Abstract

Malaria remains a public health problem in Indonesia, therefore, a study was conducted to guarantee a reduction in malaria cases and to support an elimination program. This study aims to determine the patternof vector control in malaria-endemic areas of Central Java Province from August to December 2016, through searching of reports and articles on malaria vector control. Malaria eradication efforts that were carried out included curative treatment and preventive action, by controlling the vector. Meanwhile, malaria vector control in Central Java Province from 2011 to 2015, includes insecticide-treated mosquito nets, larvae fish spreading, repellent use, indoor residual spraying, and larviciding. However, several obstacles to malaria vector control include, increase in the number of breeding sites, population movements from malaria endemic areas, presence of imported cases, geographic condition, attitude and behavior of people, policy differences in governance, and insufficient control budgets. Malaria is always present in Central Java Province, due to differences in vector control programme, mode of control, time, and budget. Therefore, malaria vector control policies depend on legislation, local regulation, cross-sectoral budget, support, and contribution.

Highlights

  • Vector-borne diseases remain a public health problem in rural and urban areas

  • Kulon Progo distributed 1,050 insecticide-treated bed nets in 2015, to malaria-endemic areas, larvae fish spreading in water bodies that have the potential to be breeding sites of vector mosquitoes, and use of mosquito repellent to residents of malaria endemic areas

  • The efforts to control malaria in Purworejo included the distribution of 925 insecticide-treated bed nets and indoor residual spraying (IRS) to 6,800 houses in malariaendemic areas

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Summary

Introduction

Vector-borne diseases (malaria, dengue hemorrhagic fever, filariasis, chikungunya, and Japanase encephalitis) remain a public health problem in rural and urban areas. Approximately half of the world’s population is at risk from malaria which is one of the main infectious diseases in Indonesia. In 2013, malaria cases reported in Indonesia were 343,527 with 80 percent from Papua, West Papua, NTT, Maluku, North Maluku while the high endemic areas were 57 [1]. Malaria in Central Java had been known as a health problem since Dutch, Japanese, and independence era to the present development period. Malaria cases in Central Java were recorded as follows, 0.11/1000 population in 2011, 0.08/1000 population in 2012, 0.06/1000 population 2013, 0.05/1000 population in 2014, and 0.06/1000 population in 2015 [3,4,5,6,7]

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