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Determinan kejadian Malaria di Klinik dr. Martiani Pujiatmika Kecamatan Panyabungan Kota Kabupaten Mandailing Natal Tahun 2015

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LAMPIRAN 3

IDENTITAS DAN KUESIONER PERILAKU PENCEGAHAN MALARIA DI

KLINIK dr. MARTINI PUJIATMIKA KECAMATAN PANYABUNGAN

KOTA KABUPATEN MANDAILING NATAL

TAHUN 2015

I.

Identitas

1)

Pendidikan Rendah

2)

Pendidikan Tinggi

6.

Pekerjaan:

1)

Bekerja

2)

Tidak Bekerja

7.

Pendapatan

:

1)

< Rp. 1.625.000.-

(4)

87

II.

Kuesioner Perilaku Pencegahan Malaria

1.

Apakah saudara/i memiliki kebiasaan menggunakan anti nyamuk?

a.

Ya

b.

Tidak

2.

Apakah saudara/i memiliki kebiasaan menggantung pakaian di dalam rumah?

a.

Ya

b.

Tidak

3.

Apakah saudara/i selalu menggunakan kelambu pada saat tidur?

a.

Ya

b.

Tidak

4.

Apakah saudara/i memiliki kebiasaan keluar rumah di malam hari?

a.

Selalu

(5)

LAMPIRAN 4

LEMBAR OBSERVASI LINGKUNGAN FISIK RUMAH RESPONDEN DI

KLINIK dr. MARTINI PUJIATMIKA KECAMATAN PANYABUNGAN

KOTA KABUPATEN MANDAILING NATAL

TAHUN 2015

No Komponen yang diobservasi

Hasil Observasi

1

Apakah terdapat genangan air yang

berpotensi

menjadi

tempat

perindukan

nyamuk

di

dalam

maupun diluar rumah

responden?

a.

Ya

b.

Tidak

2

Jika ya, jenis genangan air seperti

apa yang ditemukan?

a.

Galian

b.

Kubangan

c.

Selokan

d.

Kolam

e.

Sungai

f.

Mata Air

g.

Lainnya ...

2

Apakah terdapat kandang hewan

milik responden?

a.

Ya

b.

Tidak

3

Apakah ventilasi rumah responden

terdapat kawat kasa untuk

menghalangi nyamuk masuk

kedalam rumah responden?

(6)

LAMPIRAN 5

Tabel Master Data Penelitian

NO UMUR UMURK PENDIDIKAN PEKERJAAN PEKERJAANK PENDAPATAN

(7)
(8)

91

NO UMUR UMURK PENDIDIKAN PEKERJAAN PEKERJAANK PENDAPATAN

(9)
(10)
(11)
(12)

LAMPIRAN 6

Output Hasil Penelitian

ANALISIS UNIVARIAT

Frequency Table

Kejadian Malaria

Frequency Percent Valid Percent Cumulative Percent

Valid Positif 107 90.7 90.7 90.7

Kategori Umur

(13)

Kategori Umur Responden

Frequency Percent Valid Percent

Cumulative

Percent

Valid < 26 Tahun 50 42.4 42.4 42.4

> = 26 Tahun 68 57.6 57.6 100.0

Total 118 100.0 100.0

Kategori Pendapatan Responden

Frequency Percent Valid Percent Cumulative Percent

Valid <= Rp. 1.650.000,- 60 50.8 50.8 50.8

> Rp. 1.650.000,- 58 49.2 49.2 100.0

Total 118 100.0 100.0

Kategori Pendidikan Responden

40 33,9 33,9 33,9

78 66,1 66,1 100,0

118 100,0 100,0

Pendidikan Rendah Pendidikan Tinggi Total

Valid

Frequency Percent Valid Percent

Cumulative Percent

Kategori Pekerjaan Responden

110 93,2 93,2 93,2

8 6,8 6,8 100,0

118 100,0 100,0

Bekerja Tidak Bekerja Total

Valid

Frequency Percent Valid Percent

Cumulative Percent

Kebiasaan Penggunaan Anti Nyamuk Responden

Frequency Percent Valid Percent Cumulative Percent

Valid Tidak 87 73.7 73.7 73.7

Ya 31 26.3 26.3 100.0

(14)

