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The elimination of malaria in the world is targeted in 2030. Java and Bali are targeted to get malaria elimination certification in 2023. The area in the Menoreh Hills, which is the border of 3 districts and two provinces, namely Magelang district and Purworejo district in Central Java Province; and Kulonprogo district, in Special Province of Yogyakarta. Magelang district has obtained a certificate of malaria elimination. This study uses a qualitative design with in-depth interviews with 4-6 informants in each district consisting of officers in the District Health Service, Public Health Center, District Planning and Development Agency, and People Welfare Unit in regional government. The activity was carried out from March 2018 to May 2019. The districts in the Menoreh Hills area have collaborated and held cross-regional meetings to eliminate malaria. Even though it had a different problem in human resources, funds, infrastructure, in general,  cross-program has a role in the form of cooperation in activities that carried out together. The cross-sectoral involvement has not been seen much at the meeting, consolidation, and planning. Communities from three locations play a role in environmental cleanliness and migration surveillance.  In the past, Magelang district has been active in collaborating cross-program and sectors as well as community participation compared to Kulonprogo and Purworejo districts, so that Magelang district can obtain a malaria elimination certificate first. However, currently, Kulonprogo and Purworejo districts have been active in collaborating cross-program and sectors, while in Magelang district are now weakening. The community already has awareness in the implementation of malaria migration surveillance. The community already has awareness in the implementation of malaria migration surveillance. Abstrak Eliminasi malaria di dunia ditargetkan pada tahun 2030. Jawa dan Bali ditargetkan mendapat sertifikasi eliminasi malaria pada tahun 2023. Kawasan Bukit Menoreh merupakan perbatasan dari 3 wilayah kabupaten dan 2 provinsi yaitu Magelang, Purworejo Provinsi Jawa Tengah dan Kabupaten Kulonprogo Provinsi Daerah Istimewa Yogyakarta. Saat ini,  Kabupaten Magelang telah memperoleh sertifikat eliminasi malaria. Penelitian ini bertujuan menilai/menentukan status kemitraan/kerjasama, lintas program, lintas sektor dan peran serta masyarakat dalam eliminasi malaria. Penelitian ini menggunakan desain kualitatif dengan metode wawancara mendalam kepada  4-6 informan pada setiap kabupaten yang terdiri dari petugas di dinas kesehatan kabupaten, puskesmas, Badan Perencanaan dan Pembangunan Daerah (Bappeda), serta pemerintah daerah bagian kesejahteraan rakyat (Kesra). Kegiatan dilakukan pada bulan Maret 2018-Mei 2019. Kabupaten di Kawasan Bukit Menoreh telah melakukan kerjasama dan pertemuan lintas wilayah dalam menanggulangi malaria. Meskipun mempunyai kendala yang berbeda-beda dari segi SDM, dana, sarana pra sarana, secara umum peran lintas program berupa kerjasama dalam pelaksanaan kegiatan yang dilaksanakan bersama-sama. Lintas sektor yang terlibat belum banyak yang terlihat pada pertemuan, konsolidasi, dan perencanaan. Masyarakat dari ketiga lokasi berperan dalam kebersihan lingkungan, surveilans migrasi. Magelang lebih dahulu aktif melakukan kerjasama lintas program dan lintas sektor serta peran serta masyarakat dibandingkan Kulonprogo dan Purworejo sehingga dapat lebih dahulu memperoleh sertifikat eliminasi malaria. Saat ini kegiatan kerjasama lintas program dan sektor di kabupaten Magelang melemah. Sedangkan, Kulonprogo dan Purworejo telah aktif melakukan kerjasama lintas program dan lintas sektor serta peran serta masyarakat. Masyarakat sudah mempunyai kesadaran dalam pelaksanaan surveilans migrasi malaria.

Bukit Menoreh is a border area of three regencies and two provinces which have malaria problems. The target to achieve and maintain the predicate as being free or has eliminated malaria was carried out byvarious control methods, either as government programs or community participations. The area itself is a Javanese cultural area in which its values are stronglyheld. This affects existing malaria control efforts. The research was conducted with a qualitative approach, held in three districts in Bukit Menoreh, each with 2 villages. The data was obtained through observations, indepth interview, and focus group discussions (FGD) with 3 groups in each village. The results showed that from the various control efforts carried out there was a culture of ‘isin’ (shame), ‘pekewuh’ (feeling of reluctant), and the influence of community leaders, especially in ‘gotong royong’ or community service activities in environmental cleanliness, health educations, and migration surveillance. The conclusion of this study is that some of these values are supportive, and some are hindering the effort to control malaria. Therefore, a special approach is needed with attention to culture. Intervention to control malaria should pay local wisdom and culture so it can be accepted and implemented. Abstrak   Bukit Menoreh adalah daerah perbatasan tiga kabupaten dari dua provinsi yang merupakan daerah dengan masalah malaria.  Target mencapai dan mempertahankan predikat bebas atau eliminasi malaria dilakukan dengan berbagai cara pengendalian, baik program dari pemerintah maupun peran serta masyarakat.  Wilayah ini merupakan wilayah budaya Jawa yang di dalamnya terdapat nilai-nilai budaya yang masih kuat dipegang.  Hal ini berpengaruh terhadap usaha pengendalian malaria yang ada.  Penelitian dilakukan dengan pendekatan kualitatif, di tiga kabupaten di Bukit Menoreh masing-masing diambil dua desa.  Data diperoleh melalui observasi, wawancara mendalam, dan diskusi kelompok terarah (DKT) terhadap tiga kelompok di tiap desa.  Hasil penelitian menunjukkan dari berbagai usaha pengendalian malaria terdapat budaya rasa isin (malu), rasa ewuh (sungkan), dan panut (patuh) terhadap pengaruh tokoh dalam masyarakat terutama dalam kegiatan kerja bakti atau gotong royong kebersihan lingkungan, sosialisasi, dan surveilans migrasi.  Penelitian ini menyimpulkan bahwa nilai tersebut ada yang mendukung dan ada yang menghambat usaha pengendalian malaria sehingga diperlukan pendekatan khusus dengan memperhatikan budaya. Kebijakan pengendalian malaria sebaiknya memperhatikan budaya lokal sehingga bisa menggunakan budaya lokal dan bisa diterima dan diterapkan.

Pigs play a role as amplifier hosts for Japanese enchephalitis (JE). Surveillance of JEV infection on pigs, is, therefore undoubtedly important to prevent its transmission to humans. This study aims to investigate the infection rates of JE in pigs as a risk of JE in human. The study area was located  in Tulungagung regency, one of the regencies in East Java with the largest number of pig farms. This was a cross sectional study, involving five pig farms in Tulungagung Regency during April-November 2016, with a total of 63 pigs examined. Venous blood was examined by JEV specific IgG-Enzyme Link Immuno-Sorbent Assay (ELISA). The results showed that the JE infection rates in overall pig samples was 19.05% (12/63). The prevalence of Ab JE in 4-6 month pigs is higher (22.7%) than in 2-3 month pigs. The infections in pigs tend to be higher (23.1%) in farms found to be positive for Culex larvae. Sex and age of the pig and the presence of Culex larvae surround pig farms were not significantly associated with JE infection rates in pigs. In conclusion, the presence of JE virus antibodies in pigs population in Tulungagung indicates that there is a potency of JE virus transmission to humans.