Filariasis program in Indonesia is carried out through two main strategies, namely breaking the chain of transmission with mass drug administration in endemic areas and clinical case management. This research was aimed to assess the implementation of administration of filariasis preventive drugs in Mbilur Pangadu village, Central Sumba Regency. Mass drug administration in Central Sumba is the first program that has been carried out and has not been evaluated yet. The study was conducted with a descriptive survey method of Mbilur Pangadu Village population aged ≥ 13 years. The results showed that the majority of respondents who did not receive the drug were in all age groups (> 50%), sex male (64.7%), lack of knowledge about filariasis (85.8%) and distance of treatment posts difficult to reach (65.4%). Most respondents with high or low knowledge did not receive drugs (>50%), but they received the program well. Health activities have an impact of drug acceptance, which is 95.6%. The method of distribution and side effects of treatment does not affect the behavior of taking medication. Guidelines for the implementation of mass treatment must be known and can be carried out by all health workers to achieve the expected target. AbstrakProgram filariasis di Indonesia dilakukan melalui dua strategi utama, yaitu memutuskan rantai penularan dengan pemberian obat massal di daerah endemis dan penatalaksanaan kasus klinis. Tujuan penelitian ini adalah untuk menilai pelaksanaan pemberian obat massal pencegah filariasis di Desa Mbilur Pangadu Kabupaten Sumba Tengah. Pemberian obat massal di Sumba Tengah adalah program yang pertama kali dilakukan dan belum pernah dievaluasi. Penelitian dilakukan dengan metode survei deskriptif pada seluruh penduduk Desa Mbilur Pangadu yang berumur ≥13 tahun. Hasil penelitian menunjukkan bahwa sebagian besar responden yang tidak menerima obat berada pada semua kelompok umur (> 50%), berjenis kelamin laki-laki (64,7%), pengetahuan kurang tentang filariasis (85,8%) dan jarak pos pengobatan sulit dijangkau (65,4%). Sebagian besar responden dengan pengetahuan tinggi maupun rendah tidak menerima obat (>50%), namun mereka menerima program dengan baik. Keaktifan petugas kesehatan sangat berdampak terhadap penerimaan obat yaitu 95,6%. Cara pendistribusian dan efek samping pengobatan tidak berdampak pada perilaku minum obat. Pedoman pelaksanaan pengobatan massal harus diketahui dan bisa dilaksanakan oleh seluruh petugas kesehatan agar mencapai terget yang diharapkan.
Abstract Incidence Rate (IR) of Dengue fever in east and southwest Sumba district in 2015 amounted to 10.7‰ and 12.95‰ respectively. The phenomenon which is often found during this time is the transovarial transmission of the dengue virus in Ae. aegypti mosquitoes. The purpose of this research was to determine the presence of viral infections in Ae. aegypti mosquitoes through transovarial. It was a descriptive study with a cross-sectional design. The sample was an adult Ae. aegypti mosquito that is 8 to 10 days old. Dengue virus in mosquito body was checked by using immunocytochemical method Streptavidin Biotin Peroxidase Complex (ISBPC) at headsquash preparation. The resultshowed that the transovarial infection presence in male and female Ae. aegypti in East and Southwest Sumba District with Transovarial Infection Rate (TIR) in females and males ranging from 41.67%-41.92 and 25.00 – 50.00% respectively. The female and males mosquitoes TIR in East Sumba district were ranging from 20.00%-40.00% and 35.00%-40.00% respectively. East and Southwest Sumba districts are a high potential area for the transmission of dengue hemorrhagic fever with the presence of dengue virus in Ae. aegypti. Abstrak Incidence Rate (IR) Demam Berdarah Dengue di Kabupaten Sumba Barat Daya dan Kabupaten Sumba Timur pada tahun 2015 masing-masing sebesar 10,7‰ dan 12,95‰. Fenomena yang sering ditemukan selama ini adalah transmisi trans-ovari virus dengue pada nyamuk Ae. aegypti. Tujuan penelitian adalah untuk mengetahui adanya infeksi virus dengue pada nyamuk Ae. aegypti melalui trans-ovari. Penelitian ini merupakan studi deskriptif dengan desain potong lintang. Sampelnya adalah nyamuk Ae. aegypti dewasa yang telah berumur delapan sampai 10 hari. Pemeriksaan virus Dengue dalam tubuh nyamuk menggunakan metode Imunositokimia Streptavidin Biotin Peroxidase Complex (ISBPC) pada sediaan headsquash. Hasil penelitian infeksi virus dengue pada Ae. aegypti betina maupun jantan di Kabupaten Sumba Barat Daya menunjukkan adanya infeksi virus dengue melalui trans-ovari dengan Transovarial Infection Rate pada nyamuk betina berkisar antara 41,67% - 41,92, dan pada nyamuk jantan 25,00 – 50,00%. Transovarial Infection Rate di Kabupaten Sumba Timur pada nyamuk betina yang berkisar antara 20,00% - 40,00% dan pada nyamuk jantan 35,00% - 40,00%. Kesimpulannya Kabupaten Sumba Barat Daya dan kabupaten Sumba Timur merupakan daerah yang berpotensi untuk terjadinya penularan DBD dengan ditemukannya infeksi virus dengue pada nyamuk Ae. aegypti betina maupun jantan.
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