DOI: https://doi.org/10.14710/jkli.22.1.112-121

Penerapan Integrated Vector Management (IVM) Dalam Upaya Eliminasi Malaria Di Daerah Endemis Kabupaten Purworejo

Magister Kesehatan Lingkungan, Fakultas Kesehatan Masyarakat, Universitas Diponegoro, Jawa Tengah 50275, Indonesia

Open Access Copyright 2023 Jurnal Kesehatan Lingkungan Indonesia under http://creativecommons.org/licenses/by-sa/4.0.

Citation Format:
Abstract

Latar belakang: Satu-satunya kabupaten yang belum mencapai eliminasi di pulau jawa bali adalah Purworejo. Re-emerging disease malaria yang terjadi pada bulan Juli 2021 menyebabkan Purworejo gagal mendapatkan sertifikat bebas malaria. Integrated Vector Management (IVM) ditujukan untuk memudahkan para pemangku kebijakan dalam menerapkan program pengendalian vektor agar lebih efektif dan efisien. Tujuan penelitian ini menganalisis penerapan IVM di kabupaten Purworejo dalam mencapai target eliminasi malaria tahun 2023

Metode: Penelitian ini menggunakan metode kualitatif deskriptif. Pengambilan data dilakukan dengan wawancara mendalam. Informan dipilih langsung oleh peneliti (purposive sampling).  Data diolah menggunakan aplikasi Nvivo 12 Plus. Nilai koding menunjukkan seringnya variabel tersebut dibahas informan selama penelitian.

Hasil: Berdasarkan analisis referensi pengkodean Nvivo 12 Plus menunjukkan variabel pendekatan terintegrasi (110 koding), kapasitas sumber daya (30 koding), kerjasama lintas sektor (97 koding), Advokasi, Mobilisasi dan Regulasi (28 koding), dan pengambilan keputusan berdasarkan bukti (51 koding). Sumber Daya Manusia dalam pengendalian malaria di Puskesmas Kaligesing merangkap tugas dan kompetensi belum sesuai. JMD dinilai masih kurang apalagi ketika terjadi outbreak. Analisis situasi hanya berfokus pada kasus dan kondisi masyarakat, belum maksimal pada kajian epidemiologis maupun entomologis. Pencegahan dan pengendalian malaria terfokus setelah terjadi kasus. Kerjasama lintas sektor masih sebatas koordinasi belum maksimal dalam implementasi. Persepsi terkait masalah kesehatan menjadi tanggung jawab sektor kesehatan sedangkan sektor lain hanya mendukung. Penanganan malaria masih menjadi kegiatan mandiri dan belum kolaboratif. Belum ada program lintas institusi dalam penanganan malaria.

Simpulan: Penerapan IVM Malaria di Kabupaten Purworejo belum maksimal.

 

ABSTRACT

Title: Application of Integrated Vector Management (IVM) in Efforts to Eliminate Malaria in Endemic Areas, Purworejo Regency

Background: The only district that has not achieved elimination on the island of Java Bali is Purworejo. The re-emerging malaria disease that occurred in July 2021 caused Purworejo to fail to get a malaria-free certificate. Integrated Vector Management (IVM) is intended to make it easier for policymakers to implement vector control programs to be more effective and efficient. The purpose of this study is to analyze the application of IVM in Purworejo district in achieving the malaria elimination target in 2023

Method: This research uses descriptive qualitative methods. Data collection was carried out with in-depth interviews. Informants are selected directly by the researcher (purposive sampling).  Data is processed using the Nvivo 12 Plus application. The coding value indicates the frequent discussion of these variables by informants during the study.

Result: Based on the Nvivo 12 Plus coding reference analysis, it shows the variables of integrated approach (110 coding), resource capacity (30 coding), cross-sectoral cooperation (97 coding), Advocacy, Mobilization and Regulation (28 coding), and evidence-based decision making (51 coding). Human Resources in malaria control at the Kaligesing Health Center concurrently have tasks and competencies that are not yet appropriate. JMD is considered to be lacking, especially when there is an outbreak. Situation analysis only focuses on cases and community conditions, not yet optimally in epidemiological and entomological studies. Malaria prevention and control is focused after a case occurs. Cross-sectoral cooperation is still limited to coordination has not been maximized in implementation. Perceptions related to health problems are the responsibility of the health sector while other sectors are only supportive. Malaria management is still an independent and not yet collaborative activity. There is no cross-institutional program in malaria management.

