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STATUS KERENTANAN Aedes aegypti TERHADAP INSEKTISIDA GOLONGAN ORGANOFOSFAT DAN PIRETROID DI INDONESIA Jusniar Ariati; Dian Perwitasari; Rina Marina; Shinta Shinta; Doni Lasut; Roy Nusa; anwar musadad
JURNAL EKOLOGI KESEHATAN Vol 17 No 3 (2018): JURNAL EKOLOGI KESEHATAN VOL 17 NO.3 TAHUN 2018
Publisher : Puslitbang Upaya Kesehatan Masyarakat

ABSTRACT The long-term use of insecticides causes resistance to targeted insects, so that a study of its resistance in Indonesia is needed. A cross-sectional study was conducted to determine the resistance status of Aedes aegypti to organophosphates and pyrethroids in 102 districts in 2015 with reference to WHO standard bioassay test. Sampling and testing of Ae. Aegypti larvae from 100 houses were carried out from three area of each health center. Test results on 0.8% malathion revealed that 84% districts were resistant, 13% districts were tolerant, and 3% districts were vulnerable. The test results for temephos of 0.02% also found that 49% districts were resistant, 29% districts were tolerant and 22% districts were vulnerable. While for 0.05% cypermethrin insecticide test; 98% were resistant, and 1% was tolerant. The test on 0.025% alpha cypermethrin found that 40% were resistant, 51% were tolerant and 9% were vulnerable. Test on 0.025% deltamethrin found that 65% were resistant, 22% districts were tolerant and 14% districts were vulnerable. With the high resistance to organophosphate and pyrethroid groups, it is recommended to rearrange the application of insecticide types in each region cyclically. Keywords: Insecticides, resistance, organophosphates, pyrethroid, Aedes aegypti ABSTRAK Penggunaan insektisida dalam jangka waktu lama menyebabkan resistensi terhadap serangga sasaran, sehingga diperlukan uji status kerentanan Ae.aegypti di Indonesia. Jenis penelitian adalah deskriptif dengan desain potong lintang. Pengambilan sampel uji (jentik Ae. aegypti) dilakukan di 102 Kabupaten/kota di Indonesia pada 100 rumah di setiap tiga wilayah kerja puskesmas. Metode uji kerentanan menggunakan bioassay test standar WHO. Hasil uji terhadap malathion 0,8% mendapatkan 86 (84%) kabupaten telah resisten, 13 kabupaten (13%) toleran dan 3 (3%) kabupaten rentan. Hasil uji terhadap temephos 0,02% menunjukkan 50 (49%) kabupaten resisten, 30 (29%) kabupaten toleran dan 22 (22%) kabupaten rentan. Hasil uji insektisida sipermetrin 0,05%, sebanyak 100 (98%) kabupaten resisten, dan 1 (1%) kabupaten toleran. Hasil uji terhadap alfa sipermetrin 0,025%, sebanyak 18 kabupaten (40%) resisten, 23 (51%) kabupaten toleran dan 4 (9%) kabupaten berstatus rentan. Hasil uji terhadap deltametrin 0,025% sebanyak 66 (65%) kabupaten resisten, 22 (22%) kabupaten toleran dan 14 (14%) kabupaten rentan. Dapat disimpulkan bahwa telah terjadi resistensi terhadap insektisida golongan organofosfat dan piretroid. Disarankan untuk mengganti kedua jenis insektisida tersebut di setiap wilayah yang teridentifikasi resitensi tinggi. Kata kunci: Insektisida, resitensi, organofosfat, piretroid, aedes aegypti

KORELASI INDEKS ENTOMOLOGI TERHADAP SUSEPTIBILITAS Ae. AEGYPTI PADA ENAM JENIS INSEKTISIDA DI TUJUH PROVINSI WILAYAH SUMATERA Doni Lasut; Rina Marina; Jusniar Ariati; Roy Nusa RES
JURNAL EKOLOGI KESEHATAN Vol 18 No 2 (2019): JURNAL EKOLOGI KESEHATAN VOL 18 NO.2 TAHUN 2019
Publisher : Puslitbang Upaya Kesehatan Masyarakat

