A Review of Open Defecation (OD) In Indonesia and The Control with Logic Model

@#In 2015, Indonesia was ranked as the second-highest, with a percentage of 12.9%. Open Defecation Free (ODF) in Indonesia is still a problem, 33 out of 34 provinces in Indonesia are still not 100% verified as ODF. The purpose of this study is to make a management control of OD behaviour in Indonesia. This study’s literature was collected using Google Scholar and Pubmed search engines by entering keywords open defecation Indonesia, and buang air besar sembarangan. From review of published literature, it is found that several factors cause people to practice OD, namely environmental, socio-cultural, and economic factors. These factors become the basis for making OD model control with a logic model. The program was made with a button-up approach carried out through several activities, namely approaches to community leaders, youth, and local communities, monitoring potential areas for OD practice and cross-sector coordination, and making regional regulations.

Associations of hyperglycemic emergency and severe hypoglycemia incidences with seasonality and ambient temperature among pregnant women with diabetes: a nested case-control study in Taiwan

BACKGROUND@#Associations of acute glycemic complications with season and ambient temperature have been reported in general population with diabetes. However, little is known about the risks of acute glycemic complications in relation to season and ambient temperature in pregnant women, who are likely to be even more vulnerable. This work aimed to investigate the associations of season and ambient temperature with pregnancies complicated with hyperglycemia emergency or severe hypoglycemia.@*METHODS@#Two separate case-control studies were nested within 150,153 pregnancies by women with type 1, type 2, or gestational diabetes between 2009 and 2014 in Taiwan. Hyperglycemia emergency (mainly diabetic ketoacidosis and hyperosmolar hyperglycemic state) and severe hypoglycemia occurred in 77 and 153 diabetic pregnancies (cases), respectively. Ten control pregnancies were randomly selected for each case by matching each case pregnancy on type of diabetes (i.e., T1DM, T2DM, or GDM), maternal age on the date of acute glycemic complication occurrence (i.e., index date), and "length of gestation at risk" (i.e., period between conception and index date). Meteorological parameters were retrieved from 542 meteorological monitoring stations across Taiwan during 2008-2014. Conditional logistic regression analysis with generalized estimation equation was separately performed to estimate the covariate adjusted odds ratios (ORs) of each of the two acute glycemic complications in association with season and ambient temperature within 30 days prior to the index date.@*RESULTS@#Compared to summer, winter season was associated with a significantly elevated risk of severe hypoglycemia with an OR of 1.74 (95% confidence interval (CI) 1.08-2.79). The OR of hyperglycemic emergency was also elevated in winter season at OR of 1.88, but the significance is only marginal (95% CI 0.97-3.64, p = 0.0598). Subgroup analyses further noted that such seasonal variation was also observed in pregnancies with pre-pregnancy type 1 diabetes and gestational diabetes. On the other hand, ambient temperature was not significantly associated with the two acute glycemic complications.@*CONCLUSIONS@#A moderately but significantly elevated risk of severe hypoglycemia was found in pregnant women with diabetes during winter season, and such increased risk was more evident in pregnancies with T1DM.

Management of Organochlorine Exposure to Health Risks in Asia – A Review

@#Organochlorine organic pesticides used on a large scale still pose a great health hazard to humans and animals. Organochlorine pesticides contribute to reduced disease, higher yields and increased production. This research was to review various articles on management of organochlorine exposure and health risks. This research used multiple search engines (Scholar, PubMed). A few significant keywords were chosen to discover considers that fit this theme. Organochlorine as Persistent Organic Pollutants are difficult to remove from the environment. There are several health-causing effects of organochlorine most of which are chronic diseases (i.e., pulmonary function, cancer, reproductive issue). Organochlorine control in the environment is needed to reduce health effects, especially in farming communities, personal protective equipment including masks and gloves is also necessary. Local government may also promote and doing a prevention program from the danger of the use of pesticides in agriculture.

Association Between Toilet Availability and Handwashing Habits and the Incidence of Stunting in Young Children in Tanjung Pinang City, Indonesia

@#Introduction: Stunting is a short or very short body state that exceeds -2 SD (Standard Deviation) below the median length based on height by age. The purpose of this study was to determine the effect of the availability of toilets meeting the requirements and habits of washing hands with soap on the incidence of stunting in children aged 2459 months in Bugis Village in Tanjung Pinang City. Method: This study was observational with a cross-sectional approach. The procedure of data analysis was done by quantitative analysis. Large sample of 82 children aged 24-59 months.. The sampling technique uses simple random sampling. Data collection uses observation and interviews. Statistical tests using the test Chi-square. Results: the study showed that there is an association between stunting in children and the availability of toilets meeting hygiene requirements (p-value= 0.016) and handwashing habit with soap (p-value= 0.013). Conclusion: the incidence of stunting in children aged 24-59 months in Bugis Village Tanjungpinang City is influenced by the availability of qualified toilets in each house and the habit of washing hands with soap.