Conclusion: The application of IVM Malaria in Purworejo Regency has not been maximized

Note: This article has supplementary file(s).

Fulltext View|Download |  CTA
Copyright Transfer Agreement
Subject
Type CTA
  Download (271KB)    Indexing metadata
 ES
Etichal Statement
Subject
Type ES
  Download (449KB)    Indexing metadata
 Turnitin
Turnitin
Subject
Type Turnitin
  Download (2MB)    Indexing metadata
Keywords: Integrated Vector Management; Malaria; Eliminasi

Article Metrics:

Article Info
Section: Research Articles
Language : ID
Recent articles
Pengaruh Indeks Entomologi dan Sebaran Kasus Demam Berdarah Dengue di Kabupaten Sukoharjo Analisis Kesiapsiagaan Bencana Teknologi dari Pabrik X pada Aspek Proyeksi Zona Bahaya Perbedaan Variasi Ketebalan Media Filter Arang Aktif Terhadap Penurunan Kadar Total Dissolved Solids (TDS) Halaman Belakang Halaman Sampul More recent articles
Most cited articles
Analisi Faktor Risiko Malaria Di Wilayah Kerja Puskesmas Sarmi Kota, Kabupaten Sarmi, Tahun 2012 Hubungan Kondisi Lingkungan Rumah dan Perilaku Keluarga dengan Kejadian Demam Berdarah Dengue Di Kabupaten Aceh Besar Hubungan Paparan Pestisida Pada Masa Kehamilan Dengan Kejadian Berat Badan Bayi Lahir Rendah (BBLR) di Kecamatan Ngablak Kabupaten Magelang Faktor-Faktor Yang Berhubungan Dengan Waktu Reaksi Rangsang Cahaya Pada Tenaga Kerja Yang Terpapar Panas Di PT. Baja Kurnia Ceper Klaten Keracunan Pestisida pada Petani Penyemprot Cabe di Desa Candi Kecamatan Bandungan Kabupaten Semarang More cited articles
  1. World Health Organization. World Malaria Report 2018. Geneva, editor. 2018
  2. World Health Organization. World Malaria Report: 20 years of global progress and challenges [Internet]. World Health Organization. 2020. 300 p. Available from: https://www.who.int/publications/i/item/9789240015791
  3. kementrian Kesehatan RI. Profil Kesehatan Indonesia 2020. Jakarta; 2021
  4. Dinas Kesehatan Kabupaten Purworejo. Laporan Kasus Malaria 2021. 2021
  5. Dinas Kesehatan Kabupaten Purworejo. Laporan Kasus Malaria 2022. 2022
  6. World Health Organization. Handbook for Integrated vector management. Biol Environ Control Dis Vectors. 2013;175–89. https://doi.org/10.1079/9781845939861.0175
  7. Lewinsca MY, Raharjo M, Nurjazuli N. Integrated Vector Management to Control Malaria During the Covid-19’s Pandemic in Lawang Kidul District. J Aisyah J Ilmu Kesehat. 2021;6(3):651–60. https://doi.org/10.30604/jika.v6i3.953
  8. Epidemiology and Disease Control Division (EDCD). National guidelines on intergrated vector management. 2020;(June):1–140. Available from: http://www.who.int/neglected_diseases/vector_ecology/ivm_concept/en/
  9. Kementrian Kesehatan Rebublik Indonesia. Tantangan Menuju Eliminasi Malaria 2030. 2021
  10. Sugiyono. Metode Penelitian Kombinasi (Mix Methods). 2015
  11. Wijono D. Manajemen Mutu Pelayanan Kesehatan, Teori, Strategi dan Aplikasi
  12. Tim Penyusun Modul Pelatihan Perencanaan Kesehatan Daerah Tingkat II 1987-1988. Modul 1 Analisis Keadaan Dan Masalah Kesehatan. RI FU dan DK, editor. 1988
  13. Darmawan ES. Gambaran Pelaksanaan Pencegahan Malaria Di Wilayah Kerja Puskesmas Wongsorejo Kabupaten Banyuwangi. 2013;250
  14. Bauch JA, Gu JJ, Msellem M, Mårtensson A, Ali AS, Gosling R, et al. Perception of malaria risk in a setting of reduced malaria transmission: A qualitative study in Zanzibar. Malar J. 2013;12(1):1–10. https://doi.org/10.1186/1475-2875-12-75
