Faktor Risiko Kejadian Diare Akut pada Balita di Kabupaten Magelang

Background: Each year an estimated 1.5 billion incidence of acute diarrhea in the world and about 1.5 to 2 million children under-five years old deaths beacause acute diarrhea. Diarrhea is also a public health problem in developing countries such as Indonesia, because its still high of morbidity and mortality. Cases of diarrhea since 2008 until 2010 on under five years old children in Magelang District, continued to increase. The purpose of this study to determine the risk factors of acute diarrhea on under five years old children in Magelang district. Methods: Observational study with case-control design. Risk factors are exclusive breastfeeding, clean water supply ownership, ownership of latrine, hand washing with soap after defecation, hand washing with soap before feeding and nutritional status. Data analysis using univariabel with frequency distribution, bivariable with chi-square and multivariable logistic regression with 0.05 level significance. Results: There are relationship between exclusive breastfeeding (p=0.000), ownership of clean water supply (p=0.006), Ownership of latrine (p=0.049), washing hands with soap before feeding (p=0.000), hand washing with soap after defecation (p=0.000) with incidence of acute diarrhea on under five years children in Magelang district. Based on the results of multivariable analysis using logistic regression, strongest variables associated with the incidence of acute diarrhea is exclusive breastfeeding children (OR=7.113, 95% CI: 3.125-16.186, p=0.000), followed by hand washing before feeding (OR=5.785, 95 % CI: 2.520-13.279, p=0.000). While latrine ownership is confounder. Conclusion: The strongest risk factors associated with incidence of acute diarrhea on under five years old children in Magelang are not exclusive breastfeeding up to toddlers 6 months old, followed by maternal habits children/caregivers not washing hands with soap before feeding children