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Lembar Kuesioner
Gambaran Imunisasi BCG Bedasarkan Skar pada Bayi dan Faktor-Faktor yang Berhubungan
di Wilayah Kerja Puskesmas Kelurahan Sukabumi Selatan, Kecamatan Kebun Jeruk, Jakarta Barat.
Periode 1-26 September 2014

Tanggal Pengisian Data : .

Jawaban pada kuesioner ini akan dirahasiakan. Tidak ada jawaban benar ataupun salah. Mohon
ibu/bapak menjawab dengan jujur.

A. DATA UMUM
Pewawancara : ..........................
Nomor Responden : ..........................

Nama Anak :
Anak ke : ......................
Jenis Kelamin* : Laki-Laki Perempuan
Tanggal lahir : .........
Alamat (diisi lengkap) :
RT/RW.
KecamatanKelurahan.

Nama Responden :..... Tanda Tangan
Nomor Handphone Responden :
*checklist () kolom yang sesuai ______________


B. DATA KHUSUS
1. Apakah anak anda sudah dilakukan imunisasi BCG?
a. Sudah
b. Belum

2. Pada saat anak berumur berapa imunisasi BCG dilakukan?
a. 0-2 hari
b. 3-28 hari
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c. >28 hari
3. Bagaimana status gizi anak saat imunisasi BCG dilakukan?
a. Bawah merah
b. Kurang (pita KMS kuning bawah)
c. Baik (pita KMS hijau)
d. Lebih ( pita KMS berada di atas hijau )

4. Apakah muncul jaringan parut di tempat penyuntikan setelah imunisasi BCG?
a. Ya (lanjut ke pertanyaan nomor 5)
b. Tidak (lanjut ke pertanyaan nomor 7)

5. Berapa lama rentang waktu hingga muncul jaringan parut pada anak anda?
a. < 1 minggu
b. 1-2 minggu
c. > 2 minggu

6. Berapa ukuran diameter skar anak anda?
a. < 4 milimeter
b. 4 8 milimeter
c. > 8 milimeter

7. Di mana imunisasi tersebut dilakukan?
a. Posyandu / Praktik Bidan
b. Puskesmas / Rumah sakit












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Data Output SPSS


Statistics

JenisKelamin UsiaSaatBCG
StatusGiziSaatB
CG
AdaTidaknyaSca
rBCG
TempatMendapa
tkanImunisasi
N Valid 105 105 105 105 105
Missing 0 0 0 0 0
Mean .6476 .3524 .4762 .2762 .4190
Median 1.0000 .0000 .0000 .0000 .0000
Mode 1.00 .00 .00 .00 .00
Sum 68.00 37.00 50.00 29.00 44.00

StatusGiziSaatBCG

Frequency Percent Valid Percent
Cumulative
Percent
Valid Hijau 76 72.4 72.4 72.4
Kuning Atas 8 7.6 7.6 80.0
Kuning Bawah 21 20.0 20.0 100.0
Total 105 100.0 100.0



AdaTidaknyaScarBCG

Frequency Percent Valid Percent
Cumulative
Percent
Valid >4 mm 76 72.4 72.4 72.4
Tidak ada Scar 29 27.6 27.6 100.0
Total 105 100.0 100.0





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UsiaSaatBCG

Frequency Percent Valid Percent
Cumulative
Percent
Valid >28 hari 74 70.5 70.5 70.5
3-28 hari 25 23.8 23.8 94.3
0-2 hari 6 5.7 5.7 100.0
Total 105 100.0 100.0



TempatMendapatkanImunisasi

Frequency Percent Valid Percent
Cumulative
Percent
Valid Puskesmas / Rumah Sakit 61 58.1 58.1 58.1
Posyandu/Bidan 44 41.9 41.9 100.0
Total 105 100.0 100.0




JenisKelamin * AdaTidaknyaScarBCG Crosstabulation

AdaTidaknyaScarBCG
Total

>4 mm Tidak ada Scar
JenisKelamin Perempuan Count 23 14 37
Expected Count 26.8 10.2 37.0
Laki-laki Count 53 15 68
Expected Count 49.2 18.8 68.0
Total Count 76 29 105
Expected Count 76.0 29.0 105.0
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Chi-Square Tests
Value df
Asymp. Sig. (2-
sided)
Exact Sig. (2-
sided)
Exact Sig. (1-
sided)
Pearson Chi-Square 2.984
a
1 .084

