Program pencegahan dan pemberantasan demam berdarah dengue (DBD) telah berlangsung sekitar 43 tahun dan berhasil menurunkan angka kema- tian dari 41,3% pada tahun 1968 menjadi 0,87% pada tahun 2010, tetapi belum berhasil menurunkan angka kesakitan. Bahkan, Indonesia men- duduki urutan tertinggi kasus DBD di Association of Southeast Asian Nations (ASEAN) pada tahun 2010. Salah satu faktor belum efektifnya pencegahan DBD di Indonesia adalah masih lemahnya sistem kewas- padaan dini. Peran juru pantau jentik (jumantik) sangat penting dalam sistem kewaspadaan dini mewabahnya DBD karena berfungsi untuk memantau keberadaan dan menghambat perkembangan awal dari vektor penular DBD. Seiring masih tingginya angka kasus DBD di Indonesia, muncul pertanyaan bagaimana peran jumantik dalam sistem kewaspadaan dini DBD selama ini di Indonesia. Artikel ini mencoba menelaah masalah tersebut berdasarkan tinjauan pustaka. Secara umum, peran jumantik dinilai cukup berhasil dalam pencegahan DBD, namun terdapat beberapa hal yang perlu menjadi bahan evaluasi.Kata kunci: Jumantik, demam berdarah dengue, sistem kewaspadaan diniAbstractPrograms of prevention and eradication of dengue hemorrhagic fever (DHF) has been around 43 years and managed to reduce mortality from 41,3% in 1968 to 0,87% in 2010, but has not managed to reduce morbidity. Indonesia even ranked the highest of dengue cases in Association of Southeast Asian Nations (ASEAN) by the year 2010. One factorthat made has not been effective dengue prevention in Indonesia is the early warning system is still weak. Jumantik role is very important in the early warning system outbreaks of dengue hemorrhagic fever because it serves to monitor the presence andinhibit the early development of vector-borne dengue fever. During the high number of dengue cases in Indonesia, question rouses how jumantik role in the dengue hemorrhagic fever early warning system so far in Indonesia. This article takes a closer look based on a literature review. In general, the role of jumantik considered quite successful in preventing dengue hemorrhagic fever early warning system but nevertheless there are things that need to be evaluated.Key words: Jumantik, dengue hemorrhagic fever, early warning system

The effectiveness of insecticide-treated nets are believed to reduce the prevalence of malaria is influenced by the behavior of people in their use , such as how to install and wash , in addition to duration of use . People's behavior can be different in each region with respect to culture , culture and ethnicity / ethnicity as a predisposing factor . The purpose of this study is to describe the behavior of people in the use of insecticide-treated nets ( LLINs ), such as the acceptance, use, washing and participation in the care of LLINs (program preservation).The study design was observational cross-sectional design. The instrument of this research is questionnaire and observation guidance of mosquito net. Samples are people with insecticide-treated nets in Lebak regency (Banten) were 81 respondents . Data were analyzed by descriptive.  The results showed the level of knowledge about the use of mosquito nets in the category of " enough " (70,4 %) , with the majority being " support " the use of mosquito nets (65,4 %), and the practise of the use of mosquito nets were classified as " good " (58 %). The results also show the observation nets most respondents installing netting around the bed either owned or partially owned the bed.nowledge of the use of mosquito nets is not maximal and in the use of insecticide treated nets LLINs in a small number of respondents complained of heat and stifling, so it is necessary to evaluate the benefits of socialization activities and how to install and care of insecticide treated nets LLINs that have been done.

