The Effectiveness of Integrated Vector Management (IVM) in Eliminating Malaria in Indonesia: A Case Study in the Purworejo District, Central Java Province, Indonesia
Abstract
The third objective of Sustainable Development Goals (SDGs) is a good level of health, including healthy from Malaria. Malaria still becomes a health in Indonesia with API of 0,99 in 2014 that decreases into 0,85 in 2015. Malaria becomes a target for elimination in Indonesia in 2030. Purworejo District still becomes an area for an
endemic Malaria with API of 1,8 (2015), with 1.364 cases. IVM is a new approach to improve the elimination management of Malaria. This research is an analytical descriptive research with cross-sectional survey approach. It is used to conduct the analysis of IVM effectiveness. The Bionomic survey of temperature with the
vector density is conducted to observe 12 villages for 12 hours. It is conducted by using the Manual on Practical Entomology in Malaria, WHO Division of Malaria and Other Parasitic Diseases, Part I,II for vector identification. Nine species are found: Anopheles balabacensis, An. aconitus, An. barbirostris, An. vagus, An. anullaris, An. kochi, An. maculatus, An. indifinitus and An. subpictus. The distribution of species includes 82.35% of reseach area. Three of them become vectors, they are An. maculatus and An. balabasencis. It shows the ineffectiveness of the application of integrated vector management as the main factor of Malaria elimination. The integration among vectors do not work well. The decision making on the cases is effective only for treatment, but not for controlling. Community empowerment has not become mosquito control as a community culture. Local wisdom is conducted to isolate patients inside mosquito nets. Conclusion: Integrated Vector Management (IVM) has not been effective to control Malaria. Local wisdom by isolating Malaria patients is able to reduce Malaria spread.
References
[1] Anna Tynan, Jo-An Atkinson, 2011, Community participation for malaria elimination in tafea Province, Vanuatu: Part II. Malaria Journal,10:204
[2] Ayala D, Costantini C,2009, Habitat Suitability And Ecological Niche Profile Of Major Malaria Vectors In Cameroon, Malaria Journal, Vol: 8:307
[3] Central Java Health Agency, 2015, Central Java Health Profil, Semarang
[4] elimination programme in Vanuatu, Malaria Journal, 9:150
[5] Gillian H. S, 2009, Beyond Temperature And Precipitation: Ecological Risk Factors That Modify Malaria Transmission, Acta Tropica, Vol 116: 167-172
[6] Heidi Reid, Andrew Vallely, 2010, Baseline spatial distribution of malaria prior to an
[7] IPPC a,b,c, 2013, Ecosystem, Human Health, Intergovernmental Panel on Climate Change, Cambridge University Press, Cambridge
[8] Ministry Of Health, 2015, Indonesia Health Profile, Jakarta
[9] Minitry of Helath, 2015, Elimination of Malaria in Indonesia, Jakarta
[10] Mursid R, 2012, Environmental Variability And Habitat Suitability Of Malaria Vector In Purworejo District, proceeding of International Conference, Diponegoro Univercity.
[11] Mursid R, 2015, Global and Micro Climate Change Related to the Dynamics of Anopheles spIn Malaria-Endemic Area Purworejo City, Central Java, ICRPH, Makasar
[12] Nasir M, 1986, Metode Penelitian, Ghalia Indonesia, Jakarta
[13] Partz JA, Graczyk TK, Geller N, 2000,: Effects of environmental change on emerging parasitic diseases, Int J Parasitol, 30:1395-1405
[14] Purworejo Helath Agency, 2015, Purworejo Helath Profile, Purworejo
[15] Sukowati S, 2011, The behavior of malaria vectors in Purworejo, research reports, Jakarta.
[16] Tellal BA, Jonathan C, 2009, Spatial and Temporal Distribution of Malaria Mosquito Anapheles arabiensis in Northen Sudan, Malaria Jornal, 8:123
[17] Ulrike Fillinger, 2009, Integrated malaria vector control and insecticide-treated nets in western Kenya, Bull World Health Organ 2009; doi:10.2471/BLT.08.055632
[18] Unaited Nation Development Program, 2015, Sustanble Develoment Goals, France
[19] W. Takken1, W.B. Snellen2, J.P. Verhave3, B.G.J. Knols, and S. Atmosoedjono, Department of Entomology, Agricultural University, Wageningen the Netherlands, 1990
[20] WHO, 2012, Hand Book for Integrated Vector Management,ISBN 978 92 4 150280 1
[21] WHO, 2015, Guideline for The Treatment Malaria-3 rdedition, ISBN 978 92 4 154 9127
[22] WHO, 2015, Health in 2015: from MDGs, Millennium Development Goals to SDGs, Sustainable Development Goals, ISBN 978 92 4 156511 0