Continuity Correction
b
2.247 1 .134

Likelihood Ratio 2.915 1 .088

Fisher's Exact Test

.110 .068
Linear-by-Linear Association 2.956 1 .086

N of Valid Cases 105

a. 0 cells (,0%) have expected count less than 5. The minimum expected count is 10,22.
b. Computed only for a 2x2 table



Usia BCG * AdaTidaknyaScarBCG Crosstabulation

AdaTidaknyaScarBCG
Total

>4 mm Tidak ada Scar
Usia BCG >28 hari Count 59 15 74
Expected Count 53.6 20.4 74.0
<28 hari Count 17 14 31
Expected Count 22.4 8.6 31.0
Total Count 76 29 105
Expected Count 76.0 29.0 105.0


Chi-Square Tests
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Value df
Asymp. Sig. (2-
sided)
Exact Sig. (2-
sided)
Exact Sig. (1-
sided)
Pearson Chi-Square 6.771
a
1 .009

Continuity Correction
b
5.583 1 .018

Likelihood Ratio 6.462 1 .011

Fisher's Exact Test

.016 .010
Linear-by-Linear Association 6.707 1 .010

N of Valid Cases 105

a. 0 cells (,0%) have expected count less than 5. The minimum expected count is 8,56.
b. Computed only for a 2x2 table

Gizi BCG * AdaTidaknyaScarBCG Crosstabulation

AdaTidaknyaScarBCG
Total

>4 mm Tidak ada Scar
Gizi BCG Gizi Baik & Gizi Lebih Count 66 10 76
Expected Count 55.0 21.0 76.0
Gizi Kurang & Gizi Bawah
Merah
Count 10 19 29
Expected Count 21.0 8.0 29.0
Total Count 76 29 105
Expected Count 76.0 29.0 105.0


Chi-Square Tests

Value df
Asymp. Sig. (2-
sided)
Exact Sig. (2-
sided)
Exact Sig. (1-
sided)
Pearson Chi-Square 28.786
a
1 .000

Continuity Correction
b
26.226 1 .000

Likelihood Ratio 27.209 1 .000

Fisher's Exact Test

.000 .000
Linear-by-Linear Association 28.512 1 .000

N of Valid Cases 105

a. 0 cells (,0%) have expected count less than 5. The minimum expected count is 8,01.
b. Computed only for a 2x2 table

34














TempatMendapatkanImunisasi * AdaTidaknyaScarBCG Crosstabulation

AdaTidaknyaScarBCG
Total

>4 mm Tidak ada Scar
TempatMendapatkanImunisa
si
Puskesmas / Rumah Sakit Count 51 10 61
Expected Count 44.2 16.8 61.0
Posyandu/Bidan Count 25 19 44
Expected Count 31.8 12.2 44.0
Total Count 76 29 105
Expected Count 76.0 29.0 105.0


Chi-Square Tests

Value df
Asymp. Sig. (2-
sided)
Exact Sig. (2-
sided)
Exact Sig. (1-
sided)
Pearson Chi-Square 9.176
a
1 .002

Continuity Correction
b
7.885 1 .005

Likelihood Ratio 9.152 1 .002

Fisher's Exact Test

.004 .003
Linear-by-Linear Association 9.089 1 .003

N of Valid Cases 105

a. 0 cells (,0%) have expected count less than 5. The minimum expected count is 12,15.
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Chi-Square Tests

Value df
Asymp. Sig. (2-
sided)
Exact Sig. (2-
sided)
Exact Sig. (1-
sided)
Pearson Chi-Square 9.176
a
1 .002

Continuity Correction
b
7.885 1 .005

Likelihood Ratio 9.152 1 .002

Fisher's Exact Test

.004 .003
Linear-by-Linear Association 9.089 1 .003

N of Valid Cases 105

a. 0 cells (,0%) have expected count less than 5. The minimum expected count is 12,15.
b. Computed only for a 2x2 table