Mosquito density could predict the risk of Dengue Virus (DENV) transmission in certain area. Ovitrap Index (OI) is one of the methods to measure the mosquito density beside other methods such as Stegomyia Indices and free larvae index. Ovitrap index is cheaper, more appliacable and sensitive to detect Aedes sp activity to lay their eggs on the wall of container. The aims of this research were to measure ovitrap index in endemic DENV areas, to find out the preferences of female Aedes sp to lay their eggs, and find out the correlation between OI and dengue cases in endemic DENV areas. Type of this study was decriptive with cross sectional design. The area of study was in Community Health center Purwokerto Timur II in Kranji, Sokanegara and Purwokerto Lor. Ovitrap were installed at 50 houses of each vilagges (one indoor, one outdoor), with total ovitrap 100 in each villages. After 6 days of installation, ovistrips were collected and the eggs were counted. The Ovitrap index in three villages were observed at percentage more than 50%, with the highest OI detected in Kranji Village (97.56%). Female Aedes sp were monitored to lay their eggs outdoor than indoor. The OI is not always relevant to predict the dengue cases but could inform the risk of DENV tranmission in certain area. The community should do efforts to minimize potential breeding sites, mainly unused container outdoor to reduce the mosquito density.

ABSTRAKKehamilan dengan anemia menyebabkan infeksi dan pendarahan, merupakan faktor utama kematian ibu. Pada tahun 2013, kabupaten Jawa Tengah mencatat peringkat 3 dari 35 dictricts, dengan tingkat 126 per 100.000 kelahiran hidup. Kasus anemia pada wanita hamil di Banyumas tercatat 68,99%, lebih tinggi dari angka nasional. Banyumas melakukan konseling anemia pada ibu hamil dengan menggunakan selebaran namun tidak efektif. Media dan materi promosi kesehatan berdasarkan konteks lokal masih terbatas. Kemampuan tenaga kesehatan masih berdasarkan kegiatan penyuluhan dengan ceramah, kompetensi promosi kesehatan audio visual masih terbatas. Penelitian ini bertujuan untuk mengetahui efektivitas pelatihan media audio visual terhadap anemia pada ibu hamil untuk meningkatkan kompetensi (pengetahuan dan keterampilan) petugas kesehatan di Banyumas. Penelitian ini merupakan rancangan eksperimen quasy-eksperimental dengan metode time series. Populasi adalah 58 pendidik kesehatan di Banyumas dan dipilih 33 sampel secara purposive. Data dikumpulkan dengan kuesioner untuk pengetahuan, dan digunakan daftar periksa untuk pengamatan keterampilan. Untuk menganalisis normalitas data, saya menggunakan Shapiro Wilk, dan menggunakan Wilcoxon untuk menganalisis perbedaan data. Ada perbedaan pengetahuan dan keterampilan yang signifikan pada pretest dan posttest I, namun tidak ada perbedaan yang signifikan pada posttest 1 dan posttest II. Pelatihan anemia terkait media audio visual pada ibu hamil meningkatkan kompetensi petugas kesehatan di Kabupaten Banyumas. Kata kunci: Pelatihan media audio visual, pengetahuan, ketrampilan, wanita hamil ABSTRACT Pregnant suffers anemia can lead to infection and bleeding, which is a major factor in maternal mortality. In 2013 Central Java district recorded 3rd rank of 35 dictricts, at rate 126 per 100,000 live births. Cases of anemia in pregnant women in Banyumas accounted as 68.99%, higher than the national number. Banyumas did anemia counseling in pregnant mothers using leaflets, but did not effective. Health promotion media and materials based on local context are still limited. The ability of health workers are still based on extension activities with lectures, competency to make audio-visual health promotion is still limited. This study aimed to determine the effectiveness of audio-visual media training related anemia in pregnant women to increase the competence (knowledge and skills) of health workers in Banyumas. The study was quasyexperimental design with time series method. Population were 58 health educators in Banyumas and it was selected 33 sample by purposively.

