PENGEMBANGAN PERAN SERTA MASYARAKAT MELALUI KADER DAN DASA WISMA DALAM PENEMUAN DAN PENGOBATAN PENDERITA MALARIA DI KECAMATAN PITURUH, KABUPATEN PURWOREJO

Main Authors: Ompusunggu, Sahat M., Marwoto, Harijani A., Sulaksono, Sekar Tuti, Nurhayati, Nurhayati, Dewi, Rita Marleta
Other Authors: BADAN LITBANGKES KEMENKES
Format: application/pdf eJournal
Bahasa: ind
Terbitan: Badan Penelitian dan Pengembangan Kesehatan , 2012
Subjects:
Online Access: http://ejournal.litbang.depkes.go.id/index.php/BPK/article/view/217
Daftar Isi:
  • A study on community participation in malaria case finding and prompt treatment through Ten Houses Grouping (Dasa Wisma) was conducted in Pituruh sub district, Puworejo, in 2001-2003. The objective of the study was to determine whether malaria cadres were able to substitute the Village Malaria Workers (Juru Malaria Desa/JMD) and to measure the impact of the substitution on the coverage of case finding and other malaria indicators. Two villages had been selected as study sites i.e., village with malaria cadres (namely treated village) and without malaria cadres (namely control village). The result showed that malaria cadres were capable in conducting all of the tasks of the Village Malaria Workers, including clinical diagnosis, preparing thick blood film for microscopic examination, report writing, as well as supporting the anti malaria drugs treatment. Slide Positivity Rate (SPR) of Spot Surveys conducted in the treated village three and six months post treatment had decreased from 13'. 8 % to 9.4% and 9 %, respectively, and in the control village it had decreased from 4.2 % to 2 % 3 months post treatment, but it had increased again to 6.2 % 3 months afterward. Similar figure also occurred on the results of ACD. In the treated village SPR decreased from 55.4 % to 32.9 % and 22.6 %, one and two years after treatment, respectively, while in the control village, although it had decreased from 29,8 % to 9 % one year post treatment, it had increased again to 16.2 % two years post treatment. Coverage of case finding in treated village had increased from 17,9 % before treatment to 65.6 % and 84.6 %, one year and 2 years post treatment, respectively While in the control village, although it had increased from 36.7 % to 83.5 % one year after, it had dropped again to 54,4 % in the second year. Slide Positivity Rate with P. falciparum in the treated village also had dereased from 40.2 % to 22.9 % and 17.7 %>, one and two years post treatment, respectively, while in the control area, it had decreased from 35.2 % to 9.5 % one year later and increased again to 14.7 % two years after treatment. Parasite Incidence in both areas decreased one and two years after treatment, but it was much more pronounced in the treatment area, particularly two years after treatment.