Model Intervensi Pengendalian Demam Berdarah Dengue Di Kabupaten Indramayu, Jawa Barat

Abstract

In Indonesia principal of activity control program Dengue Hemorrhagic Fever ( DHF) currently nowinclude epidemiological surveillance, discovery and case management, vector control, communityparticipation, early warning system (EWS), outbreaks, dissemination of information, partnerships, capacitybuilding, research, monitoring and evaluation. However, these activities not yed the expected results, it isindicates the need for other measures in order to improve the program in the prevention of dengue. Theprocess of transmission of dengue is a dynamic process, the study of the transmission of the disease need toinvolve the dynamic aspects of the dependence on time, which has been neglected in many studies that havebeen conducted relating to DHF. By involving the dynamic aspects of the transmission process will be toobtain a more precise conclusion in determining the disease control policies. For reasons these researchhas been done on the development of a model dengue control more specific and dynamic in Indramayudistrict, West Java. The purpose of the study to gain control model that can lower DHF Infection Rate( IR ) to zero percent. Results showed the free larvae index which reflect environmental hygiene at districof Indramayu West Jawa 60,0%. This illustrates that the breeding places eradication program in thedistrict well doing, was being in the district foging implementation in Indramayau was able to reduce theincidence of DHF either primary infection ( detectable IgM) and secondary infection ( IgG and IgMdetected ). Insect repellent can be used as an alternative for the prevention of the spread of dengue fevercan reduce the increase in the number of dengue infections. Basically Insect repellent use can reduce IR.The combination of fogging and insect repellent will be more effective in reducing the number of infections.RDT implementation and then immediately responded by conducting fogging or the use of insect repellentto prevent the spread of dengue fever so that the number of infection will be reduced