Hubungan Upaya Pencegahan Dengan Kejadian Malaria di Wilayah Kerja Puskesmas Lahomi Kabupaten Nias Barat
DOI:
https://doi.org/10.47859/jmu.v11i02.661Keywords:
Mosquito Insecticide, Bed Nets, Malaria, RepellentAbstract
Background: Malaria remains a significant public health issue, particularly in endemic areas such as West Nias Regency. Household-based prevention strategies, including the use of bed nets, repellents, and mosquito insecticides, are essential in reducing transmission. However, few local studies have comprehensively analyzed the effectiveness of these interventions. Objective: To determine the relationship between malaria prevention measures (bed net use, repellent use, and mosquito insecticide use) and malaria incidence in the working area of UPT Lahomi Public Health Center, West Nias Regency. Methods: This study employed a case-control design with a quantitative analytic approach. A total of 174 respondents were included, divided into case and control groups. Data were collected through questionnaires and Rapid Diagnostic Test (RDT) results, and analyzed using the Chi-square test and Odds Ratio calculations. Results: No significant relationship was found between malaria incidence and the use of bed nets (p=0.785) or repellents (p=1.000). However, the use of mosquito insecticides showed a statistically significant association with reduced malaria incidence (p=0.021), with a lower infection rate among users (25%) compared to non-users (42.7%). Conclusion: Among the three interventions studied, only the use of mosquito insecticides proved effective in reducing malaria risk in the working area of UPT Lahomi Public Health Center. Education and improved access to proven preventive methods are needed to curb malaria transmission in endemic regions.
References
BPS Sumatera Utara. (2024). Provinsi Sumatera Utara dalam angka 2024. BPS Sumatera Utara.
Hasyim, H., Dewi, W. C., Lestari, R. A. F., Flora, R., Novrikasari, N., Liberty, I. A., Marini, H., Elagali, A., Herlinda, S., & Maharani, F. E. (2023). Risk factors of malaria transmission in mining workers in Muara Enim, South Sumatra, Indonesia. Scientific Reports, 13(1), 14755. https://doi.org/10.1038/s41598-023-40418-9
Hasyim, H., Ihram, M. A., Fakhriyatiningrum, Misnaniarti, Idris, H., Liberty, I. A., Flora, R., Zulkifli, H., Tessema, Z. T., Maharani, F. E., Syafrudin, D., & Dale, P. (2023). Environmental determinants and risk behaviour in the case of indigenous malaria in Muara Enim Regency, Indonesia: A case-control design. PLOS ONE, 18(8), e0289354. https://doi.org/10.1371/journal.pone.0289354
Kementerian Kesehatan Republik Indonesia. (2024). Kasus Malaria di Indonesia. https://malaria.kemkes.go.id/case.
Kementerian Kesehatan RI. (2024). Profil kesehatan Indonesia 2023. Kementrian Kesehatan RI.
Khairunnisa, D. P., Katon, H. S., Andriani, H., Permanasari, V. Y., Cina, P., Beji, K., & Barat, J. (2025). Efektivitas Penggunaan ITN (Insecticide Treated Nets) terhadap Penurunan Kasus Malaria pada Anak di Bawah 5 Tahun di Indonesia. 1.
Permana, D. H., Zubaidah, S., Syahrani, L., Asih, P. B. S., Syafruddin, D., Rozi, I. E., Hidayati, A. P. N., Kosasih, S., Dewayanti, F. K., Rachmawati, N., Risandi, R., Bangs, M. J., Bøgh, C., Davidson, J. R., Hendershot, A. L., Burton, T. A., Grieco, J. P., Eugenio, E. C., Liu, F., … Lobo, N. F. (2022). Impact of a spatial repellent product on Anopheles and non-Anopheles mosquitoes in Sumba, Indonesia. Malaria Journal, 21(1). https://doi.org/10.1186/s12936-022-04185-8
Rozi, I. E., Permana, D. H., Syahrani, L., Asih, P. B. S., Zubaidah, S., Risandi, R., Wangsamuda, S., Dewayanti, F. K., Demetouw, M. R., Mabui, S., Robaha, M. M. F., Sumiwi, M. E., Bangs, M. J., Lobo, N. F., Hawley, W. A., & Syafruddin, D. (2024). Rapid entomological assessment in eight high malaria endemic regencies in Papua Province revealed the presence of indoor and outdoor malaria transmissions. Scientific Reports, 14(1). https://doi.org/10.1038/s41598-024-64958-w
Sekunda, M. S., Sawitri, A. A. S., & Januraga, P. P. (2017). Association between the use of insecticide-treated bed net and malaria infection in Ende District, East Nusa Tenggara. Public Health and Preventive Medicine Archive, 5(1), 49–53. https://doi.org/10.53638/phpma.2017.v5.i1.p11
Sugiyono. (2020). Metode penelitian kuantitatif kualitatif dan R&D. Alfabeta Bandung.
Syafruddin, D., Asih, P. B. S., Rozi, I. E., Permana, D. H., Nur Hidayati, A. P., Syahrani, L., Zubaidah, S., Sidik, D., Bangs, M. J., Bøgh, C., Liu, F., Eugenio, E. C., Hendrickson, J., Burton, T., Baird, J. K., Collins, F., Grieco, J. P.,Lobo, N. F., & Achee, N. L. (2020). Efficacy of a Spatial Repellent for Control of Malaria in Indonesia: A Cluster-Randomized Controlled Trial. The American Journal of Tropical Medicine and Hygiene, 103(1), 344–358. https://doi.org/10.4269/ajtmh.19-0554
WHO. (2022). World Malaria Report 2022. World Health Organization.
WHO. (2023). World Malaria Report 2023. World Health Organization.