97

Kebiasaan Menggantung Pakaian

Frequency Percent Valid Percent Cumulative Percent

Valid Ya 92 78.0 78.0 78.0

Tidak 26 22.0 22.0 100.0

Total 118 100.0 100.0

Kebiasaan Menggunakan Kelambu Responden

Frequency Percent Valid Percent Cumulative Percent

Valid Tidak 75 63.6 63.6 63.6

Ya 43 36.4 36.4 100.0

Total 118 100.0 100.0

Kebiasaan Keluar Rumah di Malam Hari Responden

Frequency Percent Valid Percent Cumulative Percent

Valid Ya 89 75.4 75.4 75.4

Tidak 29 24.6 24.6 100.0

Total 118 100.0 100.0

Genangan Air Responden

Frequency Percent Valid Percent Cumulative Percent

Valid Ada 104 88.1 88.1 88.1

Tidak ada 14 11.9 11.9 100.0

(15)

Jenis Genangan Air Responden

104 100,0 100,0

Galian

Frequency Percent Valid Percent

Cumulative Percent

Kandang Hewan Ternak Responden

Frequency Percent Valid Percent Cumulative Percent

Valid Ada 92 78.0 78.0 78.0

Tidak ada 26 22.0 22.0 100.0

Total 118 100.0 100.0

Penggunaan Kawat Kasa Responden

Frequency Percent Valid Percent Cumulative Percent

Valid Tidak 95 80.5 80.5 80.5

Ya 23 19.5 19.5 100.0

(16)

99

ANALISIS BIVARIAT

Crosstabs

Penggunaan Anti Nyamuk Responden * Kejadian Malaria

Crosstab

Kejadian Malaria

Total Positif Negatif

Penggunaan Anti Nyamuk

Responden

Tidak Count 82 5 87

Expected Count 78.9 8.1 87.0

% within Penggunaan Anti

Nyamuk Responden 94.3% 5.7% 100.0%

% within Kejadian Malaria 76.6% 45.5% 73.7%

% of Total 69.5% 4.2% 73.7%

Ya Count 25 6 31

Expected Count 28.1 2.9 31.0

% within Penggunaan Anti

Nyamuk Responden 80.6% 19.4% 100.0%

% within Kejadian Malaria 23.4% 54.5% 26.3%

% of Total 21.2% 5.1% 26.3%

Total Count 107 11 118

Expected Count 107.0 11.0 118.0

% within Penggunaan Anti

Nyamuk Responden 90.7% 9.3% 100.0%

% within Kejadian Malaria 100.0% 100.0% 100.0%

(17)

Risk Estimate

Value

95% Confidence Interval

Lower Upper

Odds Ratio for Penggunaan Anti

Nyamuk Responden (Tidak / Ya) 3.936 1.107 13.994

For cohort Kejadian Malaria =

Positif 1.169 .976 1.399

For cohort Kejadian Malaria =

Negatif .297 .097 .904

N of Valid Cases 118

Chi-Square Tests

Value

Df

Asymp. Sig.

(2-sided)

Exact Sig. (2-sided) Exact Sig. (1-sided)

Pearson Chi-Square

5.007

a

1

.025

Continuity Correction

b

3.526

1

.060

Likelihood Ratio

4.409

1

.036

Fisher's Exact Test

.036

.036

Linear-by-Linear Association

4.964

1

.026

McNemar Test

b

.000

c

N of Valid Cases

118

a. 1 cells (25,0%) have expected count less than 5. The minimum expected count is 2,89.

b. Computed only for a 2x2 table

c. Binomial distribution used.

Symmetric Measures

Value Asymp. Std. Errora Approx. Tb Approx. Sig.

Measure of Agreement Kappa .172 .092 2.238 .025

N of Valid Cases 118

a. Not assuming the null hypothesis.