ABSTRACT Dengue cases are increasingly widespread in all parts of Indonesia, but currently, the priority of control is prevention through fogging focus on endemic DHF areas. The purpose of this study was to determine the entomology indicator of dengue vector mosquitoes about the susceptibility status of the Ae aegypti mosquito. The study design was a cross-sectional study and data analysis using Pearson Correlation statistical tests. This research was conducted in seven provinces in Sumatra, which consisted of three districts with three regions endemic to dengue fever centers in each province. The larvae collection was carried out in 100 houses in each selected Puskesmas. The susceptibility test of adult mosquitoes to six types of insecticide active ingredients was carried out by the WHO Bioassay method while the larval susceptibility test used the Elliot method. The results showed that index of entomology at 7 provinces in Sumatra were; HI and CI the highest in Kota. Pematang Siantar (58,60 % and 64 % ) and the lowest in Kabupaten Prabumulih and Palembang ( 22,70 and 0 % ), the highest of BI in Kabupaten Bangka Barat ( 87,40 % ) and the lowest in the Kota Metro ( 31,10 % ); the highest of ABJ in Kota Palembang ( 77,30 % ) and the lowest in Kota Pematang Siantar ( 41,40 %). Malathion 0.8 % still effective as an mosquito control by the presence of strong and moderate relationship was for CI and HI. Whether there are mosquitoes control using chemical insecticides in several locations in 7 provinces of Sumatra show resistant condition, thus controlling by PSN, 3M plus is still a major strategy to be done to break the chain of transmission of dengue fever. Keywords: DHF, Aedes, Correlation, Suceptibility ABSTRAK Kasus DBD semakin meluas di seluruh wilayah Indonesia, namun saat ini prioritas pengendaliannya berupa pencegahan melalui fogging focus pada wilayah-wilayah endemis DBD. Tujuan penelitian ini untuk mengetahui indikator entomologi nyamuk vektor DBD hubungannya dengan status kerentanan nyamuk Ae. aegypti. Desain penelitian adalah studi potong lintang dan analisis data menggunakan uji statistik Pearson Correlation. Penelitian ini dilakukan di tujuh Provinsi yang ada di wilayah Sumatera yang terdiri dari tiga kabupaten dengan masing-masing tiga wilayah Puskesmas endemis DBD di setiap Provinsi. Pengumpulan jentik dilakukan pada 100 rumah di setiap Puskesmas terpilih. Uji kerentanan nyamuk dewasa terhadap enam jenis bahan aktif insektida dilakukan dengan metode Bioassay WHO sedangkan uji kerentanan jentik menggunakan metoda Elliot. Hasil penelitian menunjukkan indeks entomologi di 7 Provinsi di wilayah Sumatera yang diperiksa menunjukkan nilai HI dan CI tertinggi di Kota Pematang Siantar (58,60% dan 64%) dan terendah di Kab. Prabumulih dan Kota Palembang (22,70 % dan 0%), BI tertinggi di Kab. Bangka Barat (87,40%) dan terendah di Kota Metro (31,10%), ABJ tertinggi di Kota Palembang (77,30%) dan terendah di Kota Pematang siantar (41,40%). Pestisida Malathion 0,8 % masih efektif sebagai upaya pengendalian nyamuk dengan adanya hubungan yang kuat dan sedang terhadap Container Indeks (CI) dan House Indeks (HI) di 7 Provinsi di Wilayah Sumatera. Pengendalian jentik dengan menggunakan insektisida kimiawi di beberapa lokasi di 7 Provinsi di wilayah Sumatera menunjukkan kondisi resisten nyamuk vektor DBD dengan demikian pengendalian dengan PSN 3M Plus masih merupakan strategi utama yang harus dilakukan untuk memutus rantai penularan DBD. Kata kunci: DBD, Aedes, Korelasi, Suseptibilitas

KEPEMILIKAN KELAMBU DAN FAKTOR SOSIODEMOGRAFI YANG BERHUBUNGAN DENGAN PENGGUNAAN KELAMBU ANTI NYAMUK DI WILAYAH ENDEMIS MALARIA PASCA PENDISTRIBUSIAN TAHUN 2017-2018 Rina Marina; Jusniar Ariati; Shinta Shinta; Ginoga Veridona; Doni Lasut; Asep Hermawan; Hendrik Siahaan; Roy Nusa RES; Harianto Harianto; Miko Hananto; Dasuki Dasuki; Andre Yunianto; Dian Perwitasari; Pandji W Dhewantara
JURNAL EKOLOGI KESEHATAN Vol 20 No 2 (2021): JURNAL EKOLOGI KESEHATAN VOLUME 20 NOMOR 2 TAHUN 2021
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/jek.v20i2.4963

