Penggunaan Rapid Diagnostic Test (Rdt) Oleh Kader Sebagai Alat Bantu Dalam Penemuan Kasus Malaria Di Desa Guntur, Kecamatan Bener, Kabupaten Purworejo

Abstract

The Used of Rapid Diagnostic Test (RDT) as a Tool for Case Finding Activity by Malaria Trained Cadre in Guntur Village, Bener Sub-District, Purworejo District.Guntur is a village in Bener sub-district; in 2005 the annual parasite incidence (API) was 9.02%o. This village is the only a high case incidence area (HCI) left among 27 villages in this area. Geographically, is a hilly area which is also far from health facility (remote area). Malaria active case finding done by village malaria trained person (Juru malaria desa/JMD) had been abandoned since September 2005, this situation makes the accessibility to health facility became more difficult. A mobile health center has been operated in this area, with once a month visit schedule. To increase the accessibility to health facility, in October 2005 village malaria cadres had been trained to identify clinical malaria sign and symptoms, also to make malaria blood smear from a finger prick. One cadre was responsible to 40 house hold or about one dukuh (hamlet). The case findings were reported to the health center; through acertain mechanism which had been develop before according to the village situation. Parasitological confirmation was done by microscopy examination in Guntur health center. Standard anti malaria treatment was given to the positive cases. To simplify the case finding activity, the cadres also trained to use a rapid diagnostic test (RDT). The used of RDT by cadres who had been trained to identify clinical malaria cases and make a blood smear from a finer prick will be discussed. The result suggest that RDT can be used as a tool for cadres to increase the case finding activity, because this device is simple and do not need a special training program, even though since the cadres are not yet frequently expose to a delicate work, the used ofthis device should be carefully consider to prevent higher expenses as a consequences of technically fault