(18)

101

Kebiasaan Menggantung Pakaian * Kejadian Malaria

Crosstab

Kejadian Malaria

Total Positif Negatif

Kebiasaan Menggantung

Pakaian

Ya Count 88 4 92

Expected Count 83.4 8.6 92.0

% within Kebiasaan

Menggantung Pakaian 95.7% 4.3% 100.0%

% within Kejadian Malaria 82.2% 36.4% 78.0%

% of Total 74.6% 3.4% 78.0%

Tidak Count 19 7 26

Expected Count 23.6 2.4 26.0

% within Kebiasaan

Menggantung Pakaian 73.1% 26.9% 100.0%

% within Kejadian Malaria 17.8% 63.6% 22.0%

% of Total 16.1% 5.9% 22.0%

Total Count 107 11 118

Expected Count 107.0 11.0 118.0

% within Kebiasaan

Menggantung Pakaian 90.7% 9.3% 100.0%

% within Kejadian Malaria 100.0% 100.0% 100.0%

(19)

Symmetric Measures

Value Asymp. Std. Errora Approx. Tb Approx. Sig.

Measure of Agreement Kappa .285 .105 3.496 .000

N of Valid Cases 118

a. Not assuming the null hypothesis.

b. Using the asymptotic standard error assuming the null hypothesis.

Chi-Square Tests

Value df

Asymp. Sig.

(2-sided) Exact Sig. (2-sided) Exact Sig. (1-sided)

Pearson Chi-Square 12.222a 1 .000

Continuity Correctionb 9.697 1 .002

Likelihood Ratio 9.945 1 .002

Fisher's Exact Test .002 .002

Linear-by-Linear Association 12.118 1 .000

McNemar Testb .003c

N of Valid Cases 118

a. 1 cells (25,0%) have expected count less than 5. The minimum expected count is 2,42.

b. Computed only for a 2x2 table

c. Binomial distribution used.

Risk Estimate

Value

95% Confidence Interval

Lower Upper

Odds Ratio for Kebiasaan

Menggantung Pakaian (Ya /

Tidak)

8.105 2.155 30.486

For cohort Kejadian Malaria =

Positif 1.309 1.032 1.660

For cohort Kejadian Malaria =

Negatif .161 .051 .509

(20)

103

Kebiasaan Menggunakan Kelambu * Kejadian Malaria

Crosstab

Kejadian Malaria

Total Positif Negatif

Kebiasaan Menggunakan

Kelambu Responden

Tidak Count 72 3 75

Expected Count 68.0 7.0 75.0

% within Kebiasaan

Menggunakan Kelambu

Responden

% within Kebiasaan

Menggunakan Kelambu

Responden

% within Kebiasaan

Menggunakan Kelambu

Responden

90.7% 9.3% 100.0%

% within Kejadian Malaria 100.0% 100.0% 100.0%

(21)

Chi-Square Tests

Value df

Asymp. Sig.

(2-sided) Exact Sig. (2-sided) Exact Sig. (1-sided)

Pearson Chi-Square 6.896a 1 .009

Continuity Correctionb 5.277 1 .022

Likelihood Ratio 6.633 1 .010

Fisher's Exact Test .017 .012

Linear-by-Linear Association 6.838 1 .009

McNemar Testb .000c

N of Valid Cases 118

a. 1 cells (25,0%) have expected count less than 5. The minimum expected count is 4,01.

b. Computed only for a 2x2 table

c. Binomial distribution used.

Symmetric Measures

Value Asymp. Std. Errora Approx. Tb Approx. Sig.

Measure of Agreement Kappa .174 .074 2.626 .009

N of Valid Cases 118

a. Not assuming the null hypothesis.

b. Using the asymptotic standard error assuming the null hypothesis.

Risk Estimate

Value

95% Confidence Interval

Lower Upper

Odds Ratio for Kebiasaan

Menggunakan Kelambu

Responden (Tidak / Ya)

5.486 1.370 21.958

For cohort Kejadian Malaria =

Positif 1.179 1.015 1.371

For cohort Kejadian Malaria =

Negatif .215 .060 .768

(22)

