Malaria is an infectious disease caused by plasmodium parasites that live and multiply in human red blood cells, transmitted by female mosquitoes (anopheles). The disease is strongly influenced by environmental conditions that allow mosquitoes to multiply and potentially make contact with humans and transmit malaria parasites. Based on data obtained from Sipayung District Health Center Rengat in 2015 the number of malaria incidence amounted to 76 cases. The purpose of this research is general to know the relationship of physical environment with the incidence of malaria. In particular to know the existence of standing water, the existence of shrubs, and the existence of cattle stables with the incidence of malaria. The research used is quantitative analytic observational method with cross sectional study design. The number of samples in this study is 99 respondents. Sampling using quota sampling technique. Sampling method is done by interview and observation method. The results showed that there was a correlation between the presence of standing water P value = 0,04, POR 95% Cl = 3,718 (1,579- 8,752), and the presence of shrubs with P value = 0,01, POR 95% Cl = 4,613 (1,960- 10,853) Desa Sekip Hilir. It is expected that health officers to increase more prevention efforts through counseling especially about malaria and uga to the community in Sekip Hilir Village to be more concerned about environmental hygiene so that the incidence of malaria incidence can be minimized.
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