Case study of malaria patients: distribution of cases and maps of Anopheles sp. breeding place in Kaligesing sub-district, Purworejo district

Abstract

Malaria has been a health problem in Indonesia, including in sub-district Kaligesing, district Purworejo of Central Java Province. Malaria has also been identified as an endemic especially in the villages of Jatirejo, Kaliharjo, and Somongari. The purpose of this study was to describe the epidemiology of malaria incidence based on distribution of cases, surrounding house related cases, and the Anopheles breeding place of malaria vectors. This descriptive based research with a case study approach investigated 61 malaria cases as respondents from 2016-2018 in Jatirejo, Kaliharjo and Somongari Villages sampled using total population method. The chosen variables were behaviour and environment of the respondents in relation to the presence of Anopheles vector breeding grounds. Data were analyzed descriptively and displayed in tables and maps. The results of the analysis showed that the average age of the malaria sufferer was 34 years old, male (60.7%), and most of them (45%) were coconut farmers. The most common symptoms of malaria experienced by respondents were fever, chills, headaches, and night sweats. In addition, 24.6% did not use insecticide-treated netting while sleeping. Spatially, the highest distribution of malaria cases was identified in Jatirejo Village, as its topography is plateau with a plantation area. Meanwhile, the existence of breeding places was found surrounding respondents’ houses. To prevent from having malaria, people have been advised to take precautions by wearing long clothes when going out at night, using repellents/anti-mosquito treatments, providing larvicides at breeding sites around their house.

Faktor Risiko Perilaku dan Bitting Activity Anopheles Sp. Dengan Kejadian Malaria di Indonesia: Literature Review

“…Berdasarkan 13 artikel yang membahas tentang perilaku keluar rumah pada malam hari, 8 artikel menyatakan ada hubungan yang signifikan antara keluar rumah pada malam hari dengan kejadian malaria. 5 artikel menyatakan 39 orang (100%) penderita malaria memiliki kebiasaan keluar rumah pada malam hari 7) , 16 orang (45%) masyarakat memiliki kebiasaan keluar rumah pada malam hari 9) , 24 orang (82,8%) penderita tidak keluar rumah pada malam hari 11) , 32 orang (26,7%) masyarakat berisiko diluar rumah pada malam hari 16) , dan 17 orang (27,9%) penderita malaria keluar rumah pada malam hari 21) .…”

“…5 artikel menyatakan 15 orang (38,5%) penderita malaria memiliki kebiasaan tidak menggunakan obat anti nyamuk pada malam hari 7 . Hanya 4 orang (11%) sampel masyarakat yang menggunakan obat anti nyamuk (4), 18 orang (62,8%) menggunakan obat anti nyamuk 11) , ada 62 orang (51,7%) masyarakat tidak menggunakan obat anti nyamuk 16) , dan 54 orang (88,5%) masyarakat tidak menggunakan obat anti nyamuk 21) .…”

The Relationship between Mobility and Prevention Practices with Malaria Incidence in Purworejo District

“…Dis. 2022; 54 (4) ISSN: 0019-5138 DOI: https://doi.org/10.24321/0019.5138.2022107 from malaria are that every district/ city must be free from the transmission of indigenous malaria where its transmission occurs with in the local area. 1 Purworejo, one of the regencies in Central Java Province, has not received the title of Malaria Elimination because it has imported malaria cases.…”