Keberhasilan Pengobatan Massal Filariasis di Kecamatan Kusan Hulu Kabupaten Tanah Bumbu Provinsi Kalimantan Selatan

Kusan Hulu Sub-district is one of filariasis endemic areas in Tanah Bumbu District of South Kalimantan Province which has implemented partial Mass Drug Administration (MDA) filariasis program starting in 2012 and simultaneously in all area of Tanah Bumbu District starting in 2015. This study aims to determine endemicity filariasis after the first MDA in 2015 in Kusan Hulu Sub-district by conducting a finger blood survey to determine microfilaria rate and know the type of microfilariae. The design of this study was cross sectional. The study was conducted in Kusan Hulu sub-district from March to November 2015. The results of the finger blood survey showed a mf rate of 0.4% of the 500 population. The type of microfilariae found was Brugia malayi. Both positive patients were of male sex with age> 45 years. There was a decrease in mf rate in Kusan Hulu Sub-district from before MDA compared to after the first MDA was conducted from 12.37% in 2008, and 0.91% in 2011 to 0.4% in 2015, so the area became nonendemic (mf rate <1%)

Habitat Perkembangbiakan Spesifik Anopheles sp. di Tambang Emas Kura-Kura Banian (Perubahan Perilaku Anopheles sp.)

The results of Health Research 2010, showed that malaria was an infectious disease that the sixth cause of death cause of the sixth of death in Indonesia. Kotabaru is a malaria endemic district, especially in Puskesmas Banian, Annual Parasite Incidence 241.19 in 2014 where the cases of malaria with occurring in illegal gold mines on the slopes of Banian Mountain. It’s needed to know the factors that affect the existence of malaria in these locations. This research was observational study doing by cross-sectional study and analyzed by descriptively. Research conducted at the Gold Mine Banian Buluh Kuning village, Sungai Durian subdistric, Kotabaru district, South Kalimantan Province in February and March, 2015. The activities were catching larva and adult mosquitoes, environmental and mosquito breeding habitats observation and Mass Blood Survey. It was found Anopheles maculatus and Anopheles leucosphyrus with very low densities in area with the number of malaria cases by 22.99%. It was found divers breeding habitats of Anopheles sp on a former gold wash, former drum and former plastic containers. This indicated a behavioral change of Anopheles breeding places because previous to this the Anopheles breed in puddles on the ground or direct contact with the ground

Pengetahuan dan perilaku masyarakat terhadap Demam Berdarah Dengue di Kecamatan Batulicin Kabupaten Tanah Bumbu Provinsi Kalimantan Selatan

Infeksi virus dengue adalah masalah kesehatan pada negara tropis karena kerugian moral dan material yang cukup  besar. Penyakit  Demam Berdarah Dengue (DBD) erat hubungannya dengan pengetahuan dan perilaku masyarakat, oleh sebab itu dilakukan penelitian untuk mengetahui pengetahuan dan perilaku masyarakat terhadap demam berdarah. Jenis penelitian ini adalah cross sectional, pengumpulan data dilakukan pada bulan Oktober 2012. Sampel yang digunakan adalah individu dalam rumah tangga yang terpilih secara acak sebanyak 100 rumah dan diwawancarai dengan menggunakan kuesioner. Hasil uji Chi-square untuk melihat hubungan pengetahuan dan perilaku masyarakat di Batulicin terhadap DBD menunjukkan masih rendahnya pengetahuan masyarakat terhadap upaya pencegahan DBD dan berpengaruh pada perilaku mereka. Terdapat hubungan yang signifikan antara pengetahuan dan perilaku responden dalam pencegahan DBD (x =4,688, p=0,030). Disarankan kepada pemangku kepentingan terkait untuk meningkatkan pengetahuan masyarakat sehingga dapat memperbaiki perilaku mereka

Kepemilikan, penggunaan dan perawatan kelambu berinsektisida tahan lama oleh rumah tangga di daerah endemis malaria Kabupaten Kotabaru Propinsi Kalimantan Selatan

