Kondisi Masyarakat pada Masa Surveilans Pasca-Transmission Assessment Survey (TAS)-2 Menuju Eliminasi Filariasis di Kabupaten Bangka Barat, Bangka Belitung
Abstract
Abstract
Filariasis elimination program in West Bangka Regency had been in the fourth year to stop MDA filariasis surveillance period. This study aims to describe the condition of the community covering microfilariaemia rate, knowledge, attitudes, behavior, and environment of filariasis Data was collected through interviews and examination of venous blood filtration to 150 people in four selected villages. Result showed that three respondents were positive Brugia malayi microfilariae with density of microfilariae was 116, 245 and 112 respectively. Respondents’ knowledge about the symptoms, modes of transmission, consequences and ways of preventing filariasis was still very low.. Most respondents had received preventive treatment of filariasis, but only 2% had taken medicine to prevent filariasis for five times. Behavior of respondents to prevent themself against mosquito bites using mosquito nets (73.3%) and mosquito repellent (65.3%). Most respondents had the habit of going out at night (78.7%). Swamp was found (23.3%) and reservoir host (cats) by 40.7% of respondents around the house. The presence of positive microfilariae indicates that the presence of transmission of filariasis. The presence of swamps shows the availability of the potential breeding places of the vector. Cats around the house can be a source of transmission of filariasis.
Keywords: microfilariaemia rate, KAP, environment, West Bangka
Abstrak
Program eliminasi filariasis di Kabupaten Bangka Barat telah memasuki tahun ke empat tahap surveilans periode stop POPM filariasis. Penulisan ini bertujuan untuk mengetahui gambaran kondisi masyarakat yang meliputi: microfilariaemia rate, pengetahuan, sikap, perilaku dan lingkungan masyarakat tentang filariasis. Pengumpulan data dilakukan melalui wawancara dan pemeriksaan darah vena dengan metode filtrasi terhadap 150 orang yang berada di empat desa Hasil menunjukkan bahwa ditemukan tiga responden positif mikrofilaria (mf) dengan spesies Brugia malayi dan kepadatan pada masing-masing penderita sebesar 116, 245 dan 112. Pengetahuan responden mengenai gejala, cara penularan, akibat yang ditimbulkan dan cara pencegahan filariasis masih rendah. Sebagian besar responden pernah mendapatkan pengobatan pencegahan filariasis, akan tetapi hanya 2% yang pernah minum obat sebanyak lima kali. Perilaku responden terhadap upaya perlindungan diri terhadap gigitan nyamuk dilakukan dengan menggunakan kelambu (73,3%) dan anti nyamuk (65,3%). Sebagian besar responden mempunyai kebiasaan keluar rumah pada malam hari (78,7%). Ditemukan rawa (23,3%) dan hewan reservoir (kucing) sebesar 40,7% di sekitar rumah responden. Masih ditemukannya penderita positif microfilaria mengindikasikan adanya penularan filariasis. Adanya rawa menunjukkan tersedianya tempat perindukan vector filariasis yang potensial. Kucing sebagai reservoir yang ditemukan di sekitar rumah dapat menjadi sumber penularan filariasis.
Kata kunci: microfilariaemia rate, pengetahuan, sikap, perilaku, lingkungan, Bangka Barat
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