Perilaku Masyarakat Kelurahan Ledok, Kota Salatiga dalam Menguras Penampungan Air untuk Pengendalian Vektor DBD

Kegiatan Pemberantasan Sarang Nyamuk (PSN) melalui 3M plus (menguras, mengubur, menutup kontainer air) adalah salah satu upaya pengendalian vektor Demam Berdarah Dengue (DBD) yang efektif dan ramah lingkungan. Masyarakat Kelurahan Ledok, Kota Salatiga lebih memilih tindakan menguras untuk pengendalian vektor DBD dibandingkan tindakan larvasidasi atau pemberian ikan pemakan jentik di lingkungan mereka. Penelitian ini bertujuan mengidentifikasi hubungan faktor demografi (jenis kelamin, usia, pendidikan, pekerjaan), sikap, dan alasan melakukan tindakan menguras tempat penampungan air terhadap perilaku menguras penampungan air. Jenis penelitian ini adalah deskriptif analitik dengan rancangan cross sectional. Sebanyak 50 orang sebagai sampel penelitian diambil secara kluster yaitu seluruh rumah di wilayah Rukun Tetangga (RT)1/Rukun Warga (RW)5 dan RT 1/RW 8 Kelurahan Ledok. Pengumpulan data dilakukan Oktober 2013. Ada hubungan yang signifikan antara jenis kelamin dengan perilaku menguras penampungan air. dan alasan melakukan perilaku menguras dengan tindakan menguras penampungan air. Faktor kebersihan menjadi indikator utama responden untuk melakukan tindakan menguras tempat air

PROGRAM NASIONAL UNTUK ELIMINASI FILARIASIS LIMFATIK: STUDI KASUS DI KABUPATEN PEKALONGAN, JAWA TENGAH

Programmes to eliminate lymphatic filariasis are underway in all provinces of Indonesia. Central Java is big ten chronic case of Lymphatic Filariasis (LF) from 34 provinces in Indonesia. Started in 2015, Ministry of Health Republic Indonesia launched filariasis elimination by implementing preventive mass drug administration (MDA) or “POPM”. At least as 65% of the population in the district/city are given diethylcarbamazine citrate (DEC) and albendazole. This study aims to determine the constraints and problems encountered in the MDA implementation and the steps toward filariasis elimination. The method applied is a review of the scientific article, policy inventory, discussions with experts and practitioners, as well as field data confirmation. This study result describes of MDA coverage in Pekalongan Regency above of minimal coverage 65%, and around three years subsequently reaching 80%, the occurrence of side reactions after consuming drugs lower than 1% from all population target. This study noted that MDA implementation in Pekalongan District has fulfilled the target. However, program evaluation not only tablet distribution, but also data of compliance with taking medication. Conclusion of this study is that MDA must also be supported by vector control and completion through molecular examination as an assessment of mosquito capacity as a vector of lymphatic filariasis

Implementasi Program Pengendalian Demam Berdarah Dengue di Kabupaten Donggala Sulawesi Tengah Tahun 2014 (Studi Kasus di Puskesmas Wani dan Puskesmas Labuan)

The Donggala District Government has made efforts to control Dengue Hemorrhagic Fever (DHF), however based on the number of cases, and free larvae rates, DHF is still a public health threat in this area. The study aimed to evaluate the implementation of DHF control program in Donggala Regency. This was an evaluative descriptive qualitative research with a case study design. Research location in Donggala Regency, Central Sulawesi Province. Data was collected from September to October 2014 using a purposive sampling technique. Data validity carried out by source triangulation while data analysis was conducted by manually using content analysis. The informants were 10 persons from DHF control program staffs. Data was collected using in-depth interviews and document studies. The results showed that the budjet allocation on implementation of the DHF control program was lower than other infectious diseases. Cross-program collaboration has been carried out properly, however It is required more cross-sector collaboration for mosquito control program activities. From the output of program, the incidence rate (IR) of Donggala Regency was lower than IR of Central Sulawesi Province. Both Primary Health Care with low and high cases turn to have free larva index below 95% and those values tend to decrease in 2011-2012. Donggala District Health Office should increase the health promotion of DHF control through cross-sector collaboration and community to seek more awareness to the risks of transmission and improve dengue prevention

PENINGKATAN KAPASITAS FASILITATOR SURVEILANS VEKTOR DEMAM BERDARAH DENGUE DI KOTA SALATIGA

Distribution of  Dengue Hemorrhagic Fever case in Salatiga in 2011 - 2015 showed wide expansion of the case. Dinas Kesehatan Kota Salatiga in collaboration with B2P2VRP performed capacity building of vector surveillance facilitators using interactive method as an early warning system response to the spread of DHF transmission. Facilitators were cadres and teachers who were expected to optimize larval monitoring activities in family and at school. The stydy objective was to measure level of knowledge of facilitators before and after receiving capacity building activities. Research was conducted at Kelurahan Gendongan and Tingkir Tengah with data collection in February - September 2014. The research was an intervention study with one group pre-post test without control design. The result showed that capacity building could increase knowledge of both the facilitator (PSN cadres and teachers) before and after the intervention. There was no difference of post test knowledge level between cadre group and teacher. Capacity building activities with interactive methods can increase participants' knowledge with different educational background. The health office was recommended to use interactive methods in refreshing DBD vector surveillance materials on cadres and teachers to improve the sustainability of community participation in other kelurahan in larva surveys