Abstract. As a personal protection against mosquito-borne of malaria, Kotabaru District have been distributing Long Lasting Insecticide Nets (LLIN) at the end of 2014. The goal of this study was, to know the ownership, use and maintenance LLIN patterns have been distributed as one of the evaluation of malaria control programs in the District of Kotabaru. The study was conducted in Puskesmas Bungkukan, Banian and Hampang from February to April 2015. The study was descriptive by quantitative analysis studies and cross-sectional design. Household sampling by purposive sampling. The ownership of mosquito nets 93.37%, LLIN 83.7%, LLIN use 87.05%, use LLIN every night 94.21%, LLIN frequent washing 33.3%, use of detergents 95%, drying in heat place LLIN 66.67 %. The high persentage of ownership and LLIN usage support for malaria control in Kotabaru district, but the society habit of insecticide-treated nets especially wash too often and drying insecticide-treated nets in heat place can accelerate the risk of losing the content of insecticide in the nets so it can reduce the effectiveness of LLIN. Keywords: insectiside threat net, LLIN, malaria Abstrak. Sebagai proteksi diri terhadap nyamuk penular malaria, Kabupaten Kotabaru pada akhir tahun 2014 telah mendistribusikan Long Lasting Insecticidal Nets (LLIN) pad akhir tahun 2014. Penelitian ini bertujuan untuk mengetahui status kepemilikan, pola penggunaan dan perawatan LLIN yang telah dibagikan kepada masyarakat sebagai salah satu bahan evaluasi dari program pengendalian malaria di Kabupaten Kotabaru. Penelitian dilakukan di wilayah kerja Puskesmas Bungkukan, Banian, dan Hampang bulan Februari-April 2015. Penelitian bersifat deskriptif dengan mengadakan studi analisis kuantitatif dan desain cross sectional. Penarikan sampel rumah tangga secara purposive sampling. Kepemilikan kelambu 93,37%, LLIN 83,7%, LLIN 87,05%, penggunaan LLIN setiap malam 94,21%, sering mencuci LLIN 33,3%, penggunaan detergen 95%, menjemur LLIN di tempat yang panas 66,67%. Kepemilikan dan penggunaan LLIN tinggi dan mendukung bagi pengendalian malaria di Kabupaten Kotabaru, akan tetapi kebiasaan mencuci kelambu berinsektisida yang terlalu sering dan menjemur kelambu berinsektisida di tempat yang panas dapat mempercepat resiko kehilangan kandungan insektisida dalam kelambu serta dapat menurunkan efektifitas waktu pakai LLIN. Kata kunci: kelambu berinsektisida, LLIN, malari

Gambaran Hasil Spot Survei Nyamuk Anopheles sp. di Tambang Emas Kura-Kura Banian, Kabupaten Kotabaru, Kalimantan Selatan

The work area of Banian Health Center in Kotabaru District is an malaria endemic area with reported Annual Parasite Incidence (API) was 241.19‰ in 2014. Most of the malaria cases were from illegal gold mining at Banian Mountain. Malaria vector has a significant role in malaria transmission as well as its control. This study was an observational with a cross-sectional design and analyzed descriptively . The study was carried out from February to March 2015 at Turtle Gold Mining in Banian, BUluh Kuning village, Sungai Durian sub-district, Kotabaru district, South Kalimantan. The all night collection was done by using human landing collection method and collection of pre-adult mosquitoes around the gold mining. The study found a low density of Anopheles maculatus and Anopheles leucosphyrus. It is also foud several habitat of Anopheles sp. such as, unused gold washers, unused drums, and unused plastic containers. The low density of mosquito was caused by high rainfall, inappropriate habitat, low temperature, high humadity, wild vegetation, and air polution

