Spatial Analysis of Childhood Tuberculosis and Social Determinants in Bandar Lampung

Abstract

Childhood tuberculosis is an overlooked aspect of the current tuberculosis epidemics; even the incidence is increasing and may influence children's growth and development. Several researches have studied social determinants as TB risk factors, but only a few researches have studied spatial analysis of childhood tuberculosis and social determinants. This research aimed to study spatial analysis of childhood TB and social determinants in Bandar Lampung, Indonesia. This research was cross sectional study which involved five community health centers that have childhood TB cases. Population of this research was all childhood tuberculosis cases in the study site. Sample of this research was 73 cases. Variables of this research were samples’ residence geographical coordinates and social determinants (population density and proportion of poor family) of the related sub districts. Data was collected through CHSs’ and sub districts’ secondary data which then analyzed using overlay spatial analysis. The results showed that childhood TB tend to group in middle to high population density and middle proportion of poor families areas. Therefore, regarding in reducing childhood TB incidence, TB control programs should elaborate social determinants actions in areas with low social determinants.