ABSTRAKKepadatan nyamuk bisa memprediksi risiko transmisi Dengue Virus (DENV) di daerah tertentu. Ovitrap Index (OI) adalah salah satu metode untuk mengukur kepadatan nyamuk disamping metode lain seperti Indeks Stegomyia dan indeks larva bebas. Indeks ovitrap lebih murah, lebih appliacable dan sensitif untuk mendeteksi aktivitas Aedes sp untuk bertelur di dinding kontainer. Tujuan penelitian ini untuk mengukur indeks ovitrap di daerah DENV endemik, mengetahui preferensi betina Aedes sp untuk bertelur, dan mengetahui hubungan antara kasus OI dan kasus demam berdarah di daerah DENV endemik. Jenis penelitian ini deskriptif dengan desain cross sectional. Wilayah studi di Puskesmas Purwokerto Timur II di Kranji, Sokanegara dan Purwokerto Lor. Ovitrap dipasang di 50 rumah dari masing-masing desa, dengan total ovitrap 100 di setiap desa. Setelah 6 hari pemasangan, ovistrips dikumpulkan dan telur dihitung. Indeks ovitrap di tiga desa diamati pada persentase lebih dari 50%, dengan OI tertinggi terdeteksi di Desa Kranji (97,56%). Wanita Aedes sp dipantau untuk bertelur di luar ruangan daripada di dalam ruangan. OI tidak selalu relevan untuk memprediksi kasus demam berdarah tetapi dapat menginformasikan risiko penyimpangan DENV di daerah tertentu. Masyarakat harus melakukan upaya untuk meminimalkan potensi tempat berkembang biak, terutama wadah yang tidak digunakan di luar ruangan untuk mengurangi kepadatan nyamuk. Kata kunci : Ovitrap, Demam Berdarah, Kepadatan Nyamuk ABSTRACTMosquito density could predict the risk of Dengue Virus (DENV) transmission in certain area. Ovitrap Index (OI) is one of the methods to measure the mosquito density beside other methods such as Stegomyia Indices and free larvae index. Ovitrap index is cheaper, more appliacable and sensitive to detect Aedes sp activity to lay their eggs on the wall of container. The aims of this research were to measure ovitrap index in endemic DENV areas, to find out the preferences of female Aedes sp to lay their eggs, and find out the correlation between OI and dengue cases in endemic DENV areas. Type of this study was decriptive with cross sectional design. The area of study was in Community Health center Purwokerto Timur II in Kranji, Sokanegara and Purwokerto Lor. Ovitrap were installed at 50 houses of each vilagges (one indoor, one outdoor), with total ovitrap 100 in each villages. After 6 days of installation, ovistrips were collected and the eggs were counted. The Ovitrap index in three villages were observed at percentage more than 50%, with the highest OI detected in Kranji Village (97.56%). Female Aedes sp were monitored to lay their eggs outdoor than indoor. The OI is not always relevant to predict the dengue cases but could inform the risk of DENV tranmission in certain area. The community should do efforts to minimize potential breeding sites, mainly unused container outdoor to reduce the mosquito density.

Pregnant suffers anemia can lead to infection and bleeding, which is a major factor in maternal mortality. In 2013 Central Java district recorded 3rd rank of 35 dictricts, at rate 126 per 100,000 live births. Cases of anemia in pregnant women in Banyumas accounted as 68.99%, higher than the national number. Banyumas did anemia counseling in pregnant mothers using leaflets, but did not effective. Health promotion media and materials based on local context are still limited. The ability of health workers are still based on extension activities with lectures, competency to make audio-visual health promotion is still limited. This study aimed to determine the effectiveness of audio-visual media training related anemia in pregnant women to increase the competence (knowledge and skills) of health workers in Banyumas.The study was quasy-experimental design with time series method. Population were 58 health educators in Banyumas and it was selected 33 sample by purposively. Data were collected by questionnaires for knowledge, and it was used checklist for observation the skills. For analyze the data�s normality I usedShapiro Wilk, and it used Wilcoxonto analyze the data�s difference.There was a significant difference of knowledge and skills at pretest and posttest I, but there was no significant difference on the posttest 1 and posttest II. Training of audio-visual media-related anemia in pregnant mothers increased the competence of health workers in Banyumas District.

Background: Promptly treatment is essential for filariasis patients to reduce permanent disability. Preliminary study of several filariasis patients with swollen leg in Wonosobo regency indicated as delay access to promt treatment which increase the risks of transmision as well as worsen patient’s condition. The purpose of this study was to explore health-seeking behaviour and self-care of patient in Wonosobo regency.Method: This study employs qualitative research using phenomenology approach. Five informants were selected by using criteria as patients with clinically symptomatic swelling leg and willing to participate to this study. The supporting informants were selected to family members and health workers who handle filariasis treatment. All data were analyzed by using content analysis.Results: Most filariasis patients were categorized as low income and having limited knowledge of the disease. They believed that the disease caused by curse so that medical treatment will not cure it and they have desperate with the illness. Psychosocial burden caused them feel anxiety even afraid to be outcasted. Their current condition mostly swollen legs with or without complications and the disease interferes their activity as very painful disease. Although the treatment will reduce pain, but it was only temporary, so that the patients felt that the treatment will be useless. The health seeking behaviour indicated that all patients experienced delay in accessing medical treatment, they tried to find other alternative treatment such as traditional treatment. Most patients have not yet performed good self-care as recommended by health workers. In addition, information and socialization about filariasis to patients, families and communities are limited because it has not been as priority program of health center. Health education program should be conducted to improve positive behavior of community regarding the prevention, early detection, prompt treatment and self-care of the disease.