Analisis Spatial Malaria di Ekosistem Perbukitan Menoreh: Studi Kasus Malaria Bulan Septmeber-Desember 2015

Dwi Sarwani Sri Rejeki, Elsa Herdiana Murhandarwati, Hari Kusnanto

Abstract


Background: Malaria is still becoming a public health problem in Indonesia. Menoreh Hills shows as one of the areas with endemic malaria in Java Island which has not been able to achieve the elimination target by 2015. Menoreh Hills is a cross-border administrative area, Central Java Province and Yogyakarta Special Region Province which has its own authority in financial management and budget allocation for malaria control. Furthermore, spatial analysis is very beneficial in controlling malaria, presenting geographic distribution of the disease, testing whether malaria is randomly distributed, evaluating the statistical significance of the disease cluster and showing as an early detection of outbreaks. Method: It applied an observational study with cross sectional spatial analysis design to observe the spreading, grouping pattern and the correlation between house distance to mosquito breeding and population density. The samples collected were 138 malaria cases and 138 controls. It required measurement of the coordinates to the house with GPS, identified breeding spots for mosquitoes around the house and collected the date data of malaria diagnosed in District Health Services. The location of the study covered 3 sub-districts as Malaria endemic areas namely Kaligesing, Bagelen and Kokap Sub-districs. Analysis of the data was conducted through ArcGIS, SaTScan dan Geoda softwares. Results: The malaria spreading in September-December 2015 was dominated in Kaligesing Sub-district of Purworejo Regency. Malaria cases were more common in areas with low density of population. The buffering analysis discovered that malaria patients were living near to the mosquito breeding (river, springs, and puddle). It was identified that there was 1 primary cluster and 2 secondary clusters which covered 3 districts at research location. Conclusion: The results of spatial analysis present that there is an incident of local malaria transmission in Menoreh hills. It requires an integrated malaria control program in Menoreh hills.

Keywords


malaria; spatial; menoreh hills

Full Text:

PDF

References


Graves PM, Richards FO, Ngondi J, Emerson PM, Shargie EB, Endeshaw T, et al. Individual, household and environmental risk factors for malaria infection in Amhara, Oromia and SNNP regions of Ethiopia. Trans R Soc Trop Med Hyg.

Guthmann, Hall, Jaffar, A. Palacios JL and L. Environmental risk factors for clinical malaria : a case-control study in The Grou Region of Peru. Vol. 95, Transactions of the Royal Society of Tropical Medicine and Hygiene. 2001. p. 577–83.

Handayani L, Pebrorizal, Soeyoko. Faktor risiko penularan malaria vivak. Ber Kedokt Masy. 2008;24(1):38–43.

Rejeki DSS, Nurhayati N, Aji B, Murhandarwati EEH, Kusnanto H. A time series analysis: Weather factors, human migration and malaria cases in endemic area of Purworejo, Indonesia, 2005-2014. Iran J Public Health. 2018;47(4):499–509.

Sopi IIPB. Beberapa aspek perilaku Anopheles sundaicus di Desa Konda Maloba Kecamatan Katikutana Selatan Kabupaten Sumba Tengah. Aspirator. 2014;6(September):63–72.

Carter R, Mendis KNN, Roberts D. Spatial targeting of interventions against malaria. Bull World Health Organ [Internet]. 2000;78(12):1401–11.

Supriyanto, Nurhayati N, Rejeki DSS. Analysis of Malaria Incidence in Banyumas Using Spatio-Temporal Approach. Kemas. 2017;13(1):1–6.

Widiarti, Heriyanto B, Widyastuti U. Analisis Pada Kejadian Luar Biasa (KLB) Malaria di Desa Panusupan Kecamatan Rembang dan Desa Sidareja Kecamatan Kaligondang Kabupaten Purbalingga. Media Litbang Kesehat. 2014;24(4):169–80.

