| Summary: | Background: The rate of incidence, prevalence and mortality of diarrhea remain
high in Indonesia, especially in children under five years and caused 25.2% of
deaths of infants and children under five years. The incidence of diarrhea in
Wonosobo District kept increasing, specifically 11,074 (33.62 %), IR 14/1,000
population in 2007, to 13,566 (43.25%), IR 17.77/1,000 population in 2011,
where outbreaks occurred every year.
Objectives: To determine risk factors of acute diarrhea in children under five
years on maternal attitudes, vitamine A, measles immunization, sanitation clean
water facilities, clean water quality (total coliform) and spatial distribution in
Wonosobo District.
Methods: This is analytical research using observational approaches with casecontrol
design. A total sample of 150 consisted of 75 cases and 75 controls. The
sample was collected using non-probability sampling (consecutive sampling). The
data were analyzed using bivariable analysis through Chi-Square test and
multivariable analysis through logistic regression test and spatial distribution.
Results: From the multivariable analysis, the variable of sanitation clean water
facilities OR=3.709 95% CI 1.801-7.640 p=0.000) and economic status
(OR=3.352 95% CI=1.650-6.807, p=0.001) are the most dominant and
statistically significant risk factors of acute diarrhea cases occurred in children
under five years. The spatial distribution indicated that cases of diarrhea in
children under five years were not clustered in a particular region, but they spread
evenly in almost all villages in the areas of primary health care of Kepil Sub
District.
Conclusion: Sanitation clean water facility and economic status are risk factors
for the onset of acute diarrhea in children under five years in Kepil Sub District.
The probability of children with diarrhea with low economic status and sanitation
clean water facilities with high contamination by 53%.
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