About Bioline  All Journals  Testimonials  Membership  News

The Journal of Health, Population and Nutrition
ISSN: 1606-0997
EISSN: 1606-0997
Vol. 22, No. 2, 2004, pp. 119-129
Bioline Code: hn04017
Full paper language: English
Document type: Research Article
Document available free of charge

The Journal of Health, Population and Nutrition, Vol. 22, No. 2, 2004, pp. 119-129

 en Diarrhoea Episodes and Treatment-seeking Behaviour in a Slum Area of North Jakarta, Indonesia
Simanjuntak, Cyrus H; Punjabi, Narain H.; Wangsasaputra, Ferry; Nurdin, Dazwir; Pulungsih, Sri Pandam; Rofiq, Ainur; Santoso, Hari; Pujarwoto, H.; Sjahrurachman, Agus; Sudarmono, Pratiwi; von Seidlein, Lorenz; Acosta, Camilo; Robertson, Susan E.; Ali, Mohammad; Lee, Hyejon; Park, JinKyung; Deen, Jacqueline L.; Agtini, Magdarina D. & Clemens, John D.


Visits to household during a census in an impoverished area of north Jakarta were used for exploring the four-week prevalence of diarrhoea, factors associated with episodes of diarrhoea, and the patterns of healthcare use. For 160,261 urban slum-dwellers, information was collected on the socioeconomic status of the household and on diarrhoea episodes of individual household residents in the preceding four weeks. In households with a reported case of diarrhoea, the household head was asked which form of healthcare was used first. In total, 8,074 individuals (5%)¯13% of children aged less than five years and 4% of adults¯had a diarrhoea episode in the preceding four weeks. The two strongest factors associated with a history of diarrhoea were a diarrhoea episode in another household member in the four weeks preceding the interview (adjusted odds ratio [OR] 11.1; 95% confidence interval [CI] 10.4- 11.8) and age less than five years (adjusted OR 3.4; 95% CI 3.2-3.5). Of the 8,074 diarrhoea cases, 1,969 (25%) treated themselves, 1,822 (23%) visited a public-health centre (PHC), 1,462 (18%) visited a private practitioner or a private clinic, 1,318 (16%) presented at a hospital, 753 (9%) bought drugs from a drug vendor, and 750 (9%) used other healthcare providers, such as belian (traditional healers). Children with diarrhoea were most often brought to a PHC, a private clinic, or a hospital for treatment. Compared to children, adults with diarrhoea were more likely to treat themselves. Individuals from households in the lowest-income group were significantly more likely to attend a PHC for treatment of diarrhoea compared to individuals from households in the middle- and higher-income groups.

Diarrhoea; Treatment-seeking behaviour; Epidemiology; Incidence; Prevalence; Slums; Indonesia

© Copyright 2004 - ICDDR,B: Centre for Health and Population Research
Alternative site location:

Home Faq Resources Email Bioline
© Bioline International, 1989 - 2023, Site last up-dated on 01-Sep-2022.
Site created and maintained by the Reference Center on Environmental Information, CRIA, Brazil
System hosted by the Google Cloud Platform, GCP, Brazil