Analisis Spasial Kerentanan Wilayah Terhadap Kejadian Demam Berdarah Dengue di Wilayah Kerja Puskesmas Umbulharjo Kota Yogyakarta Tahun 2013

Abstract

Dengue Haemorrhagic Fever (DHF) is a public health problem in the world, particularly in developing countries. Five Hundred Thousand cases of DHF were reported every year in hospitals with 22.000 deaths because of DHF (CFR=4.4%). From January to March 2013, 85 cases of DHF were reported in Umbulharjo Health Center. The objective of this study was to know the area vulnerability to DHF and to identify the relationship between rainfall, population density, HI, BI, MI, and DHF cases. This study was an analytic observational study with a cross-sectional design. GIS was used to identify DHF cases, the presence of Aedes larva, and area vulnerability to DHF. Therefore, the environmental condition which influenced DHF cases and area vulnerability to DHF can be explained visually. Chi-square analysis was used for bivariate analysis. Total of 96 respondents was selected as samples. Rainfall and MI were related to DHF cases (p-value 0,05). Seluruh wilayah kerja Puskesmas Umbulharjo yang terdiri dari empat kelurahan rentan terhadap DBD dan memiliki tingkat kerawanan endemis tinggi karena setiap tahun selalu terjadi kasus DBD. Tingginya curah hujan menunjukkan peningkatan kejadian DBD. Saat curah hujan tinggi, kurang perhatian masyarakat terhadap banyaknya disposable site menyebabkan terbentuknya breeding places bagi vektor DBD.