<0.05), then Ho is rejected and

Ha accepted which means that there is a correlation

between the incidence of diarrhea with a toddler in

Puskesmas Teluknaga Year 2019. Prevalence or PR

value obtained by 1,943.

3.2.2 Analysis of Knowledge Capital

Relationship with Genesis Diarrhea in

Toddlers 6-59 Months in Pusksmas

Teluknaga 2019

According to the table 2 it can be seen that the highest

proportion of respondents who possess less knowledge

that 36 (97.3%), while children who had diarrhea with

good knowledge of respondents ie 17 (39.5%). Based

on the test results statistically with chi-square test was

obtained, namely 0,000 or (p <0.05), then Ho is

rejected and Ha accepted which means there is a

relationship between the Knowledge Capital with

diarrhea toddler in Puskesmas Teluknaga Year 2019.

Prevalence or PR value obtained by the 2,461.

3.2.3 Analysis of Behavior Relationships

Handwashing with the Incidence of

Diarrhea in Toddlers 6-59 Months in

Pusksmas Teluknaga 2019

According to table 2 can be in the know that the

highest proportion found in respondents who have

good behavior to 34 people (64.2%). While toddlers

with diarrhea with bad behavior respondents ie 19

(70.4%). Based on the test results statistically with

chi-square test or obtained by 0.759 (p> 0.05) Ha Ho

accepted and rejected, which means there is no

relationship between the behavior of washing hands

with toddler diarrhea in health centers Prevalence

Teluknaga year or PR, 2019. Values obtained namely

1,097.

3.2.4 Analysis of Exclusive Breastfeeding

Relationship with Genesis Toddler

Diarrhea in Toddlers Ages 6-59

Months in Pusksmas Teluknaga 2019

According to the table 2 can be in the know that the

highest proportion found in infants who are not

breastfed Exclusive ie 41 (78.8%), while children

under five with diarrhea that exclusive breastfeeding

is 12 people (42.9%). Based on the test results

statistically with chi square test was obtained, namely

0,003 or (p<0.05), then Ho is rejected and Ha

accepted which means there is a relationship between

exclusive breastfeeding with infant diarrhea in health

centers Prevalence Teluknaga year or PR, 2019.

Values obtained by 1.840.

3.2.5 Relationship Analysis Nutritional

Status Toddlers with Diarrhea in

Toddlers Genesis 6-59 Months in

Pusksmas Teluknaga 2019

According to table 2 can be in the know proportion is

highest in infants who have normal nutritional status

is 41 (66.1%). While toddlers with diarrhea and

nutritional status are not normal that 12 (66.7%).

Based on the test results statistically with chi-square

test was obtained, namely 1,000 or (p> 0.05) Ha Ho

accepted and rejected, which means there is no

relationship between the nutritional status of children

under five with diarrhea in health centers Prevalence

Teluknaga year or PR, 2019. Values obtained by the

1.008.

4 DISCUSSION

4.1 Univariate Analysis

4.1.1 Overview Distribution of Capital

Education in PHC Teluknaga 2019

The study is based on 80 respondents in Puskesmas

Teluknaga, in getting the highest proportion of

respondents with lower education were 51 people

(63.7%). The results are consistent with research

conducted byHartati et al. (2018) The get that the

highest proportion with low education are 64 (59.8%)

and is supported by Siauta (2015) that the highest

proportion of low education was 54 (52.2%).

According to Sander (2005) It is a basic

educational need, education can be obtained from

formal education (elementary education, middle

education and higher education) and informal

education (courses, training and education and

training). Qualification holds an important role in

public health. Based on interviews conducted with

respondents the cause of the low education

respondents in Puskesmas Teluknaga namely because

of the cost of Education high is not supported by an

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adequate income and cause the respondent did not

continue their education to a higher level and prefer

straight married and working, the respondents take

the view on education

4.1.2 Overview Distribution of Knowledge

Capital in Puskesmas Teluknaga 2019

Based on a study of 80 respondents in Puskesmas

Teluknaga, respondents showed the highest

frequency distribution of the knowledge of good as

many as 43 people (53.8%). This is in line with

research Amin, R (2012) of the 171 respondents

whose knowledge is good, as many as 84 infants

(49.12%) and is supported by research Khikmah

(2012) most respondents good knowledge many as 53

people (53%). Lack of knowledge or understanding

of diarrhea and handling become one of the factors

increasing the incidence of diarrhea in children under

five. Knowledge about the prevention of diarrhea is

important because it helps spread the first treatment

in a child with diarrhea (Notoatmodjo, 2007).

Based on interviews with some respondents either

the cause of the knowledge possessed by the

respondents, some respondents admitted to frequently

get information or explanation of diarrhea from direct

health officer at the time of treatment to the clinic.

