A Compliance on Profilactical as A Dominant Factor towards Filariasis Events in Jambi Province as A High Endemis Regency

Abstract

Background: Tanjung Jabung Timur Regency is a district where filariasis is endemic. In 2018, the Microfilaria rate (Mf rate) was 1.33% and is the only district / city in Jambi Province with an Mf rate > 1%, so mass treatment was performed again for 2 years (2017-2018), but cases have still been identified. Novelty in 2019. This study aimed to analyze the relationship between the incidence of filariasis in the physical, biological, social and cultural environment and the dominant factors in the incidence of filariasis. Subjects and Method: This was a case control design conducted in Tanjung Jabung Timur Regency from March to July 2020. Total of 84 patients with filariasis were enrolled in this study. The dependent variable was the incidence of filariasis while the independent variables were the socio-cultural environment and individual characteristics (age, education, occupation, income, level of knowledge, spending habits of the day, preventive measures, and compliance with prophylactic medication), attitude (physical environment), The data were collected using questionnaire and environmental observation. Data were analyzed using a multiple logistic regression. Results: Most of patients with filariasis were male (61.9%), had low education (73.8%), was a farmer, and 60% had a job at risk of developing filariasis. Age (OR = 0.16 ; 95%CI= 0.06 to 0.41), education (OR = 4.50 ; 95%CI= 1.56 to 12.96), occupation (OR = 4.66, 95% CI = 1.76 to 12.31), adherence to taking prophylactic medication (OR = 4.70, 95% CI = 1.83 to 12.04) were affected on the filariasis incidence. Adherence to taking prophylactic drugs was the most dominant risk factor for filariasis (OR = 12.97; 95% CI = 3.35 to 50.15). Conclusion: Following control for resting place, occupation, age and height of residence, the most dominant factor in the incidence of filariasis is adherence to taking prophylactic drugs. Keywords: adherence, prophylaxis, filariasis, risk factors, environment Correspondence: Ummi Kalsum. Study Program of Public Health, Universitas Jambi. Jl. Tri Brata, Km 11 Unja Campus Pondok Meja Mestong, Kab. Muaro Jambi. Email: ummi2103@unja.ac.id. Mobile: 081314385775 DOI: https://doi.org/10.26911/the7thicph.01.16