BEHAVIOUR OF LEDOK VILLAGE COMMUNITY, SALATIGA CITY IN DRAINING WATER CONTAINER FOR DENGUE VECTOR CONTROL

Kegiatan Pemberantasan Sarang Nyamuk (PSN) melalui 3M plus (menguras, mengubur, menutup kontainer air) adalah salah satu upaya pengendalian vektor Demam Berdarah Dengue (DBD) yang efektif dan ramah lingkungan. Masyarakat Kelurahan Ledok, Kota Salatiga lebih memilih tindakan menguras untuk pengendalian vektor DBD dibandingkan tindakan larvasidasi atau pemberian ikan pemakan jentik di lingkungan mereka. Penelitian ini bertujuan mengidentifikasi hubungan faktor demografi (jenis kelamin, usia, pendidikan, pekerjaan), sikap, dan alasan melakukan tindakan menguras tempat penampungan air terhadap perilaku menguras penampungan air. Jenis penelitian ini adalah deskriptif analitik dengan rancangan cross sectional. Sebanyak 50 orang sebagai sampel penelitian diambil secara kluster yaitu seluruh rumah di wilayah Rukun Tetangga (RT)1/Rukun Warga (RW)5 dan RT 1/RW 8 Kelurahan Ledok. Pengumpulan data dilakukan Oktober 2013. Ada hubungan yang signifikan antara jenis kelamin dengan perilaku menguras penampungan air. dan alasan melakukan perilaku menguras dengan tindakan menguras penampungan air. Faktor kebersihan menjadi indikator utama responden untuk melakukan tindakan menguras tempat air. Kata kunci: menguras, penampungan air, perilaku, pengendalian vektor DB

COMMUNITY KNOWLEGDE, ATTITUDE AND BEHAVIOR ON MALARIA OUTBREAK IN WAGIRPANDAN VILLAGE, ROWOKELE DISTRICT, KEBUMEN REGENCY

Malaria is reemerging diseases and cause of an outbreak in Kebumen Regency. Knowledge andbehavior of the community are important factor in supporting vector borne disease control suchas malaria. Research design used cross sectional with 269 respondents in Wagirpandan village,Rowokele sub district of Kebumen Regency, Central Java Province. Aim of this study are to gaindescribe social and cultural aspect that reflected on knowledge, perception and practice ofcommunity using quantitative approach. Result of this research for basic escort of intervention tocommunity about control malaria diseases. Knowledge. The majority of respondent (20,1%)have low knowledge of vector malaria. Most of respondent (54,3%) have negative perception ofmalaria. Low understanding and acceptance of the causal link between the mosquito and malaria,likely leading to poor comprehension of preventive activities, as well as confusion of malariawith dengue fever, were identified. In conclusion, this study highlights a low understandingabout malaria diseases, leading to poor comprehension of preventive activities, as well asconfusion of malaria with dengue fever . If case management continues to be the main strategy inmalaria control program, the emic perspective of the people must be well-integrated into theprogram.Key words : Malaria, Knowledge, Practice Malaria merupakan penyakit yang muncul kcmbali dan menimbulkan kejadian luar biasa diKabupaten Jawa Tengah. Pcngctahuan masyarakat dan perilaku merupakan faktor pentingdalam rangka menunjang program pengendalian penyakit bersumber binatang seperti malaria.Tujuan penelitian mendeskripsikan pcngctahuan, sikap, dan perilaku masyarakat yang berisikopada kejadian luar biasa malaria. Design penelitian adalah studi potong lintang dengan 269responden di Desa Wagirpandan, Kecamatan Rowokele, Kabupaten kebumen, Jawa Tengah.Metodc kuantitatif digunakan untuk menggali aspek sosial dan budaya yang terwujud dalampengetahuan, sikap, dan perilaku masyarakat mengenai malaria. Hasil penelitian menunjukkanbahwa scbagian besar responden (20,1%) tidak mengetahuai vektor malaria. Mayoritasresponden (54,3%) mempunyai pcrscpsi negative terhadap pengendalian malaria. Pemahamanyang rendah mengenai penular malaria adalah nyamuk, bcrakibat rendahnya tindakan preventifyang dilakukan, salah satunya muncul masyarakat tidak bisa membedakan gejala dan nyamukpenular malaria dengan demam berdarah dengue. Kesimpulan rendahnya pengetahuanmasyarakat mengenai penyakit malaria, munculnya mispersepsi antara penyebab malaria dan demam berdarah yang berakibat pada tindakan pcnccgahan yang dilakukan. Pengetahuan lokalmengenai malaria, sebaiknya digunakan sebagai acuan pemegang program saat membuat modelintervensi/pengendalian.Kata Kunci: Malaria, Pengetahuan, Perilaku

Community Knowledge and Attitude on Malaria in Outbreak Area Rowokele Subdistrict, Kebumen Regency: an Ethnoscience Perspective

Background: Malaria was becoming a re-emerging disease in central java, especially for Kebumen Regency, it has been hit by malaria outbreak with the increasing case. A study was conducted in rural area of sub district Rowokele, Kebumen, Central java to identify local knowledge and practice of the community that has been becoming one of the important factors for vector borne disease control, including malaria control. Methods: This research was conducted between June 2011 and November 2011, applying qualitative method with ethnoscience approach. Data were retrieved from in-depth interviews and focus-group. Qualitative thematic content analysis was applied to understanding sharpening of the social and cultural aspect of malaria disease. Results:Qualitative method using in-depth interview able to explain several findings, such as the result of a local term of malaria, called “udug-udug” in rowokele sub-district. It shows the insufficient understanding of malaria signs and symptoms in the sub of villages, it leads to delay for illness recognition and its treatment. Conclution: Misperceptions on the preventive activities, as well as confusion of malaria with dengue fever, were identified. This study detected risk group of malaria infection in community practices such as a farmer who works in the forest and seasonal migration. Recommendation:Promotion intensification and health education on vector, prevention and therapy are important to be introduced