Filariasis elimination program in West Bangka Regency had been in the fourth year to stop MDA filariasissurveillance period. This study aims to describe the condition of the community covering microfilariaemiarate, knowledge, attitudes, behavior, and environment of filariasis Data was collected through interviewsand examination of venous blood filtration to 150 people in four selected villages. Result showed thatthree respondents were positive Brugia malayi microfilariae with density of microfilariae was 116, 245and 112 respectively. Respondents’ knowledge about the symptoms, modes of transmission, consequencesand ways of preventing filariasis was still very low.. Most respondents had received preventive treatmentof filariasis, but only 2% had taken medicine to prevent filariasis for five times. Behavior of respondentsto prevent themself against mosquito bites using mosquito nets (73.3%) and mosquito repellent (65.3%).Most respondents had the habit of going out at night (78.7%). Swamp was found (23.3%) and reservoirhost (cats) by 40.7% of respondents around the house. The presence of positive microfilariae indicates thatthe presence of transmission of filariasis. The presence of swamps shows the availability of the potentialbreeding places of the vector. Cats around the house can be a source of transmission of filariasis.Keywords: microfilariaemia rate, KAP, environment, West Bangka AbstrakProgram eliminasi filariasis di Kabupaten Bangka Barat telah memasuki tahun ke empat tahap surveilansperiode stop POPM filariasis. Penulisan ini bertujuan untuk mengetahui gambaran kondisi masyarakatyang meliputi: microfilariaemia rate, pengetahuan, sikap, perilaku dan lingkungan masyarakat tentangfilariasis. Pengumpulan data dilakukan melalui wawancara dan pemeriksaan darah vena dengan metodefiltrasi terhadap 150 orang yang berada di empat desa Hasil menunjukkan bahwa ditemukan tigaresponden positif mikrofilaria (mf) dengan spesies Brugia malayi dan kepadatan pada masing-masingpenderita sebesar 116, 245 dan 112. Pengetahuan responden mengenai gejala, cara penularan, akibat yangditimbulkan dan cara pencegahan filariasis masih rendah. Sebagian besar responden pernah mendapatkanpengobatan pencegahan filariasis, akan tetapi hanya 2% yang pernah minum obat sebanyak lima kali.Perilaku responden terhadap upaya perlindungan diri terhadap gigitan nyamuk dilakukan denganmenggunakan kelambu (73,3%) dan anti nyamuk (65,3%). Sebagian besar responden mempunyaikebiasaan keluar rumah pada malam hari (78,7%). Ditemukan rawa (23,3%) dan hewan reservoir(kucing) sebesar 40,7% di sekitar rumah responden. Masih ditemukannya penderita positif microfilariamengindikasikan adanya penularan filariasis. Adanya rawa menunjukkan tersedianya tempat perindukanvector filariasis yang potensial. Kucing sebagai reservoir yang ditemukan di sekitar rumah dapat menjadisumber penularan filariasis.Kata kunci: microfilariaemia rate, pengetahuan, sikap, perilaku, lingkungan, Bangka Barat
Kasus Tuberkulosis (TB) anak di Jawa Tengah menunjukkan peningkatan pada tahun 2018. Upaya untuk mencegah kasus TB anak antara lain dengan pemberian imunisasi BCG, perilaku hidup bersih dan sehat, membudayakan perilaku etika batuk, melakukan pemeliharaan dan perbaikan kualitas perumahan dan lingkungannya sesuai dengan standar rumah sehat, peningkatan daya tahan tubuh, penanganan penyakit penyerta TB dan penerapan pencegahan dan pengendalian infeksi. Studi ini ditujukan untuk menganalisis gambaran kejadian TB anak di Provinsi Jawa Tengah pada tahun 2017 dan 2018 dan mendapatkan gambaran hubungan TB anak dengan cakupan imunisasi BCG dan lingkungan rumah (rumah sehat dan perilaku hidup bersih dan sehat). Penelitian ini merupakan analisis lanjut data sekunder yang bersumber dari data profil kesehatan Dinas Kesehatan Provinsi Jawa Tengah tahun 2017 dan 2018. Data dianalisis menggunakan korelasi bivariat (Pearson) untuk melihat hubungan yang bermakna secara statistik, dengan α=0,005. Data juga diolah menggunakan pemetaan pada setiap variabel untuk mendapatkan visualisasi mengenai hubungan antara variabel utama dengan variabel prediktor. Hasil menunjukkan terdapat hubungan yang signifikan antara jumlah kasus TB anak dengan jumlah rumah tangga ber-PHBS dengan korelasi sedang baik di tahun 2017 maupun 2018. Secara spasial cakupan imunisasi BCG, jumlah rumah sehat dan jumlah rumah tangga ber-PHBS tidak menunjukkan pengaruh terhadap jumlah kasus TB anak di Provinsi Jawa Tengah. Disarankan dapat memprioritaskan cakupan imunisasi BCG, pemantauan rumah sehat dan penerapan PHBS pada masyarakat terutama di wilayah tengah dan timur Provinsi Jawa Tengah. Cases of Tuberculosis for children in Central Java show an increase in 2018. Prevention efforts to prevent cases of TB for children are BCG immunization, clean and healthy living behavior, maintaining and improving the quality of housing and the environment in accordance with home standards healthy, increasing endurance, handling TB comorbidities and implementing infection prevention and control. This study aims to analyze the description of the incidence of TB in children in Central Java Province in 2017 and 2018 and get a visualization of relationship of TB in children with coverage of BCG immunization and the home environment (healthy house and clean and healthy living behaviors). This study is a further analysis of secondary data sourced from the health profile data of the Health Office of Central Java Province in 2017 and 2018. Data were analyzed using bivariate correlation (Pearson) to see a statistically significant relationship, with α=0.005. The data is also processed using mapping on each variable to get a visualization of the relationship between the main variable and the predictor variable. The results show that there is a significant relationship between the number of TB cases of children with the number of PHBS households with a moderate correlation in both 2017 and 2018. Spatially, the coverage of the BCG immunization, the number of healthy homes and the number of PHBS household did not show an influence on the number of TB cases in children in Central Java Province. It is recommended to prioritize the coverage of BCG immnuzation, monitoring healthy house and the application of PHBS to the community, especially in the central and eastern regions of Central Java Province.