Lestari EW, Sukowati S, Soekidjo, Wigati. Vektor Malaria Di Daerah Bukit Menoreh, Purworejo, Jawa Tengah. Media Litbang Kesehat [Internet]. 2007;XVII:30–5.

Murhandarwati EEH, Fuad A, Sulistyawati, Wijayanti MA, Bia MB, Widartono BS, et al. Change of strategy is required for malaria elimination: a case study in Purworejo District, Central Java Province, Indonesia. Malar J [Internet]. 2015;14(1):318.

Solikhah. Pola penyebaran penyakit malaria di Kecamatan Kokap Kabupaten Kulonprogo. Bul Penelit Kesehat. 2012;15; 3(274):213–22.

Hanandita W, Tampubolon G. Geography and social distribution of malaria in Indonesian Papua: a cross-sectional study. Int J Health Geogr [Internet]. 2016;15(1):13.

Rosas-Aguirre A, Ponce OJ, Carrasco-Escobar G, Speybroeck N, Contreras-Mancilla J, Gamboa D, et al. Plasmodium vivax malaria at households: spatial clustering and risk factors in a low endemicity urban area of the northwestern Peruvian coast. Malar J.

Staedke SG, Nottingham EW, Cox J, Kamya MR, Rosenthal PJ, Dorsey G. Short report: proximity to mosquito breeding sites as a risk factor for clinical malaria episodes in an urban cohort of Ugandan children. Am J Trop Med Hyg. 2003;69(3):244–6.

Protopopoff N, Van Bortel W, Speybroeck N, Van Geertruyden JP, Baza D, D’Alessandro U, et al. Ranking malaria risk factors to guide malaria control efforts in African highlands. PLoS One. 2009;4(11):1–10.

Clark TD, Greenhouse B, Njama-Meya D, Nzarubara B, Maiteki-Sebuguzi C, Staedke SG, et al. Factors determining the heterogeneity of malaria incidence in children in Kampala, Uganda. J Infect Dis.

Susanna D. Dinamika Penularan Malaria. Jakarta: UI-Press; 2010.

Achmadi umar F, Hasyim H. Manajemen Penyakit Lingkungan Berbasis Wilayah. J Manaj Pelayanan Kesehat. 2008;11(2):72–6.

Rejeki DSS, Nurlaela S, Octaviana D, Kusnanto H, Murhandarwati EH. Malaria community health workers eliminating malaria in Banyumas regency. Kemas. 2016;12(1):90–9.

Qi Q, Guerra CA, Moyes CL, Elyazar IR, Gething PW, Hay SI, et al. The effects of urbanization on global Plasmodium vivax malaria transmission. Malar J [Internet]. 2012;11:403.

Rejeki DSS, Sari RA, Nurhayati N. Annual Parasite Incidence Malaria di Kabupaten Banyumas. Kesmas (Jurnal Kesehat Masy Nasional). 2014;9(2):137–43.

Haque U, Sunahara T, Hashizume M, Shields T, Yamamoto T, Haque R, et al. Malaria prevalence, risk factors and spatial distribution in a hilly forest area of Bangladesh. PLoS One. 2011;6(4):e18908.

Sulistyawati. Statistik Spasial Kepadatan Penduduk terhadap Kejadian Malaria di Kabupaten Purworejo Menggunakan GIS. J Kesmas UAD. 2007;6(1):162–232.




DOI: http://dx.doi.org/10.12928/kesmas.v12i2.10828

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Kes Mas: Jurnal Fakultas Kesehatan Masyarakat 
ISSN 2620-2999 (online) | 1978-0575 (print)
Universitas Ahmad Dahlan
Kampus III UAD
Jln. Prof. Soepomo, Janturan
Yogyakarta 55164, Indonesia
Email: ph@uad.ac.id or kesmas@journal.uad.ac.id

This work is licensed under a Creative Commons Attribution 4.0 International License

View KesMas Stats