4.1.3 Distribution Overview Hand Washing

Behavior in Puskesmas Teluknaga

2019

Based on a study of 80 respondents in Puskesmas

Teluknaga show that the highest proportion of

respondents in the can by good conduct as many as

53 (66.3%). This study is in line with research

conducted by Nuraeni (2012)that the majority

responded have handwashing with both categories are

a number of 42 (82.3%) and is supported by Hartati

et al. (2018) that the respondents have handwashing

with good category as many as 43 people (43.3%).

According to the MOH (2007), Conduct hand

washing is a behavior that is very important in the

spread of diarrheal diseases, because the hand is a

medium that was instrumental in the spread of disease

through the fecal-oral route. Not washing hands

before eating or before feeding the food in children,

after a bowel movement, and do not wash your hands

before preparing food or prepare milk for the child,

this can increase the risk of diarrheal disease.

The frequency of handwashing respondents in

Puskesmas Teluknaga have demonstrated good

behavior for interviews, several respondents, they

claimed to have information from health workers

directly. Health care workers often claim to do

counseling to patients at the health center about

handwashing with soap (CPTS) and the benefits to

the practice of direct measures of washing hands

properly.

4.1.4 Asi Picture Exclusive Distribution in

Puskesmas Teluknaga 2019

Based on the results of study of 80 respondents in

Teluknaga health centers showed that the highest

proportion in the can by a toddler who does not Asi

Exclusive as many as 52 infants (65.0%), in line with

a study done by Maretha et al. (2016)which is the

highest proportion of children who are not acquired

by Exclusive Asi (70.5%) and is supported by

research Amin, R (2012) that the highest proportion

of respondents who did not give breast milk to their

babies as much (70.0%).

Breast milk is the best food for the baby, because

of the components of nutrients available in the form

of an ideal and balanced to digest and absorb

optimally by baby’s digestion tool alone is enough to

keep growth up to 6-month old baby. The existence

of protective factors and nutrients in breast milk

corresponding guarantee good nutritional status of

infants and child morbidity and mortality decreased.

Several epidemiological studies state that

breastfeeding protects infants and children from

infectious diseases, such as diarrhea, otitis media, and

acute respiratory infections bottom. Kekebelan

substance found in breast milk among others would

protect babies from diarrhea (MoH RI, 2014).

Based on the interview a few respondents causes

toddlers exclusive breastfeeding because breast milk

incurred mother very little and often do not meet the

needs of toddlers, some respondents also claimed that

the mother does not give milk to their babies because

of sore nipples and do not know how to breastfeed

right so that the milk does not come out, exclusive

breastfeeding toddlers who are not usually given

supplementary formula instead.

4.1.5 Distribution Overview Nutritional

Status in Puskesmas Teluknaga 2019

Based on the results of a study of 80 respondents,

shows that the highest proportion of children under

five good nutritional status, 60 infants (75.0%). This

is in line with research conducted by Nuraeni (2012)

that good nutrition toddlers as many as 91 infants

(91.0%) and is supported by dance (2012) research

that almost half of respondents (56.5%) have good

nutrition. According to the Ministry of Health (2011),

The toddler years are a decisive period of growth to

be fully human in the future comes growth and

Factors Associated with Diarrhea Events in Toddlers Aged 6-59 Months in Teluknaga Health Center in 2019

401

development would be good if the toddler has the

status of good health, a healthy environment and

family/caregiver well in his upbringing. Weighing

long illness and death risk of diarrhea will be

increased in children who are malnourished,

especially malnutrition.

Based on interviews with respondents most

toddlers in foster care by the mother so that the needs

and eating toddler adequate and based on observation

programs of nutrition that has been running in

Pusekesmas Teluknaga been running well one of

them is program nutrition counseling is done once a

month on a regular basis by health workers from

health centers,

4.2 Analysis Bivariate

4.2.1 Analysis of Capital Education

Relations with Genesis Diarrhea

Toddler Age 6-59 Months in

Puskesmas Teluknaga 2019

Based on analysis of the relationship between the

education of mothers with infant diarrhea, it can be

seen that the proportion of respondents with lower

education, a toddler with diarrhea as many as 41

people (80.4%) and respondents with higher

education under five with diarrhea as many as 12

people (41.4 %).

This is in line with research conducted by

Rohmah Z (2014) showed an association between

maternal education level with the incidence of infant

diarrhea. It is also supported by Siauta (2015) that one

of the factors that influence the incidence of diarrhea

in infants is the rank of parental education. Parents or

less educated mothers tend to have less knowledge

about how to prevent diarrhea. theoretical Sander

(2005) too low public education makes them difficult

to tell about the importance of individual hygiene and

environmental sanitation to prevent the spread of

infectious diseases, including diarrhea. And the

difficulty they received counseling, cause they do not

care about the prevention of infectious diseases.

