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DHF has been endemic for many years and an average of 10,431 cases with 404.2 deaths are reported every year. Under the Ministry of Health coordination, the national DHF control program has been carried out to reduce cases and deaths by early diagnoses and case management, and to prevent the spread of disease by vector control. The program has significantly reduced the CFR from 41.3% in 1968 to 2.3% in 1993. However, DHF cases and deaths are still reported every year. Since there are no effective treatment and vaccine available, the only way to reduce incidence and prevent the epidemics is to control Aedes aegypti, the main vector of DHF. Over the past two decades, too much reliance has been placed on the use of insecticides for vector control. Many studies and experiences indicated that such control has been ineffective for several reasons. These include: surveillance for epidemic DHF is not sensitive and adulticiding is not effective. The most effective DHF vector control will be through the reduction of source of infection based on community participation. This paper provides information on the Indonesian experience in conducting the DHF vector control program through community participation. The source reduction campaign in Pekalongan, Central Java in 1985 showed 57% reduction of Breteau index, and 52% of container index six months after the initiation of the campaign. In Wonosari, Yogyakarta, indicated 56% reduction of the larval indices after 3 months campaign. In Sukabumi, West Java, in 1989 an effective percentage change was reported of knowledge 71.2%, attitude 39.8% and practice 46.5% after 6 months campaign. Moreover, it indicated 79% reduction of house index, 18% of container index, and 80% of Breteau index. A strong commitment of policy makers in all sectors and levels of organizations including governmental and non governmental organizations should be obtained to guarantee the success of the program. 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Community Participation in The Control and Prevention of DHF in Indonesia
http://hdl.handle.net/10069/4659
http://hdl.handle.net/10069/4659ce8c4a82-a58a-4c42-80cf-343a970959ed
名前 / ファイル | ライセンス | アクション |
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tm35_04_27_t.pdf (1.2 MB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2006-04-26 | |||||
タイトル | ||||||
タイトル | Community Participation in The Control and Prevention of DHF in Indonesia | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
著者 |
Soedarmo, Sumarmo Poorwo
× Soedarmo, Sumarmo Poorwo |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Dengue hemorrhagic fever is considered as a public health problem in Indonesia. During 1968-1991, a total of 260,769 cases with 10,104 deaths were reported in 24 out of 27 provinces. DHF has been endemic for many years and an average of 10,431 cases with 404.2 deaths are reported every year. Under the Ministry of Health coordination, the national DHF control program has been carried out to reduce cases and deaths by early diagnoses and case management, and to prevent the spread of disease by vector control. The program has significantly reduced the CFR from 41.3% in 1968 to 2.3% in 1993. However, DHF cases and deaths are still reported every year. Since there are no effective treatment and vaccine available, the only way to reduce incidence and prevent the epidemics is to control Aedes aegypti, the main vector of DHF. Over the past two decades, too much reliance has been placed on the use of insecticides for vector control. Many studies and experiences indicated that such control has been ineffective for several reasons. These include: surveillance for epidemic DHF is not sensitive and adulticiding is not effective. The most effective DHF vector control will be through the reduction of source of infection based on community participation. This paper provides information on the Indonesian experience in conducting the DHF vector control program through community participation. The source reduction campaign in Pekalongan, Central Java in 1985 showed 57% reduction of Breteau index, and 52% of container index six months after the initiation of the campaign. In Wonosari, Yogyakarta, indicated 56% reduction of the larval indices after 3 months campaign. In Sukabumi, West Java, in 1989 an effective percentage change was reported of knowledge 71.2%, attitude 39.8% and practice 46.5% after 6 months campaign. Moreover, it indicated 79% reduction of house index, 18% of container index, and 80% of Breteau index. A strong commitment of policy makers in all sectors and levels of organizations including governmental and non governmental organizations should be obtained to guarantee the success of the program. They would facilitate the integration of health education campaign in every sector of community development. Mobilization of community resources from the center to the village level should be conducted to support the program. Women's organizations and housewives should be actively involved in the operational activities under the supervision of health workers. In addition, law and regulation should be introduced to increase the effectiveness of the community participation. | |||||
書誌情報 |
熱帯医学 Tropical medicine 巻 35, 号 4, p. 315-324, 発行日 1994-03-31 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 03855643 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00199644 | |||||
出版者 | ||||||
出版者 | 長崎大学熱帯医学研究所 | |||||
出版者別言語 | ||||||
Institute of Tropical Medicine, Nagasaki University | ||||||
sortkey | ||||||
P00315-P00324 | ||||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 熱帯医学 Tropical medicine 35(4). p315-324, 1994 |