105

Kebiasaan Keluar Rumah di Malam Hari * Kejadian Malaria

Crosstab

Kejadian Malaria

Total Positif Negatif

Kebiasaan Keluar di Malam Hari

Responden

Ya Count 86 3 89

Expected Count 80.7 8.3 89.0

% within Kebiasaan Keluar di

Malam Hari Responden 96.6% 3.4% 100.0%

% within Kejadian Malaria 80.4% 27.3% 75.4%

% of Total 72.9% 2.5% 75.4%

Tidak Count 21 8 29

Expected Count 26.3 2.7 29.0

% within Kebiasaan Keluar di

Malam Hari Responden 72.4% 27.6% 100.0%

% within Kejadian Malaria 19.6% 72.7% 24.6%

% of Total 17.8% 6.8% 24.6%

Total Count 107 11 118

Expected Count 107.0 11.0 118.0

% within Kebiasaan Keluar di

Malam Hari Responden 90.7% 9.3% 100.0%

% within Kejadian Malaria 100.0% 100.0% 100.0%

(23)

Chi-Square Tests

Value df

Asymp. Sig.

(2-sided)

Exact Sig.

(2-sided)

Exact Sig.

(1-sided)

Pearson Chi-Square 15.173a 1 .000

Continuity Correctionb 12.444 1 .000

Likelihood Ratio 12.742 1 .000

Fisher's Exact Test .001 .001

Linear-by-Linear Association 15.045 1 .000

McNemar Testb .000c

N of Valid Cases 118

a. 1 cells (25,0%) have expected count less than 5. The minimum expected count is 2,70.

b. Computed only for a 2x2 table

c. Binomial distribution used.

Symmetric Measures

Value Asymp. Std. Errora Approx. Tb Approx. Sig.

Measure of Agreement Kappa .306 .100 3.895 .000

N of Valid Cases 118

a. Not assuming the null hypothesis.

b. Using the asymptotic standard error assuming the null hypothesis.

Risk Estimate

Value

95% Confidence Interval

Lower Upper

Odds Ratio for Kebiasaan Keluar di

Malam Hari Responden (Selalu /

Tidak)

10.921 2.666 44.733

For cohort Kejadian Malaria = Positif 1.334 1.062 1.676

For cohort Kejadian Malaria = Negatif .122 .035 .430

(24)

107

Genangan Air Responden * Kejadian Malaria

Crosstab

Kejadian Malaria

Total Positif Negatif

Genangan Air Responden Ada Count 100 4 104

Expected Count 94.3 9.7 104.0

% within Genangan Air

Responden 96.2% 3.8% 100.0%

% within Kejadian Malaria 93.5% 36.4% 88.1%

% of Total 84.7% 3.4% 88.1%

Tidak ada Count 7 7 14

Expected Count 12.7 1.3 14.0

% within Genangan Air

Responden 50.0% 50.0% 100.0%

% within Kejadian Malaria 6.5% 63.6% 11.9%

% of Total 5.9% 5.9% 11.9%

Total Count 107 11 118

Expected Count 107.0 11.0 118.0

% within Genangan Air

Responden 90.7% 9.3% 100.0%

% within Kejadian Malaria 100.0% 100.0% 100.0%

(25)

Chi-Square Tests

Value df

Asymp. Sig.

(2-sided) Exact Sig. (2-sided) Exact Sig. (1-sided)

Pearson Chi-Square 31.094a 1 .000

Continuity Correctionb 25.874 1 .000

Likelihood Ratio 19.825 1 .000

Fisher's Exact Test .000 .000

Linear-by-Linear Association 30.831 1 .000

McNemar Testb .549c

N of Valid Cases 118

a. 1 cells (25,0%) have expected count less than 5. The minimum expected count is 1,31.

b. Computed only for a 2x2 table

c. Binomial distribution used.

Symmetric Measures

Value Asymp. Std. Errora Approx. Tb Approx. Sig.

Measure of Agreement Kappa .509 .128 5.576 .000

N of Valid Cases 118

a. Not assuming the null hypothesis.

b. Using the asymptotic standard error assuming the null hypothesis.