Therefore should Puskesmas Teluknaga cooperat-

ion with intense Education to conduct socialization to

the public about the importance of education for the

community in order to broaden the public early on, in

addition to conveying information or a message of

health messages goal of socialization is to pay

attention and encourage people to school without

thinking about the cost because the government

already has a 12-year compulsory education starting

from elementary school (SD) to High school (SMA)

free without charging school fees.

4.2.2 Analysis of Knowledge Capital

Relationship with Genesis Diarrhea

Toddler 6-59 Months in Puskesmas

Teluknaga 2019

Based on analysis of the relationship between

knowledge of mothers with toddlers diarrhea can be

seen that the proportion of respondents with less

knowledge, infants with diarrhea as many as 36

people (97.3%) and respondents with good

knowledge, infants with diarrhea as many as 17

people (39.5 %). The results are consistent with

research conducted by Amin (2012) that there was a

significant relationship with the mother's knowledge

of toddler diarrhea. It is also supported by research

conducted byFitriyanih (2005) that there is a

significant relationship between knowledge mother

with toddler diarrhea.

The results also supported by the Notoatmodjo

theory (2007), Knowledge is the result out and this

happened after sensing to a particular object. Sensing

occurs through the five senses, the vast majority of

human knowledge is obtained through the eyes

(vision) and the ear (hearing). Knowledge is

something that is known to anyone with any roads and

something new from the experience gained.

By Therefore should PHC Teluknaga provide

counseling in the form of knowledge regularly 1

month and uneven in some posyandu not only during

the treatment course, the problems related to diarrhea

by providing material about the factors that cause

diarrhea, prevention of diarrhea and infections of

diarrhea and is expected to puskesmas at the time of

counseling material added with posters, pamphlets

and interesting images of the diarrhea to be more

easily understood by the public.

4.2.3 Analysis of Behavior Relationships

Handwashing with Genesis Diarrhea

Toddler in Puskesmas Teluknaga

Based on analysis of the relationship between

handwashing with toddler diarrhea can be seen that

the proportion of respondents with good behavior,

children who have diarrhea as many as 19 people

(70.4%) and respondents with good behavior under

five with diarrhea as many as 34 people (64, 2%).

This is in line with research conducted by Majid

(2006), That the study does not prove a link between

handwashing with the incidence of diarrhea in

infants, as well as research Fitriyanih (2005), stating

that there is no significant relationship between

handwashing with toddler diarrhea.

ICOH 2019 - 1st International Conference on Health

402

According to the theory of MOH (2007),

handwashing behavior is a behavior that is very

important in the spread of diarrheal diseases, because

the hand is a medium that was instrumental in the

spread of disease through the fecal-oral route. Not

washing hands before eating or before feeding the

food in children, after a bowel movement, and do not

wash your hands before preparing food or prepare

milk for the child, this can increase the risk of

diarrheal disease.

Based on the results of the questionnaire, the

respondents have shown good behavior regarding

handwashing. But although there is no significant

relationship between handwashing with toddler

diarrhea in Puskesmas Teluknaga mother's behavior

in washing hands with soap should still get the

attention of health officials

4.2.4 Analysis of the Relationship between

Exclusive Breastfeeding with Genesis

Diarrhea Toddler Age 6-59 Months in

Puskesmas Teluknaga

Based on an analysis of the relationship between

exclusive breastfeeding with infant diarrhea can be

seen that the proportion of infants who are not

breastfed Exclusive diarrheal many as 41 people

(78.8%) and exclusive breastfeeding toddlers with

diarrhea as many as 12 people (42.9%).

Research at PHC Teluknaga line with research

conducted by Nurfita (2017) that there is a relationship

between exclusive breastfeeding with the incidence of

diarrhea in infants. This is also supported by Winda

(2010) that toddlers who are not breastfed are at risk of

diarrhea is greater than the infants who are breastfed.

It is also in accordance with the Ministry of

Health of Indonesia (2014) which says that

breastfeeding is the best food for the baby, because of

the components of nutrients available in the form of

an ideal and balanced to digest and absorb optimally

by means of baby’s digestion. ASI exclusive alone

enough to keep growth up to 6-month old baby.

Based on observations conducted health centers

lack of education in providing information about the

importance of exclusive breastfeeding. Therefore, to

increase the exclusive breastfeeding in infants should

health centers to educate early to pregnant women at

the time pregnant mothers check its contents to the

clinic on how to treat breast and breastfeeding true

that exclusive breastfeeding out and the nipple is not

sore and explain the exposure of information about

the benefits of exclusive breastfeeding and the

differences in breast milk with formula in order not

switch to formula.

