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Puskesmas Rao pada sepanjang tahun 2016 cukup banyak kejadian ISPA secara keseluruhan terdapat 1.702 kasus yang terdaftar di rekap 10 penyakit terbanyak di wilayah kerja puskesmas Rao dan yang banyak diderita oleh balita rentang usia 3-5tahun sekitar 201 kasus. Metode adalah Kuantitatif dan desain penelitian bersifat deskriptif analitik dengan pendekatan Cross Sectional Study.Penelitian ini telah dilaksanakan di wilayah kerja Puskesmas Rao Kabupaten Pasamanpada bulan Maret sampai April Tahun 2019. Uji statistik yang digunakan untuk melihat hubungan antara variabel independent dengan dependent yaitu dengan perhitunga Chi-Square.varriaabel dependent ISPA pada balita,variabel independent adalaah imunisasi, gizi, fisik rumah.Populasi dalampenelitian ini sebanyak 227 orang Balita. Sampel Penelitian sebanyak 69 orang. Haasil Univariat diketahui 34 responden (49,5%) dengan Gizi kategori Tidak normal,32 orang (46,4%) responden dengan Lingkungan Fisik kategori Tidak memenuhi syarat,yaitu 39 orang (56,5%) responden dengan Imunisasi kategori Tidak Lengkap. hasil bivariat diketahui,38 orang (55,1%) responden dengan Kejadian ISPA pada Balita kategori ISPA. Hasil Bivariat terdapat Status Gizi terdapat hubungan dengan kejadian ISPA (p= 0,005;OR=4,701), Fisik rumah (p=0,018;OR=3,478),Imunisasi (p=0,003;OR=5,091). Disimpulkan bahwa status imunisasi terdapat hubungan dengan faktorfaktor kejadian ISPA balita sedangkan gizi dan lingkungan fisik rumah sudah dalam kategori baik.Diharapkan pemerintah dan orang tua untuk dapat memperhatikan dan kesadaran akan pentingnyaimunisasiagar terhindar dari penyakit ISPA pada Balita.

Rao Puskesmas in 2016 there were quite a lot of ARI events as a whole there were 1,702 cases registered in the recap of 10 most diseases in the working area of Rao Puskesmas and those suffered by toddlers aged 3-5 years were around 201 cases. The method is quantitative and the research design is analytic descriptive with Cross Sectional Study approach. This research has been carried out in the working area of the Rao Health Center in Pasaman Regency from March to April 2019. The statistical test used to see the relationship between independent and dependent variables is the Chi-Square calculation. Variable dependent ARI in infants, the independent variable is immunization, nutrition , physical house. The population in this study were 227 toddlers. Research Samples as many as 69 people. Haasil Univariat was known by 34 respondents (49.5%) with the Nutrition category Not normal, 32 people (46.4%) respondents with the Physical Environment category did not meet the requirements, namely 39 people (56.5%) respondents with Immunization category incomplete. bivariate results are known, 38 people (55.1%) of respondents with ARI events in toddlers ISPA category. Bivariate results found that there was a nutritional status related to ARI (p = 0.005; OR = 4.701), physical house (p = 0.018; OR = 3.478), immunization (p = 0.003; OR = 5.091). It was concluded that immunization status was related to the factors of ARI occurrence under five, while nutrition and physical environment of the house were in good category. It is expected that the government and parents can pay attention and awareness of the importance of immunization in order to avoid ARI in Toddlers.