No abstract

The government targets malaria elimination in Java and Bali by 2023. But until 2020, Pangandaran and Pandeglang Regency haven’t received malaria-free certification. This qualitative study was conducted to provide an overview of Pangandaran and Pandeglang malaria control implementation by comparing it to Activity Indicators based on the Indonesian Minister of Health Decree on malaria elimination. In-depth interviews, using thematically interview guidelines, were conducted to 48 key informants such as policyholders and people in charge of health programs and cross-sectoral at the provincial, district, sub-district, and village levels. Thematic analysis was used in the theme of policy implementation, budget, facilities and infrastructures, human resources, and cross-sector cooperation. The result shows that malaria control is implemented according to the decree, but some activities haven’t been done. The analysis on policy implementation theme shows that both districts have carried out according to the guidelines, with innovation in the form of establishing Posmaldes (village malaria post) in Ujung Kulon National Park in Pandeglang. APBD, APBN, and Global Fund are used as budget sources. Both districts stated that facilities and infrastructures are sufficiently available, but there is a lack in human resources’ quantity and varying degrees of competencies. There is also a lack of cross-sector cooperation because malaria control hasn’t become a priority in those sectors and they are only acting as supports to the health sector. Efforts to control malaria are considered less optimal due to the absence of malaria elimination regulations, varied human resource capabilities, and the limitation in the duties and functions of cross-sectors.

Abstract. Japanese encephalitis is a mosquito-borne zoonotic disease that has pigs as the amplifying host. It is important to study the diversity of mosquito species around pig populations to determine the potential of Japanese encephalitis vectors in the region. This study is a cross-sectional study with a single sampling method for adult mosquitoes around pigpen in Tangerang Regency. The capture of adult mosquitoes is carried out by the outdoor resting mosquitoes collection at 18:00 - 24:00 using aspirators and light traps. Female mosquitoes were identified and subsequently tested RT-PCR for JEV. Catching results obtained 223 mosquitoes from the genus Culex, Armigeres, Aedes, Anopheles, and Mansonia with a total of 10 species. Species diversity in the pigpen area is classified as moderate (H = 1.0875 – 1.292) with Culex vishnui and Culex quinquefasciatus as the most abundant species. RT-PCR test found there’s no mosquito’s samples with positive JE RNA virus. Several species of mosquitoes found around pigpens in Tangerang District have the potential to become JEV vectors, so that control to the mosquito abundance and health of pigs is needed as a preventative measure.  Keywords: Diversity, Japanese encephalitis, pig, vector   Abstrak. Japanese encephalitis merupakan penyakit zoonosis yang ditularkan oleh nyamuk dan babi sebagai inang penguat. Studi keanekaragaman jenis nyamuk di sekitar populasi babi penting dilakukan untuk mengetahui potensi vektor Japanese encephalitis pada wilayah tersebut. Desain penelitian ini adalah potong lintang dengan metode sampling tunggal terhadap nyamuk dewasa sekitar kandang babi di Kabupaten Tangerang. Penangkapan nyamuk dewasa dilakukan dengan metode koleksi outdoor resting pada malam hari pukul 18.00 – 24.00 menggunakan aspirator dan perangkap cahaya. Nyamuk betina diidentifikasi  dan selanjutnya diuji RT-PCR virus JE. Hasil penangkapan didapatkan 700 ekor nyamuk dari genus Culex, Armigeres, Aedes, Anopheles, dan Mansonia dengan total 10 spesies. Keanekaragaman spesies pada seluruh wilayah penelitian tergolong sedang (H=1,0875 – 1,292) dengan Culex vishnui dan Culex quinquefasciatus sebagai spesies paling melimpah. Uji RT-PCR tidak menemukan adanya sampel nyamuk positif RNA virus JE. Beberapa spesies nyamuk yang ditemukan di sekitar kandang babi di Kecamatan Panongan memiliki potensi sebagai vektor JEV sehingga diperlukan pengendalian kepadatan nyamuk dan kesehatan ternak babi terhadap JEV sebagai upaya pencegahan.  Kata Kunci: Keanekaragaman, Japanese encephalitis, babi, vektor

No abstract

Dengue Hemorrhagic Fever (DHF) has spread across all districts/cities in Indonesia, including in Tasikmalaya City as an endemic area. We conducted a mixed-methods study to evaluate surveillance system for dengue hemorrhagic fever in Tasikmalaya City. Qualitative data collection with in-depth interviews and focus group discussions. This research was conducted in the Tasikmalaya City Health Office’s work area from April to November 2018. Surveillance data through the hospital’s early warning report to the Tasikmalaya City Health Office mostly reported more than 24 hours. Completeness of reporting from RSU Dr. Soekarjo was 65.96% and TMC Hospital was 92%. There was a significant relationship between the presence of larvae and dengue cases (p-value = 0.001). It can be concluded that the accuracy and completeness of the hospital’s early warning report to the Tasikmalaya City Health Office was still relatively low due to the implementation of information system have not been integrated, DHF surveillance officers at both hospitals and puskesmas had double duty, lack of surveillance socialization/training for officers, and the lack of strengthening of accurately reporting at the management level and across sectors.