DOI: https://doi.org/10.14710/nmjn.v14i2.56285

Malaria Prevention Strategies in Kalimantan, Indonesia: A Secondary Analysis of 2018 Basic Health Research Data

*Muhammad Rasyid Ridha orcid scopus  -  Faculty of Public Health, Universitas Airlangga, Indonesia
Dicky Andiarsa  -  Faculty of Public Health, Universitas Airlangga, Indonesia
Ihya Hazairin Noor  -  Public Health Study Program, Medical Faculty, Universitas Lambung Mangkurat, Indonesia
Erni Wiliyani  -  Public Health Study Program, Medical Faculty, Universitas Lambung Mangkurat, Indonesia
Tri Ramadhani  -  Research Center for Public Health and Nutrition, Research Organization for Health, National Research and Innovation Agency, Indonesia
Ririh Yudhastuti scopus  -  Faculty of Public Health, Universitas Airlangga, Indonesia
Open Access Copyright (c) 2024 by the Authors, Published by Department of Nursing, Faculty of Medicine, Universitas Diponegoro
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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Abstract

Background:  Kalimantan remains malaria-endemic, particularly in rural areas, where prevention efforts face challenges such as insecticide resistance and limited healthcare access. Despite available measures like insecticide-treated nets, gaps in understanding individual and household prevention practices persist, especially in relation to demographics and effectiveness in reducing malaria transmission.

Purpose: This study aimed to examine the individual and household-level malaria prevention strategies utilized in rural Kalimantan and evaluate their effectiveness in reducing malaria incidence.

Methods: The study was a secondary analysis of the 2018 Indonesian basic health research (Riskesdas). A total of 67,155 respondents in Kalimantan were analyzed including respondent characteristics, memories of malaria infection, and individual and household malaria prevention efforts. The data were collected through the result of the 2018 Riskesdas survey. Bivariate regression and multivariable logistic regression were used in data analysis.

Results:  Self-reported malaria rates were higher among older respondents compared to younger ones. Women reported lower malaria rates than men, especially in South Kalimantan. In West Kalimantan, the use of bed nets was associated with higher self-reported malaria rates (OR=1.838, 95%CI 1.147–2.943). Short-term use of insecticide-treated nets (ITNs) showed varying odds across provinces: Central Kalimantan (OR=3.659, 95%CI 1.378–9.717), South Kalimantan (OR=10.811, 95%CI 3.649–32.030), East Kalimantan (OR=2.615, 95%CI 1.041–6.567), and West Kalimantan (OR=2.428, 95%CI 1.446–4.078). In all provinces, preventive measures such as coils or electric mats reduced self-reported malaria cases. The use of mosquito screens was effective in South Kalimantan (OR=0.208, 95%CI 0.027–1.598), Central Kalimantan (OR=0.365, 95%CI 0.120–2.181), and North Kalimantan (OR=0.000, 95%CI 0.000–0.000). The multivariate model highlighted mosquito nets as the most effective household-scale prevention in nearly all Kalimantan provinces except North Kalimantan.

Conclusion:  This study showed that individuals aged 25 and over, women, non-farmers, and those using ITNs and other preventive measures, especially in rural areas, were less likely to report malaria, emphasizing the need for targeted interventions from local health authorities.
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Keywords: Household; individual; Kalimantan malaria; prevention
Funding: Indonesian Ministry of Health

