The Relationship Between Respiratory Infections and Healthy Homes in Children Under Five, Indonesia 2013

Environment plays a very important role in the spread of disease, especially in children under five. Healthy homes are believed to help reduce the prevalence of disease, especially acute respiratory infections (ARI) in infants. This article describes the relationship between healthy home and ARI in children under five. The analysis used the data of Basic Health Research (Riskesdas) 2013 and Potential Villages (PODES) 2014, in 33 provinces of Indonesia. The sample is 59,175 children under five, distinguished to have been diagnosed with or without ARI and with or without staying at healthy home. Healthy home indicators are prepared in accordance with the Healthy Home Technical Guidelines published by the Ministry of Health. There are 15 variables that make up 3 groups of components of healthy homes. The criteria assessment uses value and weight according to the guidelines. There are 2 component variables that could not be included in the composite healthy home due to data limitations, which are the behaviour of cleaning houses and toileting children. Data analysis using logistic regression. The proportion of healthy homes in Indonesia is still low. A total of 23.2% (n = 13,744) of households with under-fives children were declared as healthy homes, and 26% (n = 15,364) infants were diagnosed with ARI. Based on geographical location, Sumatera is the highest percentage of households with children under five who meet the criteria of healthy homes. A risk difference was found to be 1.13 times greater for children under five with ARI in households exposed to indoor air pollution in both healthy and nonhealthy homes. Air pollution in the home affects the incidence of ARI in infants. Regulation of the use of cooking fuel and friendly home lighting source is necessary