Early malaria resurgence in pre-elimination areas in Kokap Subdistrict, Kulon Progo, Indonesia.
Early malaria resurgence in pre-elimination areas in Kokap Subdistrict, Kulon Progo, Indonesia.
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DOI：
10.1186/1475-2875-13-130
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发表时间：
2014-03-31
期刊：
影响因子：
3
通讯作者：
Chuang TW
中科院分区：
文献类型：
--
作者：
Murhandarwati EE;Fuad A;Nugraheni MD;Sulistyawati;Wijayanti MA;Widartono BS;Chuang TW
印度尼西亚是致力于消除疟疾的国家之一，疟疾发病率不断下降。然而，在区一级，情况有所不同。本研究介绍了爪哇省日惹省 Kulon Progo 区 Kokap 分区的疟疾在五年低度流行后再次流行的案例。本研究还旨在描述导致此案例的社区观念和卫生服务提供情况。库隆普罗戈区的所有疟疾病例（2007-2011 年）均按年度寄生虫发病率 (API) 进行分层。使用地理信息系统 (GIS) 技术对爆发期间（2011 年 5 月至 2012 年 4 月）的 226 个病例按家庭地址进行地理编码，并通过 SaTScan 软件分析 (Arc GIS 10.1) 识别集群。对居住在集群内的受访者进行了有目的的随机抽样，以确定社区对疟疾相关的看法和行为。对疟疾卫生官员进行了采访，以了解疟疾监测和控制的挑战。在连续三年API低于千分之一后，Kokap街道的疟疾增幅几乎是区级API的十倍，是全国API的五倍。 2012 年，所有五个村庄都发现了疟疾病例。2011 年至 2012 年爆发期间，在 Hargotirto 和 Kalirejo 村发现了一个原发性疟疾群和两个继发性疟疾群。大多数受访者对疟疾迹象和卫生工作者预防疟疾的活动有积极的认识，尽管一些社会经济活动不能受到阻碍。回返的移民或移徙工人进入村庄、村里从事疟疾工作的人员数量减少以及邻近地区疟疾病例的激增导致了疟疾的死灰复燃。社区认知、认识和参与可以为科卡普消除疟疾奠定坚实的基础。然而，乡村疟疾工作人员数量的减少以及存在类似疟疾问题的边界地区内初级卫生中心（PHC）之间沟通不力的问题需要引起关注。据称，权力下放政策是各地区之间疟疾控制一体化程度较低的原因，特别是在跨境地区。疟疾卷土重来需要引起关注，特别是当它发生在正在进入消除阶段的地区时。
Indonesia is among those countries committed to malaria eradication, with a continuously decreasing incidence of malaria. However, at district level the situation is different. This study presents a case of malaria resurgence Kokap Subdistrict of the Kulon Progo District in Yogyakarta Province, Java after five years of low endemicity. This study also aims to describe the community perceptions and health services delivery situation that contribute to this case. All malaria cases (2007–2011) in Kulon Progo District were stratified to annual parasite incidence (API). Two-hundred and twenty-six cases during an outbreak (May 2011 to April 2012) were geocoded by household addresses using a geographic information system (GIS) technique and clusters were identified by SaTScan software analysis (Arc GIS 10.1). Purposive random sampling was conducted on respondents living inside the clusters to identify community perceptions and behaviour related to malaria. Interviews were conducted with malaria health officers to understand the challenges of malaria surveillance and control. After experiencing three consecutive years with API less than 1 per thousand, malaria in Kokap subdistrict increased almost ten times higher than API in the district level and five times higher than national API. Malaria cases were found in all five villages in 2012. One primary and two secondary malaria clusters in Hargotirto and Kalirejo villages were identified during the 2011–2012 outbreak. Most of the respondents were positively aware with malaria signs and activities of health workers to prevent malaria, although some social economic activities could not be hindered. Return transmigrants or migrant workers entering to their villages, reduced numbers of village malaria workers and a surge in malaria cases in the neighbouring district contributed to the resurgence. Community perception, awareness and participation could constitute a solid foundation for malaria elimination in Kokap. However, decreasing number of village malaria workers and ineffective communication between primary health centres (PHCs) within boundary areas with similar malaria problems needs attention. Decentralization policy was allegedly the reason for the less integrated malaria control between districts, especially in the cross border areas. Malaria resurgence needs attention particularly when it occurs in an area that is entering the elimination phase.
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影响因子：
--
作者：
Elyazar, Iqbal R. F.;Hay, Simon I.;Baird, J. Kevin
通讯作者：
Baird, J. Kevin
DOI：
10.4269/ajtmh.2002.66.287
发表时间：
2002-03-01
影响因子：
3.3
作者：
Barcus, MJ;Laihad, F;Baird, JK
通讯作者：
Baird, JK
影响因子：
3
作者：
Cohen JM;Smith DL;Cotter C;Ward A;Yamey G;Sabot OJ;Moonen B
通讯作者：
Moonen B
影响因子：
3
作者：
Herdiana, Herdiana;Fuad, Anis;Hawley, William A.
通讯作者：
Hawley, William A.
影响因子：
3
作者：
Atkinson JA;Fitzgerald L;Toaliu H;Taleo G;Tynan A;Whittaker M;Riley I;Vallely A
通讯作者：
Vallely A