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  1. Centers for Disease Control and Prevention. (2024). Malaria’s impact worldwide. CDC. https://www.cdc.gov/malaria/malaria_worldwide/impact.html#
  2. Central Bureau of Statistics of Indonesia. (2020). Indonesia in figure (Provincial Bureau of Statistics of East Kalimantan. Central Bureau of Statistics of Indonesia
  3. Debo, G. W., & Kassa, D. H. (2016). Prevalence of malaria and associated factors in Benna Tsemay district of pastoralist community, Southern Ethiopia. Tropical Diseases, Travel Medicine and Vaccines, 2, 16. https://doi.org/10.1186/s40794-016-0033-x
  4. Dhewantara, P. W., Ipa, M., & Widawati, M. (2019). Individual and contextual factors predicting self-reported malaria among adults in eastern Indonesia: Findings from Indonesian community-based survey. Malaria Journal, 18, 118. https://doi.org/10.1186/s12936-019-2758-2
  5. Fornace, K. M., Diaz, A. V., Lines, J., & Drakeley, C. J. (2021). Achieving global malaria eradication in changing landscapes. Malaria Journal, 20, 69. https://doi.org/10.1186/s12936-021-03599-0
  6. Gryseels, C., Uk, S., Sluydts, V., Durnez, L., Phoeuk, P., Suon, S., Set, S., Heng, S., Siv, S., Gerrets, R., & others. (2015). Factors influencing the use of topical repellents: Implications for the effectiveness of malaria elimination strategies. Scientific Reports, 5, 16847. https://doi.org/10.1038/srep16847
  7. Guerra, M., de Sousa, B., Ndong-Mabale, N., Berzosa, P., & Arez, A. P. (2018). Malaria determining risk factors at the household level in two rural villages of mainland Equatorial Guinea. Malaria Journal, 17, 203. https://doi.org/10.1186/s12936-018-2354-x
  8. Guntur, R. D., Kingsley, J., & Amirul Islam, F. M. (2022). Malaria treatment-seeking behaviour and its associated factors: A cross-sectional study in rural East Nusa Tenggara Province, Indonesia. PLoS ONE, 17(2), e0263178. https://doi.org/10.1371/journal.pone.0263178
  9. Hasyim, H., Dale, P., Groneberg, D. A., Kuch, U., & Müller, R. (2019). Social determinants of malaria in an endemic area of Indonesia. Malaria Journal, 18, 134. https://doi.org/10.1186/s12936-019-2760-8
  10. Hasyim, H., Dhimal, M., Bauer, J., Montag, D., Groneberg, D. A., Kuch, U., & Müller, R. (2018). Does livestock protect from malaria or facilitate malaria prevalence? A cross-sectional study in endemic rural areas of Indonesia. Malaria Journal, 17, 302. https://doi.org/10.1186/s12936-018-2447-6
  11. Hsiung, A. C., Boyle, W. A., Cooper, R. J., & Chandler, R. B. (2018). Altitudinal migration: Ecological drivers, knowledge gaps, and conservation implications. Biological Reviews, 93(4), 2049–2070. https://doi.org/10.1111/brv.12435
  12. Iliyasu, Z., Babashani, M., Abubakar, I. S., Salahudeen, A. A., & Aliyu, M. H. (2013). Clinical burden and correlates of HIV and malaria co-infection, in northwest Nigeria. Acta Tropica, 128(3), 630–635. https://doi.org/10.1016/j.actatropica.2013.09.011
  13. Ipa, M., Widawati, M., Laksono, A. D., Kusrini, I., & Dhewantara, P. W. (2020). Variation of preventive practices and its association with malaria infection in eastern Indonesia: Findings from community-based survey. PloS One, 15(5), e0232909. https://doi.org/10.1371/journal.pone.0232909
  14. Kepha, S., Nikolay, B., Nuwaha, F., Mwandawiro, C. S., Nankabirwa, J., Ndibazza, J., Cano, J., Matoke-Muhia, D., Pullan, R. L., Allen, E., Halliday, K. E., & Brooker, S. J. (2016). Plasmodium falciparum parasitaemia and clinical malaria among school children living in a high transmission setting in western Kenya. Malaria Journal, 15, 157. https://doi.org/10.1186/s12936-016-1176-y