Gambaran Kasus Dan Tersangka Vektor Malaria Di Daerah Pedalaman Malinau

Abstract Malaria is a re-emerging disease that still become a global problem because it attacks the productive age and causes the death of infants, toddlers and women. In Indonesia, there were 374 malaria endemic districts in 2011 with the number of cases as many as 256.592 people out of 1.322.451 cases of suspected malaria were examined with an incidence rate of 1,75/1000 population/year. The result of a health survey in South Malinau district in 2007 shows SPR malaria (13.33%). The report of Malinau District Health Office in 2008 there were 9 mortality because of malaria in Long Loreh Health Center. The research objective was to determine the situation of malaria (update cases) during the course of the research activities. Descriptive study was conducted with a cross sectional method in Sungai Uli South Malinau District of Long Loreh Health Center in August 2012. In 2010 and 2011 there were no malaria cases in Long Loreh Health Center. The results of the examination of 103 people, 24 people suffering malaria (SPR 23,3%) consisted of 7 malaria falciparum, 15 malaria vivax and 2 mix infection malaria falciparum and vivax, 11 of them are children aged 3-11 years that showed local transmission (indigenous). The discovery of malaria cases in this study indicate the occurrence of re-emerging diseases malaria in Long Loreh Health Center or the formation of population immunity in that area so people with malaria do not go to health services and not recorded in the health center data. Based on the mosquitoes species were found, age and density, the potential mosquito vectors are Anopheles nigerrimus (Hyrcanus group), Anopheles barbirostris and Anopheles umbrosus group. Keywords : Malaria, vector, Plasmodium, Anopheles Abstrak Malaria merupakan re-emerging diseases yang masih menjadi masalah global karena selain menyerang usia produktif juga banyak menyebabkan kematian pada bayi, anak balita dan wanita. Di Indonesia, pada tahun 2011 terdapat 374 kabupaten endemis malaria dengan jumlah kasus sebanyak 256.592 orang dari 1.322.451 kasus tersangka malaria yang diperiksa dengan tingkat kejadian 1,75 per 1000 penduduk/tahun. Hasil survei kesehatan pemberantasan penyakit bersumber binatang di daerah perbatasan di Kecamatan Malinau Selatan Tahun 2007 menunjukkan SPR malaria sebesar 13,33% dan laporan Dinas Kesehatan Kabupaten Malinau pada tahun 2008 terdapat 9 kasus meninggal dunia akibat malaria di wilayah kerja Puskesmas Long Loreh. Tujuan penelitian adalah untuk mengetahui situasi malaria (update kasus) pada saat tahun berlangsungnya kegiatan penelitian. Penelitian deskriptif dilaksanakan dengan metode potong lintang di Desa Sungai Uli Kecamatan Malinau Selatan wilayah kerja Puskesmas Long Loreh pada bulan Agustus 2012, dengan jumlah sampel sebanyak 103 penduduk Desa Sungai Uli. Hasil pemeriksaan, sebanyak 24 orang dinyatakan positif malaria dari 103 orang yang diperiksa (SPR 23,3%) terdiri atas 7 malaria falciparum, 15 malaria vivax dan 2 mix infection malaria falciparum dan vivax. Sebanyak 11 orang diantaranya anak-anak berumur 3 sampai dengan 11 tahun yang menunjukkan adanya transmisi lokal (indigenous). Ditemukannya kasus malaria menandakan terjadinya re-emerging malaria di wilayah kerja Puskesmas Long Loreh. Terbentuknya imunitas penduduk di daerah tersebut sehingga penderita malaria tidak menimbulkan gejala dan berobat ke pelayanan kesehatan sehingga tidak tercatat pada laporan puskesmas. Berdasarkan spesies nyamuk yang ditemukan, umur dan tingkat kepadatan, nyamuk yang berpotensi sebagai vektor yaitu Anopheles nigerrimus (hyrcanus group), Anopheles barbirostris dan Anopheles umbrosus group. Kata kunci : Malaria, vektor, Plasmodium, Anophele

Gambaran Hasil Spot Survei Nyamuk Anopheles sp. di Tambang Emas Kura-Kura Banian, Kabupaten Kotabaru, Kalimantan Selatan

The work area of Banian Health Center in Kotabaru District is an malaria endemic area with reported Annual Parasite Incidence (API) was 241.19‰ in 2014. Most of the malaria cases were from illegal gold mining at Banian Mountain. Malaria vector has a significant role in malaria transmission as well as its control. This study was an observational with a cross-sectional design and analyzed descriptively . The study was carried out from February to March 2015 at Turtle Gold Mining in Banian, BUluh Kuning village, Sungai Durian sub-district, Kotabaru district, South Kalimantan. The all night collection was done by using human landing collection method and collection of pre-adult mosquitoes around the gold mining. The study found a low density of Anopheles maculatus and Anopheles leucosphyrus. It is also foud several habitat of Anopheles sp. such as, unused gold washers, unused drums, and unused plastic containers. The low density of mosquito was caused by high rainfall, inappropriate habitat, low temperature, high humadity, wild vegetation, and air polution