Tembalang Subdistrict is still ranked as the first highest IR Dengue in Semarang City in 2014-2016. Incidence rate of dengue in Tembalang Sub District in 2016 was Dengue hemorrhagic fever (DHF) IR 166.89/100,000 population with Case Fatality Rate (CFR) 1.02%. The Semarang City Government has implemented PERDA No.5 of 2010 concerning DHF control with the establishment of special larvae monitoring officers namely Semantik (Semarang Bebas Jentik) and Gasurkes (Health Surveillance Officer) to conduct routine larval monitoring and socialize PSN-3M Plus. However, dengue cases in Tembalang District continue to exist.The purpose of the study was to identify behavioral factors related to monitoring larva presence in Tembalang District, Semarang City. This study is based on the cross sectional method, with quota sampling was used to recruit 100 respondents. The criteria for the case were the latest DHF cases recorded in the Semarang City Health Office Data (January to September 2017). Samples were taken in quota with 100 respondents. Data were analyzed by analytic descriptive using chi-square analysis and odds ratio. The results showed behavioral factors to monitor larvae routinely related to the results of larvae examination (p <0,05) with risk factors OR = 5,02 and form observations obtained ABJ in Tembalang District by 89% in 2017. This needs additional attention in the larva monitoring procedure by Semantics and Gasurkes. The more complete the quality of the larvae examination, the existence of larvae can be eradicated, so that the incidence of DHF can be prevented

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Central Java Province is one of the provinces with considerable dengue cases in Indonesia. One of the strategic efforts that have been implemented is controlling mosquitoes with fogging and larviciding with temephos at water reservoirs. However, cases remain increase or outbreaks occur in several districts/cities. The study was conducted to determine the causes of the high dengue fever cases in Central Java Province as to improve the implementation of such programs. Data related to the implementation of vector control were collected from various sources. The results showed that the PSN program in several districts did not optimally run because the community did not routinely do it. Larviciding with temephos was only carried out in the event of outbreaks and in the endemic areas. Fogging, which should be implemented in two cycles, was generally implemented only in one cycle due to limited insecticides availability and wide area coverage. It can be concluded that the high dengue fever cases in Central Java Province was caused by the gap between the program and the implementation in the field. ABSTRAKProvinsi Jawa Tengah merupakan salah satu provinsi yang menyumbang kasus demam berdarah dengue (DBD) cukup besar di Indonesia. Salah satu upaya strategis yang telah dilakukan adalah mengendalikan nyamuk dengan pengasapan dan larvasidasi dengan temephos pada Tempat Penampungan Air (TPA). Upaya tersebut belum memberikan hasil yang optimal karena masih terjadi peningkatan kasus atau Kejadian Luar Biasa (KLB) di beberapa kabupaten/kota. Kajian secara deskriptif dilakukan untuk mendapatkan gambaran permasalahan tingginya kasus DBD di Provinsi Jawa Tengah dalam rangka perbaikan dan pengembangan kebijakan pengendalian vektor DBD. Data dan informasi yang dikumpulkan berupa dokumen yang meliputi pelaksanaan pemberantasan sarang nyamuk (PSN), larvasidasi yang dilakukan, fogging, dan data lain yang berkaitan dengan pengendalian vektor. Hasil kajian menunjukkan bahwa program PSN tidak berjalan optimal di beberapa kabupaten di Jawa Tengah karena masyarakat tidak melakukannya secara rutin. Larvasidasi dengan temephos hanya dilakukan pada saat terjadi KLB dan hanya di daerah endemis DBD. Fogging pada umumnya dilakukan hanya dalam satu siklus kehidupan vektor, yang mana seharusnya dilakukan dalam dua siklus. Hal ini disebabkan karena keterbatasan insektisida dan cakupan wilayah cukup luas. Dapat disimpulkan bahwa tingginya DBD di Provinsi Jawa Tengah disebabkan adanya kesenjangan antara program yang telah dicanangkan dengan implementasi di lapangan. Kata kunci: Vektor DBD, larvasidasi, pengasapan PENDAHULUAN Demam Berdarah Dengue (DBD) pada awalnya hanya ditemukan di beberapa provinsi, namun saat ini sudah ditemukan hampir di seluruh provinsi di Indonesia. Sejak tahun 1968 hingga 2015, jumlah kabupaten/kota yang terjangkit meningkat signifikan dari dua kabupaten/kota dari dua provinsi menjadi 436 kabupaten/kota dari 34 provinsi. Jumlah kasus DBD cenderung fluktuatif (Kementrian Kesehatan RI 2016). Kejadian luar biasa (KLB) DBD pada tah...