ABSTRACT The distribution of LLINs (Long Lasting Insecticidal Nets) is one of the strategies implemented by health programs to control malaria in Indonesia. This study aims to determine the sociodemographic factors associated with the use of LLINs. The research is an observational with a cross-sectional study design. Interviews using a structured questionnaire were carried out on household members from 4602 sample houses in selected villages with systematic random sampling that had been distributed malaria nets in 2017 - 2018 in 12 malaria endemic districts. The data collected were ownership of bed nets, sociodemographic data including gender, marital status, education, age, occupation, household status, and behavior of using bed nets. Data analysis used multivariate logistic regression. The results showed that 83.9% of respondents had mosquito nets and as much as 82.4% of them were obtained from the LLINs program, and the use of LLINs netting was obtained by 60.5%. Sociodemographic factors associated with the use of bed nets were gender (OR=1,12, 95%CI=1,08 – 1,20), marital status (OR=1,31, 95%CI=1,22-1,44), , educational status (OR=1,26, 95% 1,08-1,45), age (OR=1,58, 95% CI=1,40 – 1,77), occupation (OR=1,23, 95%CI=1,11 – 1,21) and status in the household (OR=1,09, 95%=1,00 – 1,19). The use of LLINs in the community is still low, so there is a need for more intensive socialization and education, so that the use of mosquito nets in the community increases. Keywords: Endemic, bed nets, LLINs, malaria, sociodemographic ABSTRAK Distribusi kelambu anti nyamuk merupakan salah satu strategi yang dilakukan program kesehatan untuk mengendalikan kasus malaria di Indonesia. Penelitian ini bertujuan untuk mengetahui faktor-faktor sosiodemografi yang berhubungan dengan penggunaan kelambu anti nyamuk. Studi ini merupakan observasional dengan desain studi cross-sectional. Wawancara menggunakan kuisioner terstruktur dilakukan pada anggota rumah tangga, dari 4602 sampel rumah di desa terpilih secara systematic random sampling yang telah didistribusikan kelambu malaria tahun 2017 – 2018 pada 12 kab/kota endemis malaria. Data yang dikumpulkan adalah kepemilikan kelambu, karakteristik sosiodemografi meliputi jenis kelamin, status pernikahan, pendidikan, umur, pekerjaan, status di rumah tangga serta perilaku penggunaan kelambu. Analisis data digunakan regresi logistik multi variat. Hasil penelitian menunjukkan bahwa 83,9% responden memiliki kelambu dan sebanyak 82,4% kelambu tersebut diperoleh dari program (LLINs), dan penggunaan kelambu LLINs diperoleh sebesar 60,5%. Faktor sosiodemografi yang berhubungan dengan penggunaan kelambu adalah jenis kelamin (OR=1,12, 95%CI=1,08 – 1,20), status perkawinan (OR=1,31, 95%CI=1,22-1,44), pendidikan (OR=1,26, 95% 1,08-1,45), usia (OR=1,58, 95% CI=1,40 – 1,77), status pekerjaan (OR=1,23, 95%CI=1,11 – 1,21), serta kedudukan responden (OR=1,09, 95%=1,00 – 1,19). Penggunaan kelambu LLINs di masyarakat masih rendah, sehingga perlu dilakukan sosialisasi dan edukasi yang lebih intensif lagi, agar penggunaan kelambu di masyarakat meningkat. Kata kunci: Endemis, kelambu anti nyamuk, malaria, sosiodemografi

Karakteristik Dan Pergerakan Sebaran Penderita DBD Berdasarkan Geographic Information System Sebagai Bagian Sistem Informasi Surveilans di Kecamatan Karawang Barat Kabupaten Karawang Provinsi Jawa Barat Doni Lasut
ASPIRATOR - Journal of Vector-borne Disease Studies Vol 1 No 1 (2009): Jurnal Aspirator Volume 1 Nomor 1 2009
Publisher : Loka Litbang Kesehatan Pangandaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1373.909 KB)