Analisa Keberhasilan Program Pemberian Obat Pencegahan Massal (POPM) Filariasis Re-TAS 1 di Kabupaten Hulu Sungai Utara

District of Hulu Sungai Utara conducted an additional 2 (two) rounds of Mass Drug Administration (MDA) for filariasis prevention in 2014 and 2015 that resulted in the success of the re-Transmission Assessment Survey Phase 1 (re-TAS 1) in 2016. This study was conducted to identify factors affecting the technical aspects of the aforementioned two additional rounds of MDA. This is a descriptive qualitative study, with a cross-sectional study design. The research was performed from September to November 2017. Data was collected through in-depth interviews with some executive stakeholders (health workers, cadres, community leaders, local women group) involved in the implementation of MDA for the filariasis elimination program. The result from indepth interviews shows the presence of technical factors at the execution level which supports the smooth implementation of the two additional rounds of MDA. Those factors include communication, resources, operational standard, bureaucracy, and pharmaceutical innovation. The success of the additional MDA roundswas marked by the absence of the re-TAS sample that was tested positive of Brugia Rapid™. The pharmaceutical innovation which transforms the dosage form of the medication into powdered form with some additional sweetener that was done in 2014-2015 can improve coverage of the treatment as well as the medication adherence for the early childhood population group. Changing pharmaceutical dosage forms require additional support in the form of human resources, infrastructure as well as financin

Keberhasilan Pengobatan Massal Filariasis di Kecamatan Kusan Hulu Kabupaten Tanah Bumbu Provinsi Kalimantan Selatan

ABSTRAK Kecamatan Kusan Hulu merupakan salah satu daerah endemis filariasis di Kabupaten Tanah Bumbu Provinsi Kalimantan Selatan yang telah melaksanakan program Pemberian Obat Pencegahan Massal (POPM) filariasis secara parsial mulai tahun 2012 dan secara serentak di seluruh Kabupaten Tanah Bumbu mulai tahun 2015. Penelitian ini bertujuan untuk mengetahui endemisitas filariasis pasca POPM pertama pada tahun 2015 di Kecamatan Kusan Hulu dengan melakukan survei darah jari untuk mengetahui microfilaria rate dan mengetahui jenis mikrofilaria. Desain penelitian ini adalah cross sectional. Penelitian dilaksanakan di Kecamatan Kusan Hulu mulai bulan Maret-November tahun 2015. Hasil survey darah jari menunjukkan mf rate sebesar 0,4% dari 500 penduduk. Jenis mikrofilaria yang ditemukan adalah Brugia malayi. Kedua penderita positif berjenis kelamin laki-laki dengan umur >45 tahun. Terjadi penurunan angka mf rate di Kecamatan Kusan Hulu dari sebelum POPM dibandingkan dengan setelah dilaksanakan POPM pertama yaitu dari 12,37% pada tahun 2008, dan 0,91 % pada tahun 2011 menjadi 0,4% pada tahun 2015, sehingga wilayah tersebut menjadi nonendemis (mf rate <1%). Kata kunci: filariasis, pengobatan massal, Kusan Hulu, Tanah Bumbu ABSTRACT Kusan Hulu Sub-district is one of filariasis endemic areas in Tanah Bumbu District of South Kalimantan Province which has implemented partial Mass Drug Administration (MDA) filariasis program starting in 2012 and simultaneously in all area of Tanah Bumbu District starting in 2015. This study aims to determine endemicity filariasis after the first MDA in 2015 in Kusan Hulu Sub-district by conducting a finger blood survey to determine microfilaria rate and know the type of microfilariae. The design of this study was cross sectional. The study was conducted in Kusan Hulu sub-district from March to November 2015. The results of the finger blood survey showed a mf rate of 0.4% of the 500 population. The type of microfilariae found was Brugia malayi. Both positive patients were of male sex with age> 45 years. There was a decrease in mf rate in Kusan Hulu Sub-district from before MDA compared to after the first MDA was conducted from 12.37% in 2008, and 0.91% in 2011 to 0.4% in 2015, so the area became nonendemic (mf rate <1%). Keywords: filariasis, mass drug administration, Kusan Hulu, Tanah Bumb