Status Morbiditas Balita di Daerah Tertinggal Tahun 2004

In Indonesia, the health of under-five-year old children is still far from the expectation because of the higher cases of the under-five year-old deaths. The mortality of children under five years old was high as 46 per 1,000 live births during the period of 1998 to 2002. The health status of children under five years old associated with some factors among mothers during pregnancies and deliveries, and also among the under five-year old children. Remote areas were districts which relatively less developed in comparison to other areas in the national scale and with relatively less developed population. This study used SUSENAS or National Socio-Economic Survey data year 2004 aimed to determine the health status of children under five years old and their associated factors in remote areas. It hopes that the results could be used for family health program (children under five years old) and less developed areas. The data collection was using cross sectional design. Samples of the children under five years old were collected from 190 remote or islands areas and 187 non remotes areas. The total samples were 99,118 children under five years old. The result showed that the health status of the under­ five-year old children having symptoms in the past one month were the same prevalence, 30%, either in remote or non remote areas. The most common symptoms were fever, cough, and influenza with the ranges of 26% to 29%. There were 55% of the sick under-five-year old children had outpatient cares, and there were 1.3% of the sick children received inpatient cares. There were just 19% of the sick under-five-year old children had health insurances, in which mostly were the healthy cards, and were of 12% in remote areas. Twenty nme percent 29%, of the sick under-five-year old children were poor, whereas in remote areas were 40%. There were 68% of the sick under-five-year old children had complete immunizations. The coverage of exclusive breast feeding were 54% for 6 months. There were different accessibility and availability of health infrastructures m remote and in non remote areas. In seeking treatment, the health facilities owned by government were also preferable, either in remote and in non remote areas. This study suggests that the accessibility for the sick under­ five-year old children should be improved to shorten the health services for the people/children under five years old. The policy to locate village midwives should be enhanced. The revitalization of village health post, community health development, including infants and children under five years old, need responsibility and participation of other programs or sectors