Abstract. West Karawang is a part of Karawang District that have high case incidence in three years later. This research uses cross sectional study method was conducted that aimed to gain information of mapping DHF endemic region use GIS (Geographic Information sys-tems) as a part of surveillance informatics system 2008. The special goals are to know the spatial aspect of the movement pattern , socio-demographic, larvae index, vector control programs, land systems and precipitation. The results of study are movement pattern of DHF in West Karawang is local, the socio-demographic of sex and marital status there are no special different, group of class age 15 – 44 years old (53,70%), non-formal working (81,48%) is the highest. The socio-demographic of education Senior High School (38,89%) is the highest too. Almost of The housing type permanent (94,44%) is the dominant and the average wide building 50-100 meters (66,67%) is the highest. House index larvae is 55,10% and container larvae index is 15,51%. The vector control program of fogging in study area 70,37% is done and PSN program activity (81,48%) this fact shown that there are many possibility for breeding place in this district. The Use of GIS helps to handle huge of data easily and much more information can be display clearly.

HUBUNGAN JARAK DENGAN CAKUPAN DETEKSI DINI HEPATITIS B PADA IBU HAMIL DI PUSKESMAS MATRAMAN, TAHUN 2018 Doni Lasut; Elsa Elsi; Miko Hananto; Rani Sulastri
JURNAL KESEHATAN REPRODUKSI Vol 12 No 2 (2021): JURNAL KESEHATAN REPRODUKSI VOLUME 12 NOMOR 2 TAHUN 2021
Publisher : IAKMI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58185/jkr.v12i2.26

Abstract Background : Hepatitis as an infectious disease and silent infection needs to be taken seriously, therefore the Directorate General of Hepatitis-PISP Sub Directorate of P2P conducts early detection of pregnant women as a risk group so that it does not transmit to the mother’s baby. Objective : This study is a review of studies based on surveillance data conducted at the time of early detection of hepatitis B in pregnant women in the Matraman District Health Center during January 2018 to October 2018.Method : This study uses DDHB surveillance data at the Matraman District Health Center. The analysis was carried out with correlation coverage with the average distance and abstracted with the closest distance analysisResults : The results of early detection of HBsAg reactive pregnant women obtained 32 pregnant women (2.71%) reactive from 1180 pregnant women who followed DDHB. Based on the distribution of pregnant women coverage in the region varies if the spatial analysis approach is done by calculating the flat distance as confounding which is assessed and found to be more distant urban areas from the location of the Matraman District Health Center, the fewer pregnant women who check their pregnancy.Conclusion : Distance related to the coverage of DDHB in the Matraman District Health Center. This situation needs a more adequate surveillance system Keywords : Jarak, Hepattitis B, DDHB, HBsAg Abstrak Latar Belakang : Hepatitis sebagai penyakit menular dan bersifat silent infection karenanya perlu ditangai secara serius, oleh karena itu Subdit Hepatitis-PISP Dirjen P2P melakukan deteksi dini hepatitis B (DDHB) pada ibu hamil sebagai kelompok beresiko sehingga tidak menularkan ke bayi yang dikandungnya. Tujuan : Penelitian mendapatkan hubungan jarak terhadap cakupan DDHB bumil di Puskesmas Kecamatan Matraman selama Bulan Januari 2018 hingga Oktober 2018. Metode : Penelitian ini menggunakan data survailans DDHB Puskesmas Kecamatan Matraman. Analisis dilakukan dengan mendapatkan nilai korelasi di antara keduanya.. Hasil : Hasil deteksi dini ibu hamil reaktif HbsAg didapatkan sebanyak 32 ibu hamil (2,71 %) reaktif dari 1180 ibu hamil yang mengikuti DDHB. Berdasarkan distribusi cakupan ibu hamil di wilayah tersebut bervariasi apabila dilakukan pendekatan analisis spasial dengan penghitungan jarak datar didapatkan semakin jauh wilayah kelurahan dari lokasi Puskesmas Kecamatan Matraman maka akan semakin sedikit ibu hamil yang memeriksakan kehamilannya. Kesimpulan : Jarak berhubungan terhadap cakupan DDHB di Puskesmas Kecamatan Matraman. Keadaan ini perlunya sistem survilans yang lebih memadai Kata Kunci : Jarak, Hepattitis B, DDHB, HBsAg

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