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ISPA masih merupakan penyakit utama penyebab kesakitan dan kematian bayi dan balita saat ini. Berdasarkan data hasil Dinas Kesehatan kota Bukittiggi tahun 2016 sebanyak 57.47%. ISPA sangat erat kaitannya dengan Berat badan lahir rendah, status imunisasi Dan Paparan Asap Rokok Dengan Kejadian ISPA Pada Balita Diwilayah Kerja Puskesmas Nilam Sari Tahun 2018. Jenis penelitian ini adalah penelitian survey analtik dengan pendekatan cros sectional. populasinya sebanyak 30 dan sampel sebanyak 30 balita. Sampel diambil dengan sistim simple random sampling pengumpulan data pada penelitian ini dengan menggunakan data sekunder dan lembar check list. pengelolaahan data hasil penelitian ini dilakukan secara komputerisasi meliputi analisis univariat dan analisisbi variat menggunakan uji chi square. Dari hasil yang didapat 76.7% anak balita mengalami ISPA, 23.3% balita mengalami berat badan lahir rendah,83,3% balita imunisasi yang tidak lengkap. Tidak terdapat hubungan berat badan lahir rendah (p value = 1.000 dan OR = 2.118), status imunisasi (p value = 0.006 dan OR =29.333 ), paparan asap rokok (p valu = 0.031 dan 16.500 ) dengan ISPA pada balita Diwilayah Kerja Puskesmas Nilam Sari. Disimpulkan bahwa tidak terdapat hubungan berat badan lahir rendah, status imunisasi dengan kejadian ISPA pada balita Diwilayah Kerja Puskesmas Nilam Sari Tahun 2018.

ARI is still the main disease that causes infant and toddler mortality and illness today. Based on data from the Bukittiggi City Health Office in 2016, 57.47%. ARI is very closely related to low birth weight, immunization status and exposure to cigarette smoke with ARI events in toddlers in the work area of Nilam Sari Community Health Center in 2018. This type of research is an analytical survey research with a cross sectional approach. the population is 30 and a sample of 30 toddlers. Samples were taken by simple random sampling system data collection in this study using secondary data and check list sheets. data management results of this study were carried out computerized including univariate analysis and bivariate analysis using chi square test. From the results obtained 76.7% of children under five experienced ARI, 23.3% of children under five experienced low birth weight, 83.3% of children under five were incomplete. There was no correlation between low birth weight (p value = 1,000 and OR = 2.118), immunization status (p value = 0.006 and OR = 29,333), exposure to cigarette smoke (p value = 0.031 and 16,500) with ARI in infants in the Work Area of Patchouli Health Center Sari. It was concluded that there was no correlation between low birth weight, immunization status with the incidence of ARI in infants in the Nilam Sari Health Center Work Area in 2018.