Martya Rahmaniati Makful

Hypertension is one type of Non-communicable Disease (NCD) that is a burden on the government in disease control every year. Hypertension is caused by various risk factors. Most of the risk factors for hypertension are lifestyles that can be changed. This study aims to determine the pattern of distribution of hypertension cases based on risk factors, social factors, health care facilities. The spatial approach was used to determine the spatial relationship between hypertension risk factors and hypertension cases in the Jakarta province. The spatial approach was used to determine the spatial relationship between hypertension risk factors and hypertension cases in the Jakarta province. The results showed that the screening program variable had a spreading pattern with a negative spatial relationship and there was a spatial interaction between the screening program variables and hypertension cases. Improving the quality and quantity of Non-communicable Disease Integrated Assistance Post activities of local health centers, which are the front line in preventive and promotive activities is expected to be the key to successful control of hypertension cases in the Jakarta.

While the national prevalence of stunting in Indonesia has decreased, the level remains high in many districts/cities and there is significant variation. This ecological study employed aggregated data from the Basic Health Research Report and the District/City Poverty Data from 2018. We investigated the determinants of stunting prevalence at the district/city level, including autocorrelation applying the spatial autoregressive (SAR) model. The analyses revealed stunting prevalence above the national average in 282 districts/cities (54.9%), i.e. ≥30% in 297 districts/cities (57.8%) and ≥40% in 91 districts/cities (17.7%). Autocorrelation was found between Sumatra, Java, Sulawesi as well as Bali, East Nusa Tenggara and West Nusa Tenggara (Bali NTT NTB). The SAR modelling revealed the following variables with significant impact on the stunting prevalence in various parts of the country: closet defecation, hand washing, at least four antenatal care visits during pregnancy, poverty, immunisation and supplementary food for children under 5 years.