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Malaria Risk Factors in Kaligesing, Purworejo District, Central Java Province, Indonesia: A Case-control Study

  • Received : 2018.02.06
  • Accepted : 2018.05.16
  • Published : 2018.05.31

Abstract

Objectives: Malaria remains a public health concern worldwide, including Indonesia. Purworejo is a district in which endemic of malaria, they have re-setup to entering malaria elimination in 2021. Accordingly, actions must be taken to accelerate and guaranty that the goal will reach based on an understanding of the risk factors for malaria. Thus, we analysed malaria risk factors based on human and housing conditions in Kaligesing, Purworejo, Indonesia. Methods: A case-control study was carried out in Kaligesing subdistrict, Purworejo, Indonesia in July to August 2017. A structured questionnaire and checklist were used to collect data from 96 participants, who consisted of 48 controls and 48 cases. Univariate, bivariate, and multivariate analyses were performed. Results: Bivariate analysis found that education level, the presence of a cattle cage within 100 m of the house, not sleeping under a bednet the previous night, and not closing the doors and windows from 6 p.m. to 5 a.m. were significantly ($p{\leq}0.25$) associated with malaria. Of these factors, only not sleeping under a bednet the previous night and not closing the doors and windows from 6 p.m. to 5 a.m. were significantly associated with malaria. Conclusions: The findings of this study demonstrate that potential risk factor for Malaria should be paid of attention all the time, particularly for an area which is targeting Malaria elimination.

Keywords

References

  1. World Health Organization. Malaria; 2018 [cited 2018 Feb 4]. Available from: http://www.who.int/mediacentre/factsheets/fs094/en/.
  2. Ministry of Health of Republic Indonesia. The fact of successful malaria control; 2016 [cited 2018 Feb 5]. Available from: http://www.depkes.go.id/article/print/16050200003/inilahfakta-keberhasilan-pengendalian-malaria.html (Indonesian).
  3. Antara. Malaria remains endemic in Indonesia. Tempo Co; 2017 May 18 [cited 2018 Feb 5]. Available from: https://en.tempo.co/read/news/2017/05/18/310876377/Malaria-Remains-Endemic-in-Indonesia .
  4. Pemerintah Kabupaten Purworejo. Purworejo ditarget eliminasi malaria; 2017 [cited 2018 May 28]. Available from: http://purworejokab.go.id/weblama/news/seputar-kesehatan/ 4022--purworejo-ditarget-eliminasi-malaria- (Indonesian).
  5. Centers for Disease Control and Prevention. Principles of epidemiology in public health practice, third edition an introduction to applied epidemiology and biostatistics; 2012 [cited 2018 Feb 5]. Available from: https://www.cdc.gov/ophss/csels/dsepd/ss1978/lesson1/section8.html.
  6. Brachman PS. Epidemiology. In: Baron S, editor. Medical microbiology. 4th ed. Galveston: University of Texas Medical Branch at Galveston; 1996, Chapter 9.
  7. Centers for Disease Control and Prevention. Malaria parasites; 2016 [cited 2018 Feb 5]. Available from: https://www.cdc.gov/malaria/about/biology/parasites.html.
  8. Churcher TS, Sinden RE, Edwards NJ, Poulton ID, Rampling TW, Brock PM, et al. Probability of transmission of malaria from mosquito to human is regulated by mosquito parasite density in naive and vaccinated hosts. PLoS Pathog 2017;13(1): e1006108. https://doi.org/10.1371/journal.ppat.1006108
  9. Paaijmans KP, Blanford S, Bell AS, Blanford JI, Read AF, Thomas MB. Influence of climate on malaria transmission depends on daily temperature variation. Proc Natl Acad Sci U S A 2010; 107(34):15135-15139. https://doi.org/10.1073/pnas.1006422107
  10. Animut A, Balkew M, Lindtjorn B. Impact of housing condition on indoor-biting and indoor-resting Anopheles arabiensis density in a highland area, central Ethiopia. Malar J 2013; 12:393. https://doi.org/10.1186/1475-2875-12-393
  11. Cottrell G, Kouwaye B, Pierrat C, le Port A, Bouraima A, Fonton N, et al. Modeling the influence of local environmental factors on malaria transmission in Benin and its implications for cohort study. PLoS One 2012;7(1):e28812. https://doi.org/10.1371/journal.pone.0028812
  12. Murhandarwati EE, 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 2015;14:318. https://doi.org/10.1186/s12936-015-0828-7
  13. Bia MB, Murhandarwati EE, Lobo NF, Hawley WA, Supargiyono. Evaluation of artemisinin-based combination therapy (ACT) to uncomplicated falciparum malaria patients in Purworejo District, Central Java, Indonesia. J Med Sci 2016;48(1): 45-57.
  14. Supargiyono S, Bretscher MT, Wijayanti MA, Sutanto I, Nugraheni D, Rozqie R, et al. Seasonal changes in the antibody responses against Plasmodium falciparum merozoite surface antigens in areas of differing malaria endemicity in Indonesia. Malar J 2013;12:444. https://doi.org/10.1186/1475-2875-12-444
  15. Harmendo H, Wahyuningsih NE, Raharjo M. The risk factor of malaria incidence in the working area of public health center of Kenanga Sungailiat District, Bangka Regency, Province of Bangka Belitung. J Kesehat Lingkung Indones 2009;8(1):15-19 (Indonesian).
  16. Marwoto HA, Sulaksono ST. Malaria di Purworejo. Media Health Res Dev 2004;14(1):28-36 (Indonesian).
  17. Sinka ME, Bangs MJ, Manguin S, Chareonviriyaphap T, Patil AP, Temperley WH, et al. The dominant Anopheles vectors of human malaria in the Asia-Pacific region: occurrence data, distribution maps and bionomic precis. Parasit Vectors 2011;4:89. https://doi.org/10.1186/1756-3305-4-89
  18. Barcus MJ, Laihad F, Sururi M, Sismadi P, Marwoto H, Bangs MJ, et al. Epidemic malaria in the Menoreh Hills of Central Java. Am J Trop Med Hyg 2002;66(3):287-292. https://doi.org/10.4269/ajtmh.2002.66.287
  19. Okebe J, Mwesigwa J, Kama EL, Ceesay SJ, Njie F, Correa S, et al. A comparative case control study of the determinants of clinical malaria in The Gambia. Malar J 2014;13:306. https://doi.org/10.1186/1475-2875-13-306
  20. Santjaka A. Malaria pendekatan model kausalitas. Yogyakarta: Nuha Medika; 2013, p. 13-15, 36, 78-79 (Indonesian).
  21. Leslie TE, Carson M, Coeverden EV, De Klein K, Braks M, Krumeich A. An analysis of community perceptions of mosquito-borne disease control and prevention in Sint Eustatius, Caribbean Netherlands. Glob Health Action 2017;10(1):1350394. https://doi.org/10.1080/16549716.2017.1350394

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