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All Journal Jurnal Kesehatan Lingkungan indonesia Universa Medicina
Sugeng Juwono Mardihusodo
Balai Besar Penelitian dan Pengembangan Vektor dan Reservoir Penyakit Salatiga
Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Directly observed treatment increases drug compliance in lymphatic filariasis mass drug administration Rosanti, Tutik Ida; Mardihusodo, Sugeng Juwono; Artama, Wayan T.
Universa Medicina Vol 35, No 2 (2016)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2016.v35.119-127

Abstract

Backgroud. Mass drug administration (MDA) has been one of the strategies for lymphatic filariasis elimination. Since the start of implementation in 2011 in Pekalongan, no study on MDA acceptability has yet been done. The objectives of the study were to determine the microfilaria rate (mf rate) and the risk factors of drug compliance in the MDA program. MethodsA longitudinal study was conducted at Pabean region, Pekalongan City. There were 90 household heads as subjects, who were selected by proportional cluster random sampling. Microfilaria rate (mf rate) was determined by finger blood examination. Drug compliance was measured using questionnaires and observation sheets. Drug compliance observers, filariasis counseling participation, and presence of filariasis patients were factors influencing drug compliance. ResultsMf rate in 2015 was 1.35% and drug compliance rate was 86.80%. Reasons for failing to take drugs were fear of side effects (50%), refusals (25%), laziness (16.7%), and perceiving the drug to be useless (8.3%). The chi-square test shows a significant difference between the presence of drug compliance observer and compliance (p=0.006). Filariasis counseling participation and presence of filariasis patients did not show a significant difference with drug compliance (p= 0.986).ConclusionsFamilies as the source of observers was associated with increased filariasis drug compliance. It is therefore essential to address the issues linked to low compliance to make the program more efficient and achieve the goal of filariasis elimination.
Karakteristik Wilayah Sebagai Determinan Penyebaran Malaria di Kabupaten Jepara Raharjo, Mursid; Sutikno, Sutikno; Mardihusodo, Sugeng Juwono
Jurnal Kesehatan Lingkungan Indonesia Vol 2, No 1 (2003): APRIL 2003
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.2.1.6 - 11

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ABSTRACT Background : Malaria in Jepara district is inequitable distribution. This is very important object specially to evaluate the correlation between the  geographical characteristics and the Anopheles aconitus  densities as a vector of malaria. The other object  is the correlation between the climatic changes and malaria incidence. Method : Based on the malaria incidence the area are segregated in 3 class, High Case Incidence (HCI), Medium Case Incidence(MCI),  and Low Case Incidence (LCI). The next stratification was  based on topography, with the interval  of  0-25 m, 26 –50 m, 51-75 m, 76 – 100 m, and more than 100 m above sea level. Research was done in the wet and dry season. Correlation between dependent and independent variable analyses  by  the Pearson Product Moment, and determinant coefficient analyses  to conclude the determinant  variable Result :  The results of the research showed determinant coefficient of  geographical characteristics to Anopheles aconitus densities 94,9% (R2 =0,949), with the correlation coefficient  0,974. Gradually the partial  impact of the geographical characteristic to the Anopheles aconitus densities  were : 1. humidity 64,96% 2.waste water treatment 36,6%; 3. solid waste management 32,15%; 4. salinity 23,33%; 5. population density 19,18%; 6.air temperature 16,48%; 7. topography 11,56%; 8.  vegetation densities 5,2%, if the other parameter do not calculated. Conclusion: Jepara district have deferent geographical characteristic that  fluctuatively as  the season, and regulated Anopheles aconitus distribution. The determinant parameter are humidity (64,96%), waste water treatment (36,6%) solid waste management (32,15%); salinity (23,33%,), population density (19,18%) air temperature (16,48%), topography (11,56%)  vegetation densities 5,2%, if the other parameter do not calculated. The geographical characteristic compose the special zone as a Anopheles aconitus habitat.   Key word : Geographical characteristic,  Anopheles aconitus densities, determinant parameter.
Co-Authors Melianus Salakory, Melianus Mursid Raharjo Soeyoko Soeyoko Sutanto Sutanto Sutikno Sutikno Tutik Ida Rosanti Wayan T. Artama