  15. Killeen, G. F., Govella, N. J., Lwetoijera, D. W., & Okumu, F. O. (2016). Most outdoor malaria transmission by behaviourally-resistant Anopheles arabiensis is mediated by mosquitoes that have previously been inside houses. Malaria Journal, 15, 225. https://doi.org/10.1186/s12936-016-1280-z
  16. Kirby, M. J., Ameh, D., Bottomley, C., Green, C., Jawara, M., Milligan, P. J., Snell, P. C., Conway, D. J., & Lindsay, S. W. (2009). Effect of two different house screening interventions on exposure to malaria vectors and on anaemia in children in The Gambia: A randomised controlled trial. The Lancet, 374, 998–1009. https://doi.org/10.1016/S0140-6736(09)60871-0
  17. Kisia, J., Nelima, F., Otieno, D. O., Kiilu, K., Emmanuel, W., Sohani, S., Siekmans, K., Nyandigisi, A., & Akhwale, W. (2012). Factors associated with utilization of community health workers in improving access to malaria treatment among children in Kenya. Malaria Journal, 11, 248. https://doi.org/10.1186/1475-2875-11-248
  18. Koduri, V. N., & Kusneniwar, G. N. (2018). Awareness about mosquito borne diseases and practice about preventive methods against mosquito bite in rural field practice area of a tertiary care teaching institute, Telangana state. Journal of Medical Science and Clinical Research, 6(2), 512–518. https://dx.doi.org/10.18535/jmscr/v6i2.81
  19. Lindsay, S. W., Thomas, M. B., & Kleinschmidt, I. (2021). Threats to the effectiveness of insecticide-treated bednets for malaria control: Thinking beyond insecticide resistance. The Lancet Global Health, 9(9), e1325-e1331. https://doi.org/10.1016/S2214-109X(21)00216-3
  20. Lobo, M., Guntur, R. D., Kusumaningrum, D., & Bria, Y. P. (2024). The declined trend of malaria over a ten-year period in the rural East Nusa Tenggara Province, Indonesia: A medical record analysis. Open Access Macedonian Journal of Medical Sciences, 12(1), 107–115. https://doi.org/10.3889/oamjms.2024.11829
  21. Lwin, M. O., Vijaykumar, S., Lim, G., Theng, Y. L., & Foo, S. (2014). “It’s effective but should I bother?”A study of personal protection measures against malaria in urban India. Public Health, 128(7), 654–664. https://doi.org/10.1016/j.puhe.2014.03.008
  22. Maia, M. F., Kliner, M., Richardson, M., Lengeler, C., & Moore, S. J. (2018). Mosquito repellents for malaria prevention. Cochrane Database of Systematic Reviews, 2(2), CD011595. https://doi.org/10.1002/14651858.CD011595.pub2
  23. Mathanga, D. P., Mwandama, D. A., Bauleni, A., Chisaka, J., Shah, M. P., Landman, K. Z., Lindblade, K. A., & Steinhardt, L. C. (2015). The effectiveness of long-lasting, insecticide-treated nets in a setting of pyrethroid resistance: A case-control study among febrile children 6 to 59 months of age in Machinga District, Malawi. Malaria Journal, 14, 457. https://doi.org/10.1186/s12936-015-0961-3
  24. Mbewe, R. B., Keven, J. B., Mzilahowa, T., Mathanga, D., Wilson, M., Cohee, L., Laufer, M. K., & Walker, E. D. (2022). Blood-feeding patterns of Anopheles vectors of human malaria in Malawi: Implications for malaria transmission and effectiveness of LLIN interventions. Malaria Journal, 21, 67. https://doi.org/10.1186/s12936-022-04089-7
  25. Meyer, D., & Riechert, M. (2019). Open source QGIS toolkit for the advanced research WRF modelling system. Environmental Modelling & Software, 112, 166–178. https://doi.org/10.1016/j.envsoft.2018.10.018