Risk Estimate

Value

95% Confidence Interval

Lower Upper

Odds Ratio for Genangan Air Responden

(Ada / Tidak ada) 25.000 5.877 106.352

For cohort Kejadian Malaria = Positif

1.923 1.137 3.252

For cohort Kejadian Malaria = Negatif

.077 .026 .230

(26)

109

Kandang Hewan * Kejadian Malaria

Crosstab

Kejadian Malaria

Total Positif Negatif

Kandang Hewan Ternak

Responden

Ada Count 89 3 92

Expected Count 83.4 8.6 92.0

% within Kandang Hewan Ternak

Responden 96.7% 3.3% 100.0%

% within Kejadian Malaria 83.2% 27.3% 78.0%

% of Total 75.4% 2.5% 78.0%

Tidak ada Count 18 8 26

Expected Count 23.6 2.4 26.0

% within Kandang Hewan Ternak

Responden 69.2% 30.8% 100.0%

% within Kejadian Malaria 16.8% 72.7% 22.0%

% of Total 15.3% 6.8% 22.0%

Total Count 107 11 118

Expected Count 107.0 11.0 118.0

% within Kandang Hewan Ternak

Responden 90.7% 9.3% 100.0%

% within Kejadian Malaria 100.0% 100.0% 100.0%

(27)

Chi-Square Tests

Value df

Asymp. Sig.

(2-sided) Exact Sig. (2-sided) Exact Sig. (1-sided)

Pearson Chi-Square 18.147a 1 .000

Continuity Correctionb 15.038 1 .000

Likelihood Ratio 14.606 1 .000

Fisher's Exact Test .000 .000

Linear-by-Linear Association 17.993 1 .000

McNemar Testb .001c

N of Valid Cases 118

a. 1 cells (25,0%) have expected count less than 5. The minimum expected count is 2,42.

b. Computed only for a 2x2 table

c. Binomial distribution used.

Symmetric Measures

Value Asymp. Std. Errora Approx. Tb Approx. Sig.

Measure of Agreement Kappa .347 .106 4.260 .000

N of Valid Cases 118

a. Not assuming the null hypothesis.

b. Using the asymptotic standard error assuming the null hypothesis.

Risk Estimate

Value

95% Confidence Interval

Lower Upper

Odds Ratio for Kandang Hewan Ternak

Responden (Ada / Tidak ada) 13.185 3.186 54.565

For cohort Kejadian Malaria = Positif

1.397 1.079 1.810

For cohort Kejadian Malaria = Negatif

.106 .030 .371

(28)

111

Penggunaan Kawat Kasa Responden * Kejadian Malaria

Crosstab

Kejadian Malaria

Total Positif Negatif

Penggunaan Kawat Kasa

Responden

Tidak Count 91 4 95

Expected Count 86.1 8.9 95.0

% within Penggunaan Kawat

Kasa Responden 95.8% 4.2% 100.0%

% within Kejadian Malaria 85.0% 36.4% 80.5%

% of Total 77.1% 3.4% 80.5%

Ya Count 16 7 23

Expected Count 20.9 2.1 23.0

% within Penggunaan Kawat

Kasa Responden 69.6% 30.4% 100.0%

% within Kejadian Malaria 15.0% 63.6% 19.5%

% of Total 13.6% 5.9% 19.5%

Total Count 107 11 118

Expected Count 107.0 11.0 118.0

% within Penggunaan Kawat

Kasa Responden 90.7% 9.3% 100.0%

% within Kejadian Malaria 100.0% 100.0% 100.0%

(29)

Chi-Square Tests

Value Df

Asymp. Sig.

(2-sided) Exact Sig. (2-sided) Exact Sig. (1-sided)

Pearson Chi-Square 15.065a 1 .000

Continuity Correctionb 12.122 1 .000

Likelihood Ratio 11.706 1 .001

Fisher's Exact Test .001 .001

Linear-by-Linear Association 14.937 1 .000

McNemar Testb .012c

N of Valid Cases 118

a. 1 cells (25,0%) have expected count less than 5. The minimum expected count is 2,14.

b. Computed only for a 2x2 table

c. Binomial distribution used.

Symmetric Measures

Value Asymp. Std. Errora Approx. Tb Approx. Sig.

Measure of Agreement Kappa .327 .112 3.881 .000

N of Valid Cases 118

a. Not assuming the null hypothesis.

b. Using the asymptotic standard error assuming the null hypothesis.