The main strategy of World Health Organization (WHO) in the prevention and control of malaria, namely through case management that includes the detection, diagnosis, management and treatment of cases. The detection of malaria cases or patients with microscopic confirmation by the health services including hospitals both private and public is one of the main activities carried out in malaria elimination efforts. The purpose of this study was to determine the picture of malaria patients in Siti Aisyah and dr. Sobirin hospitals in 2016. Data collection with peripheral blood sampling and interviews using questionnaires with cross-sectional study design. The results of this research is the detection of 13 malaria Falciparum and Vivax patients from two hospitals ; two patients with malaria Falciparum and six with malaria Vivax in Siti Aisyah Hospital Lubuklinggau and five patients with malaria Falciparum in dr.Sobirin hospital Musi Rawas. The type of treatment of malaria which has been received by the respondents were with chloroquin, primaquine and sulfadoxine-pyrimethamine and also sulfadoxine-pyrimethamine, each was six percents.
Tanjung Jabung Timur Regency conducted Mass Drug Prevention (POPM) Filariasis for five consecutive years (2012 up to 2016). The results of the evaluation of the prevalence of microfilaria in the third year (2014) indicated POPM Mf rate in the Regency Tanjung Jabung Timur of 0.83%. Activities conducted after implementation of the POPM filariasis fifth-year evaluation survey was the survey of filariasis transmission. The purpose of this survey was to detect filarial worms in the community, assessed filarial numbers (Microfilaria rate/Mf rate) in the study area, identified the characteristics of the research subjects (age, sex, education, occupation, history of recurrent fever) and identified treatment history and behavior in society. Survey conducted in Nibung Putih Village and Rantau Karya Village in July 2017. Site selection was conducted by the Tanjung Jabung Timur District Health Office based on the results of research conducted in 2014 and villages bordering filariasis endemic villages. The activities conducted were blood finger examination and interview to the respondent which was done from 20.00 until 00.00. Samples collected were 602 individuals. The collected blood specimen was then stained using Giemsa 5% for 30 minutes then read under a microscope to determine the species of filarial worm found. The survey results obtained two new filariasis sufferers in Nibung Putih Village, with Brugia malayi species. The Mf rate in East Tanjung Jabung Regency is 0.33 percent or less than 1%. The results of the pre-TAS previously in the same year obtained a Mf rate in Tanjung Jabung Timur District of 0.82%. with a Mf rate of 1.29% in sentinel villages. Based on the two survey results, it shows that there is still a high risk of filariasis transmission, then POPM is continued for at least 2 years in succession (6th and 7th POPM filariasis). The administration of drugs to positive patients is in accordance with the treatment procedure and increases the coverage of treatment in the 6th and 7th years, namely to supervise taking medication by ensuring the drug is taken directly in front of the health worker or cadre. A B S T R A C T / A B S T R A KKata kunci: Evaluasi; Filariasis; mikrofilaria rate; Tanjung Jabung Timur;Kabupaten Tanjung Jabung Timur telah melaksanakan kegiatan pemberian obat pencegahan massal (POPM) filariasis selama lima tahun berturut-turut (2012)(2013)(2014)(2015)(2016). Hasil evaluasi prevalensi mikrofilaria pada tahun ketiga POPM (2014) menunjukkan mikrofilaria rate (Mf rate) di Kabupaten Tanjung Jabung Timur sebesar 0,83%. Kegiatan yang dilakukan setelah pelaksanaan POPM filariasis tahun kelima adalah survei evaluasi penularan filariasis. Tujuan survei ini adalah untuk mendeteksi cacing filaria pada masyarakat, menilai angka filaria (Microfilaria rate/Mf rate) di daerah penelitian, identifikasi karakteristik subyek penelitian (umur, jenis kelamin, pendidikan, pekerjaan, riwayat demam berulang) serta identifikasi riwayat pengobatan dan perilaku pada masyarakat. Survei dilakukan di Desa Nibung Putih da...
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