  26. Ministry of Health Republic of Indonesia. (2018). Key results of the 2018 basic health research. Indonesian Health Research and Development Agency. https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/
  27. Ministry of Health Republic of Indonesia. (2019). Laporan nasional Riskesdas 2018 [2018 national basic health research report]. Health Research and Development Agency Publisher. https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/LaporanRiskesdas 2018 Nasional.pdf
  28. Ministry of Health Republic of Indonesia. (2020). National action plan for acceleration of malaria elimination 2020-2024. Directorate General of Disease and Prevention Ministry of Health, Republic of Indonesia. https://malaria.kemkes.go.id/sites/default/files/2024-08/National%20Strategic%20Plan%20Revision_Malaria_29%20Mei%202023.pdf
  29. Molina Gómez, K., Caicedo, M. A., Gaitán, A., Herrera-Varela, M., Arce, M. I., Vallejo, A. F., Padilla, J., Chaparro, P., Pacheco, M. A., Escalante, A. A., Arevalo-Herrera, M., & Herrera, S. (2017). Characterizing the malaria rural-to-urban transmission interface: The importance of reactive case detection. PLoS Neglected Tropical Diseases, 11, e0005780. https://doi.org/10.1371/journal.pntd.0005780
  30. Morakinyo, O. M., Balogun, F. M., & Fagbamigbe, A. F. (2018). Housing type and risk of malaria among under-five children in Nigeria: Evidence from the malaria indicator survey. Malaria Journal, 17, 311. https://doi.org/10.1186/s12936-018-2463-6
  31. Mosha, J. F., Kulkarni, M. A., Lukole, E., Matowo, N. S., Pitt, C., Messenger, L. A., Mallya, E., Jumanne, M., Aziz, T., Kaaya, R., Shirima, B. A., Isaya, G., Taljaard, M., Martin, J., Hashim, R., Thickstun, C., Manjurano, A., Kleinschmidt, I., Mosha, F. W., … Protopopoff, N. (2022). Effectiveness and cost-effectiveness against malaria of three types of dual-active-ingredient long-lasting insecticidal nets (LLINs) compared with pyrethroid-only LLINs in Tanzania: A four-arm, cluster-randomised trial. The Lancet, 399(10331), 1227–1241. https://doi.org/10.1016/S0140-6736(21)02499-5
  32. Mpimbaza, A., Ndeezi, G., Katahoire, A., Rosenthal, P. J., & Karamagi, C. (2017). Demographic, socioeconomic, and geographic factors leading to severe malaria and delayed care seeking in Ugandan children: A case-control study. The American Journal of Tropical Medicine and Hygiene, 97(5), 1513. http://doi.org/10.4269/ajtmh.17-0056
  33. Mponzi, W. P., Swai, J. K., Kaindoa, E. W., Kifungo, K., Eiras, A. E., Batista, E. P. A., Matowo, N. S., Sangoro, P. O., Finda, M. F., Mmbando, A. S., Gavana, T., Ngowo, H. S., & Okumu, F. O. (2022). Observing the distribution of mosquito bites on humans to inform personal protection measures against malaria and dengue vectors. PLoS One, 17(7), e0271833. https://doi.org/10.1371/journal.pone.0271833
  34. Obala, A. A., Mangeni, J. N., Platt, A., Aswa, D., Abel, L., Namae, J., & O’Meara, W. P. (2015). What is threatening the effectiveness of insecticide-treated bednets? A case-control study of environmental, behavioral, and physical factors associated with prevention failure. PloS One, 10(7), e0132778. https://doi.org/10.1371/journal.pone.0132778
  35. Olowookere, S. A., Adeleke, N. A., Abioye-Kuteyi, E. A., & Mbakwe, I. S. (2013). Use of insecticide treated net and malaria preventive education: Effect on malaria parasitemia among people living with AIDS in Nigeria, a cross-sectional study. Asia Pacific Family Medicine, 12, 2. https://doi.org/10.1186/1447-056X-12-2
