Indonesia is a member of Southeast Asia Regional Office (SEARO) ranked the first in dengue hemorrhagic fever (DHF) problem based on incidence rate (IR)and case fatality rate (CFR). Several provinces in Indonesia experience an outbreak, one of which is the Mataram City in West Nusa Tenggara Province.Mataram City is an endemic area of DHF because the DHF cases are always found in three consecutive years with the number of cases that fluctuate andtend to increase. This study aimed to obtain factors that could be used to improve early warning systems in controlling DHF. This study used a case controldesign with a ratio of 1:1 to 180 house holds. The results showed that home environmental factors, such as no ceiling, indoor and outdoor temperature thathad the potential for breeding places for mosquitoes, no wire net in ventilation, low lighting and high humidity, related to DHF transmission. Vector distibutionwith entomology index showed that the existence of larvae, eggs and mosquitoes played a role in dengue transmission. The dominant factors affecting the transmission of dengue in Mataram City are the condition of the ceiling and the existence of mosquito eggs in the house.
Dengue Haemorrhagic Fever (DHF) is a major health problem in Mataram. Even though there have been many prevention efforts, the rates of morbidity and mortality tend to increase. This condition shows that the indicators of Knowledge, Attitude, and Practice (KAP) about DHF in the community are still low. This study aims to prove the factors KAP in the community with DHF in Mataram City. The research conducted in October-November 2018 used a case-control study. The sampling technique used proportional stratified random sampling The KAP data were collected by interview using questionnaires and observation using a structured checklist. Data analysis used a simple and multiple logistic regression test (α = 5%). Factors related to DHF transmission in Mataram are the communities' habit of raising livestock, does not have a temporary landfill, low knowledge about DHF, lots of garbage around the house and the determinant factor is a routine mobilization to endemic areas (OR = 17.019). DHF reduction in Mataram City can be carried out through integrated cross-sectoral vector control activities as through waste management; build livestock pens according to health standards and provide education, especially for community living in endemic areas.
Mataram City is an endemic area of DHF because cases are always found in 3 consecutive years with the number of cases that fluctuated and tended to increase. DHF is related to climate factors because of vector life, pathogen, behavior and the physiology of the human body is influenced by climate. The impact of climate change on the dynamics of dengue transmission in the city of Mataram is very important to study because it can be used as a basis for knowing the pattern of the occurrence of dengue cases related to temperature, humidity, rainfall and wind speed. This study used a retrospective cohort design from BMKG secondary climate data and dengue cases at the Mataram City Health Office in the last 5 years (2013-2017). Data were analyzed based on monthly and annual patterns assuming normal data distribution to be carried out correlation and regression tests with α = 0.05. The results showed that climatic elements such as: humidity, rainfall, and temperature had a strong enough influence on the incidence of DHF, but the wind speed was not related to the incidence of DHF in the city of Mataram. The linear regression equation model found was DBD Case = -439.403 + 5.809 * humidity (R2 = 18.9%) assuming all linear regression was fulfilled.This model can be used to assist in efforts to mitigate dengue transmission through the determination of the timing of implementation of prevention and the provision of infrastructure facilities for the DHF treatment.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.