Epidemiology of acute respiratory infection among children under five in Kenali Asam Bawah, Jambi city
DOI:
https://doi.org/10.22437/proca.v1i2.50454Keywords:
Acute respiratory infection; children under five; epidemiology; cross-sectionalAbstract
Background: Acute respiratory infection (ARI) is a leading cause of morbidity and mortality in children under five, affecting respiratory function and long-term lung development. In Indonesia, ARI remains a significant public health concern, including in urban areas such as Kenali Asam Bawah Urban Village, Jambi City. Objective: This study aimed to provide an epidemiological overview of ARI among children under five based on child-related factors. Methods: A cross-sectional survey was conducted among 180 children aged 6–59 months, selected using a two-stage proportional-to-size sampling method. Information was collected on age, sex, exclusive breastfeeding, vitamin A supplementation, birth weight, and nutritional status. Results: Overall, 35% of children experienced ARI. Of the participants, 41.7% were ≤2 years old and 58.3% were >2 years old. Boys accounted for 52.2% and girls 47.8%. Exclusive breastfeeding was reported in 53.3%, while 46.7% did not receive it. Most children (80.6%) had not received vitamin A supplementation. Regarding birth weight, 12.2% were low birth weight and 2.2% macrosomic. Nutritional status showed 76.7% normal, 11.1% underweight, 2.2% severely underweight, and 10% at risk of overweight. This study provides an epidemiological overview of ARI in children under five, emphasizing the relevance of age, sex, vitamin A supplementation, and nutritional status. Conclusion: In conclusion, strengthening nutritional interventions and child health program may effectively reduce ARI prevalence and improve respiratory health among children under five.
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[1] Simoes EAF, Cherian T, Chow J, Shahid-Salles SA, Laxminarayan R, John TJ. Acute respiratory infections in children 2011.
[2] Kumar P, Mukherjee A, Randev S, Medigeshi GR, Jat KR, Kapil A, et al. Effect of acute respiratory infections in infancy on pulmonary function test at 3 years of age: a prospective birth cohort study. BMJ Open Respir Res 2020;7:e000436.
[3] Cohen R, Just J, Koskas M, Bingen E, Boucherat M, Bourrillon A, et al. Recurrent respiratory tract infections: how should we investigate and treat? Arch Pediatr 2005;12:183–90.
[4] El-Azami-El-Idrissi M, Lakhdar-Idrissi M, Chaouki S, Atmani S, Bouharrou A, Hida M. Pediatric recurrent respiratory tract infections: when and how to explore the immune system?(About 53 cases). Pan African Medical Journal 2016;24.
[5] Ullah MB, Mridha MK, Arnold CD, Matias SL, Khan MSA, Siddiqui Z, et al. Factors associated with diarrhea and acute respiratory infection in children under two years of age in rural Bangladesh. BMC Pediatr 2019;19:1–11.
[6] Windi R, Efendi F, Qona’ah A, Adnani QES, Ramadhan K, Almutairi WM. Determinants of acute respiratory infection among children under-five years in Indonesia. J Pediatr Nurs 2021;60:e54–9.
[7] Sembiring SRBS, Sitanggang HD, Syukri M, Butar MB, Fitri A. Determinan Kejadian Infeksi Saluran Pernapasan Akut pada Balita di Provinsi Jambi (Analisis Data SKI tahun 2023): Determinants of the Incidence of Acute Respiratory Infection in Toddlers in Jambi Province (Analysis of SKI Data in 2023). Jurnal Ilmu dan Teknologi Kesehatan Terpadu 2025;5:7–16.
[8] Br Barus EB, Sitanggang HD, Fitri A. Hubungan pemberian asi dengan kejadian ispa pada anak usia 6-23 bulan di indonesia. Prepotif : jurnal kesehatan masyarakat 2025;9:5715–26. https://doi.org/10.31004/prepotif.v9i2.44234.
[9] Sitanggang HD, Kalsum U, Putra AN. Pengaruh Kualitas udara Terhadap Kejadian ISPA pada Anak Balita di Kota Jambi: Studi Ekologi dan Time Series. Universitas Jambi, 2024.
[10] Aisyah RRN, Rulian F, Maria I. Hubungan pengetahuan orang tua tentang thirdhand smoke (perokok ketiga) dengan kejadian ISPA pada balita usia 1-5 tahun di Puskesmas Putri Ayu Kota Jambi. Journal of Medical Studies 2021;1:48–57.
[11] Sitanggang HD, Kalsum U. Distribusi Faktor Risiko Penderita Ispa pada Balita yang Berobat Ke Puskesmas di Kota Jambi. Mahesa: Malahayati Health Student Journal 2024;4:4240–53.