  36. Ramdzan, A. R., Ismail, A., & Zanib, Z. S. M. (2020). Prevalence of malaria and its risk factors in Sabah, Malaysia. International Journal of Infectious Diseases, 91, 68–72. https://doi.org/10.1186/s12936-016-1405-4
  37. Rassi, C., Graham, K., Mufubenga, P., King, R., Meier, J., & Gudoi, S. S. (2016). Assessing supply-side barriers to uptake of intermittent preventive treatment for malaria in pregnancy: A qualitative study and document and record review in two regions of Uganda. Malaria Journal, 15, 341. https://doi.org/10.1186/s12936-016-1405-4
  38. Ridha, M. R., Fakhrizal, D., Hidayat, S., & Liani, E. (2021). An overview of malaria elimination efforts in South Kalimantan from 2010 to 2018. International Journal of Public Health, 10(1), 97–102. https://doi.org/10.11591/ijphs.v10i1.20617
  39. Sugiarto, S. R., Baird, J. K., Singh, B., Elyazar, I., & Davis, T. M. E. (2022). The history and current epidemiology of malaria in Kalimantan, Indonesia. Malaria Journal, 21, 327. https://doi.org/10.1186/s12936-022-04366-5
  40. Swai, J. K., Finda, M. F., Madumla, E. P., Godfrey F. L., Moshi, I. R., Rafiq, M.Y., Majambere, S., Okumu, F.O. (2016). Studies on mosquito biting risk among migratory rice farmers in rural south-eastern Tanzania and development of a portable mosquito-proof hut. Malaria Journal, 15, 564. https://doi.org/10.1186/s12936-016-1616-8
  41. Tadesse, F., Fogarty, A. W., & Deressa, W. (2018). Prevalence and associated risk factors of malaria among adults in East Shewa Zone of Oromia Regional State, Ethiopia: A cross-sectional study. BMC Public Health, 18, 25. https://doi.org/10.1186/s12889-017-4577-0
  42. Tusting, L. S., Bottomley, C., Gibson, H., Kleinschmidt, I., Tatem, A. J., Lindsay, S. W., & Gething, P. W. (2017). Housing improvements and malaria risk in Sub-Saharan Africa: A multi-country analysis of survey data. PLoS Medicine, 14(2), e1002234. https://doi.org/10.1371/journal.pmed.1002234
  43. Quaresima, V., Agbenyega, T., Oppong, B., Awunyo, J. A. D. A., Adu Adomah, P., Enty, E., Donato, F., & Castelli, F. (2021). Are malaria risk factors based on gender? A mixed-methods survey in an Urban setting in Ghana. Tropical Medicine and Infectious Disease, 6(3), 161. https://doi.org/10.3390/tropicalmed6030161
  44. Van Eijk, A. M., Ramanathapuram, L., Sutton, P. L., Peddy, N., Choubey, S., Mohanty, S., Asokan, A., Ravishankaran, S., Priya, G., Johnson, J. A., Velayutham, S., Kanagaraj, D., Patel, A., Desai, N., Tandel, N., Sullivan, S. A., Wassmer, S. C., Singh, R., Pradhan, K., ... Sharma, S. K. (2016). The use of mosquito repellents at three sites in India with declining malaria transmission: Surveys in the community and clinic. Parasites & Vectors, 9(1), 418. https://doi.org/10.1186/s13071-016-1709-9
  45. Wanzirah, H., Tusting, L. S., Arinaitwe, E., Katureebe, A., Maxwell, K., Rek, J., Bottomley, C., Staedke, S. G., Kamya, M., Dorsey, G., & others. (2015). Mind the gap: House structure and the risk of malaria in Uganda. PLoS One, 10(1), e0117396. https://doi.org/10.1371/journal.pone.0117396
  46. World Health Organization. (2024). WHO malaria policy advisory group (MPAG) meeting report. World Health Organization. https://www.who.int/publications/i/item/9789240089648
  47. Yimer, F., Animut, A., Erko, B., & Mamo, H. (2015). Past five-year trend, current prevalence and household knowledge, attitude and practice of malaria in Abeshge, South-Central Ethiopia. Malaria Journal, 14, 230. https://doi.org/10.1186/s12936-015-0749-5

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