  15. Wahono T, Astuti EP, Ruliansyah A, Ipa M, Riandi MU. Studi Kualitatif Implementasi Kebijakan Eliminasi Malaria di Wilayah Endemis Rendah Kabupaten Pangandaran dan Pandeglang. ASPIRATOR - J Vector-borne Dis Stud. 2021;13(1):55–68. https://doi.org/10.22435/asp.v13i1.4683
  16. kementrian Kesehatan RI. PERATURAN MENTERI KESEHATAN REPUBLIK INDONESIA NOMOR 43 TAHUN 2019 TENTANG PUSAT KESEHATAN MASYARAKAT. Vol. 6. 2019
  17. World Health Organization. Manual: From malaria control to malaria elimination. 2014
  18. Astuti EP, Ipa M, Ginanjar A, Wahono T. Upaya Pengendalian Malaria Dalam Rangka Pre-Eliminasi di Kabupaten Garut: Sebuah studi kualitatif. Bul Penelit Sist Kesehat. 2020;22(4):255–64. https://doi.org/10.22435/hsr.v22i4.1761
  19. Nindya et al. Analisis Kualitas Sumber Daya Manusia (SDM) Kesehatan di Indonesia. Fkm Ui [Internet]. 2020;(December):1–9. Available from: https://www.researchgate.net/publication/348048273_Analisis_Kualitas_Sumber_Daya_Manusia_SDM_Kesehatan_di_Indonesia.
  20. Raharjo M, . Y, . P. The Effectiveness of Integrated Vector Management (IVM) in Eliminating Malaria in Indonesia: A Case Study in the Purworejo District, Central Java Province, Indonesia. KnE Life Sci. 2018;4(4):1. https://doi.org/10.18502/kls.v4i4.2257
  21. Asmiani, Windusari Y, Hasyim H. Analisis Strategi Pengendalian Vektor Malaria di Kabupaten Bangka Barat. Indones J Heal Promot Univ Sriwij Palembang. 2021;4(4):545–53. https://doi.org/10.56338/mppki.v4i4.1827
  22. Chanda E, Govere JM, Macdonald MB, Lako RL, Haque U, Baba SP, et al. Integrated vector management: A critical strategy for combating vector-borne diseases in South Sudan. Malar J [Internet]. 2013;12(1):1. Available from: Malaria Journal. https://doi.org/10.1186/1475-2875-12-369
  23. Selasa P. Implementasi Kebijakan Eliminasi Malaria di Pusat Kesehatan Masyarakat Kota Kupang. J Info Kesehat [Internet]. 2017;15(1):97–109. Available from: http://jurnal.poltekeskupang.ac.id/index.php/infokes/article/view/130
  24. Kementrian Kesehatan Rebublik Indonesia. Keputusan Menteri Kesehatan Republik Indonesia Nomor 293/Menkes/SK/ IV/2009 tentang Eliminasi Malaria di indonesia. 2009
  25. Kesuma AP, Pramestuti N, Prastawa A, Trisnawati UF. Penerapan Peraturan Desa Tentang Penemuan dan Pengawasan Pengobatan Kasus Malaria Berbasis Masyarakat. ASPIRATOR - J Vector-borne Dis Stud. 2018;10(1):15–26. https://doi.org/10.22435/asp.v10i1.14
  26. Assebe LF, Kwete XJ, Wang D, Liu L, Norheim OF, Jbaily A, et al. Health gains and financial risk protection afforded by public financing of selected malaria interventions in Ethiopia: An extended cost-effectiveness analysis. Malar J [Internet]. 2020;19(1):1–10. Available from: https://doi.org/10.1186/s12936-020-3103-5
  27. Putri DF, Triwahyuni T, Husna I, Azra AN, Yasir M, Ayati T. Karakteristik Pengetahuan Dan Sikap Kader Malaria Dalam Pengendalian Penyakit Malaria Di Desa Sukajaya Lempasing Kabupaten Pesawaran. J Ilmu Kedokt dan Kesehat. 2021;8(2):142–9. https://doi.org/10.33024/jikk.v8i2.4590

Last update:

  1. Penerapan Strategi Pemeliharaan Eliminasi Malaria Di Kabupaten Administrasi Kepulauan Seribu

    Wahyudi Wahyudi, Mursid Raharjo, Sulistiyani Sulistiyani, Nurjazuli Nurjazuli, Suwito Suwito. Jurnal Kesehatan Lingkungan Indonesia, 23 (1), 2024. doi: 10.14710/jkli.23.1.10-18

Last update: 2024-12-25 19:07:00

No citation recorded.