[12] Rahman A, Hossain MM. Prevalence and determinants of fever, ARI and diarrhea among children aged 6–59 months in Bangladesh. BMC Pediatr 2022;22:117.
[13] Anteneh ZA, Hassen HY. Determinants of acute respiratory infection among children in Ethiopia: a multilevel analysis from Ethiopian demographic and health survey. Int J Gen Med 2020:17–26.
[14] Heinonen S, Rodriguez-Fernandez R, Diaz A, Rodriguez-Pastor SO, Ramilo O, Mejias A. Infant immune response to respiratory viral infections. Immunol Allergy Clin North Am 2019;39:361.
[15] Kollmann TR, Kampmann B, Mazmanian SK, Marchant A, Levy O. Protecting the newborn and young infant from infectious diseases: lessons from immune ontogeny. Immunity 2017;46:350–63.
[16] Villia Ramadhani S, Dhermawan Sitanggang H, Wisudariani E, Butar Butar M, Nurwaqiah Ibnu I. Hubungan kebiasaan merokok anggota keluarga dengan kejadian ISPA pada balita. Prepotif : jurnal kesehatan masyarakat 2025;9:4419–27. https://doi.org/10.31004/PREPOTIF.V9I2.44388.
[17] Muenchhoff M, Goulder PJR. Sex differences in pediatric infectious diseases. J Infect Dis 2014;209:S120–6.
[18] Yeni F. Gambaran dan permasalahan capaian asi eksklusif di Puskesmas Olak Kemang tahun 2023. Sci environmental health and diseases (e-SEHAD) 2023;3:102–12.
[19] Safitri N, Ridwan M, Ningsih VR, Guspianto G, Siregar SA. Faktor Yang Berhubungan Dengan Perilaku Pemberian Asi Eksklusif Pada Bayi Di Puskesmas Paal X Kota Jambi. Jurnal Kesmas Jambi 2023;7:1–13.
[20] Yunartha M. Hubungan pengetahuan ibu tentang pemberian ASI dengan cakupan pemberian asi ekslusif di Keluarahan Sei. Putri Wilayah Kerja Puskesmas Putri Ayu Kota Jambi. Scientia Journal 2015;4:1–7.
[21] Kemenkes R. Survei Kesehatan Indonesia (SKI) 2023 Dalam Angka. Kementerian Kesehatan Badan Kebijakan Pembangunan Kesehatan 2023.
[22] Lyons KE, Ryan CA, Dempsey EM, Ross RP, Stanton C. Breast milk, a source of beneficial microbes and associated benefits for infant health. Nutrients 2020;12:1039.
[23] Camacho-Morales A, Caba M, García-Juárez M, Caba-Flores MD, Viveros-Contreras R, Martínez-Valenzuela C. Breastfeeding contributes to physiological immune programming in the newborn. Front Pediatr 2021;9:744104.
[24] Farrag NH, Haile ZT, Ice G, Berryman D, Ruhil AVS, Fadl N. Association Between Exclusive Breastfeeding and Acute Respiratory Infections Among Infants Under the Age of 6 Months. Breastfeeding Medicine 2024;19:26–32.
[25] Rosa EF. Efektivitas Suplementasi Vitamin A terhadap Kejadian Infeksi Saluran Pernapasan Akut pada Balita 2020.
[26] Pasaribu RK, Santosa H, Kumala S, Nurmaini N, Hasan D. Faktor-Faktor yang Berhubungan dengan Kejadian Infeksi Saluran Pernafasan Akut (ISPA) pada Balita Di Daerah Pesisir Kota Sibolga Tahun 2020. Syntax Idea 2021;3:1442–54.
[27] Irma R, Sunaryo S, Toruntju SA. Pemberian Asi Ekslusif, Suplemen Vitamin A dan Asupan Seng dengan Risiko Kejadian Pneumonia Pada Anak Balita di Puskesmas Puuwatu Kecamatan Puuwatu Kota Kendari. Jurnal Kesehatan Manarang 2018;2:105.
[28] Hall JE, Hall ME. Guyton and Hall Textbook of Medical Physiology E-Book: Guyton and Hall Textbook of Medical Physiology E-Book. Elsevier Health Sciences; 2020.
[29] Huang Z, Liu Y, Qi G, Brand D, Zheng SG. Role of vitamin A in the immune system. J Clin Med 2018;7:258.
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Copyright (c) 2025 Hendra Dhermawan Sitanggang, Usi Lanita, Sri Astuti Siregar, Ismi Nurwaqiah Ibnu

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