Kagalar In terms of healthcare delivery services, the availability ratio of hospital beds in Indonesia is six times higher than the ratio in Cambodia. While it is an administrative requirement that each district fund and formulate its own control strategy, the task would be malariw easier and more effective if adjacent districts with similar malaria epidemiology were to share data, experience and plans. Alternatively, IM artemether is given at a dosage of 3. While autonomy can foster innovation and increase motivation, it can inhibit coordination gebraak to attack malaria in areas with similar epidemiology.
|Published (Last):||5 May 2011|
|PDF File Size:||9.55 Mb|
|ePub File Size:||17.57 Mb|
|Price:||Free* [*Free Regsitration Required]|
E Elsa Herdiana Murhandarwati: moc. This article has been cited by other articles in PMC. Abstract Background Indonesia is among those countries committed to malaria eradication, with a continuously decreasing incidence of malaria.
However, at district level the situation is different. This study presents a case of malaria resurgence Kokap Subdistrict of the Kulon Progo District in Yogyakarta Province, Java after five years of low endemicity. This study also aims to describe the community perceptions and health services delivery situation that contribute to this case. Two-hundred and twenty-six cases during an outbreak May to April were geocoded by household addresses using a geographic information system GIS technique and clusters were identified by SaTScan software analysis Arc GIS Purposive random sampling was conducted on respondents living inside the clusters to identify community perceptions and behaviour related to malaria.
Interviews were conducted with malaria health officers to understand the challenges of malaria surveillance and control. Results After experiencing three consecutive years with API less than 1 per thousand, malaria in Kokap subdistrict increased almost ten times higher than API in the district level and five times higher than national API.
Malaria cases were found in all five villages in One primary and two secondary malaria clusters in Hargotirto and Kalirejo villages were identified during the — outbreak.
Most of the respondents were positively aware with malaria signs and activities of health workers to prevent malaria, although some social economic activities could not be hindered. Return transmigrants or migrant workers entering to their villages, reduced numbers of village malaria workers and a surge in malaria cases in the neighbouring district contributed to the resurgence. Conclusion Community perception, awareness and participation could constitute a solid foundation for malaria elimination in Kokap.
However, decreasing number of village malaria workers and ineffective communication between primary health centres PHCs within boundary areas with similar malaria problems needs attention.
Decentralization policy was allegedly the reason for the less integrated malaria control between districts, especially in the cross border areas. Malaria resurgence needs attention particularly when it occurs in an area that is entering the elimination phase. Keywords: Malaria resurgence, Outbreak, Kokap Subdistrict, Spatial analysis, Community perspectives, Decentralization Background Malaria resurgence could be defined as the return to a state of equilibrium that has been disturbed by a malaria control effort [ 1 ].
Malaria resurgence is not expected to occur when an area has entered elimination phase. Cohen et al. Indonesia was reported to have resurgence in and in due to funding or resource constraints, insecticide or drug resistance [ 1 ]. Malaria control in Indonesia started in , mainly with DDT [ 2 ]. This effort successfully reduced malaria cases in Indonesia from an affected 30 million people in the late s to around 1. In Indonesia declared its commitment to eliminate malaria nationally by Areas with low endemicity are encouraged to enter the elimination step earlier.
Sabang municipality in Aceh is an example of an area that targeted elimination at the end of yet was previously known as one of most malarious areas in Indonesia. A tsunami disaster in indirectly helped Sabang as its malaria cases declined as health infrastructures were developed [ 4 ].
After , Indonesia showed a significant change: stable economic growth, despite a global crisis in —, which was supported by high domestic consumption rate and decentralization. Yet, Indonesia was facing environmental problems and unavoidable climate change that might potentially trigger a resurgence.
However, as Indonesia was considered to be lower middle-income country, international funding, including from the Global Fund to fight AIDS, tuberculosis and malaria was decreased. Indonesian political and economic endorsement of decentralization influenced malaria control efforts in Indonesia. While there were several reports of malaria outbreaks, there was limited publication on the occurrence of resurgence in Indonesia. Kulon Progo District, in particular Kokap Subdistrict, contributed to malaria outbreaks that occurred on Java Island following the economic crisis in Although this region experienced outbreaks in , and , the API after increased sharply and outbreaks occurred in and [ 5 ].
Further progress was the rise in numbers of malaria-free villages, from six in to 94 in [ 6 ]. In , Kokap Subdistrict was very close to malaria elimination. However, the API started to resurge in 0. Table 1 Distribution of total number of examined blood slides, total malaria cases, origin of cases, type of species, API by villages compares to API in Kokap subdistrict and Kulonprogo district from to
Target RI Bebas Malaria Tahun 2030, Depkes Luncurkan 5 Kebijakan
Balabar In conclusion, in the period between andmalaria control activities relied heavily upon DDT spraying. Purworejo has a varied topography consisting of mountains, hills and plains. In other words, indigenous Papuans were less likely than immigrants mlaria use health facilities as their source of malaria treatment. As mqlaria as the use of quinine as a malaria treatment and a method of control were concerned, Indonesia was well known as being the most productive producer of cinchona in the world gebfak The median ratio of P.
Early malaria resurgence in pre-elimination areas in Kokap Subdistrict, Kulon Progo, Indonesia
Latar Belakang Malaria merupakan salah satu penyakit yang menjadi masalah kesehatan masyarakat di Indonesia dan menjadi ancaman di daerah tropis dan subtropics yang mempengaruhi angka kematian bayi,anak umur dibawah lima tahun dan ibu melahirkan serta menurunkan produktifitas kerja Sampai akhir tahun terdapat negara endemis malaria diseluruh dunia,sementara itu pada tahun jumlah penderita diseluruh dunia mencapai juta orang dan Adapun pentahapan eliminasi terdiri dari tahap pemberantasan,pre-eliminasi,eliminasi dan pemeliharaan. Untuk mencapai tujuan pengendalian pengendalian malaria dierapkan strategi pengendalian malaria sebagai berikut : 1. Penemuan dini dan pengobatan yang tepat,dengan akses pelayanan kesehatan yang berkualitas. Penurunan resiko penularan dengan memanfaatkan forum gebrak malaria.
GEBRAK MALARIA 2010 PDF
E Elsa Herdiana Murhandarwati: moc. This article has been cited by other articles in PMC. Abstract Background Indonesia is among those countries committed to malaria eradication, with a continuously decreasing incidence of malaria. However, at district level the situation is different. This study presents a case of malaria resurgence Kokap Subdistrict of the Kulon Progo District in Yogyakarta Province, Java after five years of low endemicity. This study also aims to describe the community perceptions and health services delivery situation that contribute to this case.