4.2.5 Relationship Analysis of Nutritional

Status with Genesis Diarrhea Toddler

Toddler Age 6-59 Months in

Puskesmas Teluknaga 2019

Based on analysis of the relationship between the

nutritional status of children under five with diarrhea

can be seen that the proportion of infants whose

nutritional status is not normal with diarrhea as many

as 12 people (66.7%) and normal nutritional status of

children under five with diarrhea as many as 41

people (66.1% ).

Research at PHC Teluknaga is according to

research conducted by Nuraeni (2012), there is no

relationship between nutritional status and the

incidence of diarrhea toddler and the research was

also supported by Majid (2006), that there is no

significant relationship between nutritional status and

the incidence of diarrhea toddler.

According to the theory of the Indonesian

Ministry of Health (2011), Toddlers are children

under five years of age, at this time there are growth

and development is very rapid. The toddler years are

a decisive period of growth to be fully human in the

future datang.pertumbuhan and development would

be good if the toddler has the status of good health, a

healthy environment and family/caregiver well in his

upbringing.

Based on the results of questionnaires and

calculations in nutritional status using the W/

nutritional status of children in the health center

Teluknaga quite normal, because most toddlers in

foster care by the parents so that the food and the

needs of toddlers adequate, although not shown a

meaningful relationship, but in principle, the

extension officers must still be done to reduce or

prevent the incidence of diarrhea through nutrition

education in the community, especially the mothers.

5 CONCLUSION

1. Picture of the distribution of the incidence of

diarrhea infants with the highest proportion of as

many as 53 people (66.3%) and diarrhea were

not as many as 27 people (33.8%).

2. Picture distribution maternal education higher

education as many as 29 people (36.3%) and low

were 51 people (63.7%).

3. Overview of the distribution of knowledge

mothers lack knowledge of 37 people (46.3%)

and good knowledge of 43 people (53.8%)

4. Overview of the distribution of handwashing

Factors Associated with Diarrhea Events in Toddlers Aged 6-59 Months in Teluknaga Health Center in 2019

403

behavior is not good behavior as much as 27

people (33.8%) and the good behavior as much

(66.3%)

5. The exclusive distribution picture asi asi

exclusive as many as 28 people (35.0%) and that

no exclusive breastfeeding as many as 52 people

(65.0%).

6. Picture of the distribution of nutritional status

has the poor nutritional status of as many as five

people (6.3%), malnutrition 14 persons (17.5%),

good nutrition 60 (75.0%) and nutrition 1 (1.3%).

7. There is a relationship between maternal

education with diarrhea incidence of 6-59

months in Puskesmas Teluknaga

8. There is a relationship between knowledge of

mothers with diarrhea keKadian 6-59 months in

Puskesmas Teluknaga

9. There is no relationship between handwashing

with diarrhea incidence of 6-59 months in

Puskesmas Teluknaga

10. There is a relationship between the incidence

of diarrhea exclusive breastfeeding of 6-59

months in Puskesmas Teluknaga

11. There was no association between nutritional

status and the incidence of diarrhea 6-59

months in Puskesmas Teluknaga

6 SUGGESTION

1. Teluknaga PHC is expected to make the control

of diarrhea by making governance diarrhea

patients, one of them with a five-step process

tuntangkan diarrhea (diarrhea CROSS). namely

1) Give ORS, 2) Give the medications Zinc, 3)

Breastfeeding/food, 4) Antibiotics are an only

indication, 5) Provision of advice to the mother

or caregiver.

2. Preferably PHC Teluknaga cooperation with

intansi Education to conduct socialization to the

public about the importance of education for the

community in order to broaden the public early

on, in addition to conveying information or a

message of health messages goal of

socialization is to pay attention and encourage

people to school without thinking about the cost

because of government's own 12-year

compulsory education starting from elementary

school (SD) to High school (SMA) free without

charging school fees.

3. should Puskesmas Teluknaga provide

counseling in the form of knowledge regularly

1 month and uneven in some posyandu not

only during the treatment course, the problems

related to diarrhea by providing material about

the factors that cause diarrhea, prevention of

diarrhea and infections of diarrhea and is

expected to puskesmas at the time extension of

material added with posters, pamphlets and

interesting images of the diarrhea to be more

easily understood by the public.

4. Therefore, to increase the exclusive

breastfeeding in infants should health centers

to educate early to pregnant women at the time

pregnant mothers check its contents to the

clinic on how to treat breast and breastfeeding

true that exclusive breastfeeding out and the

nipple is not sore and explain the exposure of

information about the benefits of exclusive

breastfeeding and the differences in breast

milk with formula in order not switch to

formula.

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