Risk Estimate

Value

95% Confidence Interval

Lower Upper

Odds Ratio for Penggunaan Kawat Kasa

Responden (Tidak / Ya) 9.953 2.610 37.953

For cohort Kejadian Malaria = Positif 1.377 1.047 1.810

For cohort Kejadian Malaria = Negatif .138 .044 .433

(30)

113

ANALISIS MULTIVARIAT

Logistic Regression

Notes

Output Created 21-Aug-2016 05:27:19

Comments

Input Data D:\IKA HSB\awal\spss ika malaria1.sav

Active Dataset DataSet1

Filter <none>

Weight <none>

Split File <none>

N of Rows in Working Data File 118

Missing Value Handling Definition of Missing User-defined missing values are treated as

missing

Syntax LOGISTIC REGRESSION VARIABLES

MALARIA

/METHOD=BSTEP(WALD) PAN KMP KMK

KKMH GA KHT PKK

/PRINT=CI(95)

/CRITERIA=PIN(0.05) POUT(0.10)

ITERATE(20) CUT(0.5).

Resources Processor Time 00:00:00.031

Elapsed Time 00:00:00.017

(31)

Case Processing Summary

Unweighted Casesa N Percent

Selected Cases Included in Analysis 118 100.0

Missing Cases 0 .0

Total 118 100.0

Unselected Cases 0 .0

Total 118 100.0

a. If weight is in effect, see classification table for the total number of cases.

Dependent Variable Encoding

Original

Value Internal Value

Positif 0

(32)

115

Block 1: Method = Backward Stepwise (Wald)

Omnibus Tests of Model Coefficients

Chi-square df Sig.

a. A negative Chi-squares value indicates that the Chi-squares value

has decreased from the previous step.

Model Summary

Step -2 Log likelihood

Cox & Snell R

Square

Nagelkerke R

Square

a. Estimation terminated at iteration number 8 because parameter

(33)

Omnibus Tests of Model Coefficients

b. Estimation terminated at iteration number 7 because parameter

(34)

117

Classification Tablea

Observed

Predicted

Kejadian Malaria

Percentage Correct Positif Negatif

Step 1 Kejadian Malaria Positif 104 3 97.2

Negatif 4 7 63.6

Overall Percentage 94.1

Step 2 Kejadian Malaria Positif 104 3 97.2

Negatif 4 7 63.6

Overall Percentage 94.1

Step 3 Kejadian Malaria Positif 104 3 97.2

Negatif 4 7 63.6

Overall Percentage 94.1

Step 4 Kejadian Malaria Positif 105 2 98.1

Negatif 6 5 45.5

Overall Percentage 93.2

Step 5 Kejadian Malaria Positif 104 3 97.2

Negatif 5 6 54.5

Overall Percentage 93.2

(35)

Variables in the Equation

B

S.E.

Wald

Df

Sig.

Exp(B)

95,0% C.I.for EXP(B)

(36)

119

Step 5

a

KMP

2.323

.936

6.155

1

.013

10.204

1.629

63.940

KKMH

2.152

.894

5.786

1

.016

8.598

1.489

49.636

GA

3.372

.961

12.321

1

.000

29.125

4.432

191.374

Constant

-13.071

2.965

19.437

1

.000

.000

a. Variable(s) entered on step 1: PAN, KMP, KMK, KKMH, GA, KHT, PKK.

Variables not in the Equation

Score df Sig.

a. Variable(s) removed on step 2: KHT.

b. Variable(s) removed on step 3: PKK.

c. Variable(s) removed on step 4: KMK.

(37)

Block 0: Beginning Block

Classification Tablea,b

Observed

Predicted

Kejadian Malaria

Percentage Correct Positif Negatif

Step 0 Kejadian Malaria Positif 107 0 100.0

Negatif 11 0 .0

Overall Percentage 90.7

a. Constant is included in the model.

b. The cut value is ,500

Variables in the Equation

B S.E. Wald df Sig. Exp(B)

Step 0 Constant -2.275 .317 51.622 1 .000 .103

Variables not in the Equation

(38)

Lampiran 7

(39)
(40)
(41)
(42)
(43)
(44)
(45)

Gambar

Tabel Master Data Penelitian

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