SITUASI FILARIASIS SETELAH PENGOBATAN MASSAL DI KABUPATEN MUARO JAMBI, JAMBI

Santoso Santoso, Yulian Taviv

SITUASI FILARIASIS SETELAH PENGOBATAN MASSAL DI KABUPATEN MUARO JAMBI, JAMBI

Abstract


Abstract
Muaro  Jambi  is  an  endemic  lymphatic  filariasis  district  in  the  province  of  jambi.  until  2012 there were 149 reported chronic cases. Mass Drug Administration (MDA) for lympatic filariasis elimination was carried out since 2003, but it was only spatial, per sub-distric and conducted not at the same time. The study was conducted to assess the effectivenes of the MDA in the subdistrict in the district of muaro jambi. The study design was a cross sectional. the population were all of the community living in 8 villages with the highest chronic cases . night blood samples were collected betweent 19.00 - 24.00 people were asked to gather in a certain place where the blood collection were conducted. A total of 3,350 blood sample were able to be collected and processed for microfilaria examination. Results showed that out of 3,350 people 30 people living in 4 villages were found positive for microfilaria. The highest microfilaria rate was found in the Village of manis mato, with microfilaria rate (Mf rate) of 6.3%. While in the village of sarang elang where the higest chronic cases were found (13 people), the Mf Rate was only 2,9%. During the brief interviews with the Mf positive peoples revealed that most of the population (68%) did not take the medicice during the MDA. so it was concluded that after the MDA the Mf Rate is still high in those villages,
higher than 1%. We recommended that before MDA was implemented, an intensive socialization and advocation should be conducted, and political will from the bufati, members of parliament and other sectors should be taken. During the MDA implementation, community leaders, formal and
non formal, should be involved as well as active community participatioan should be initiated

Keywords : lymphatic filariasis, Mas Drug Administration, Community participation

Abstrak
Muaro Jambi merupakan daerah endemis filariasis. Jumlah kasus yang dilaporkan sampai tahun 2012 sebanyak 149 orang. Kegiatan pengobatan massal telah dilakukan sejak tahun 2003, namun tidak meliputi semua daerah dalam waktu bersamaan. Penelitian ini bertujuan untuk menilai
efektifitas  pengobatan  massal  filariasis.  Desain  penelitian  adalah  studi  potong  lintang,  lokasi penelitian adalah delapan desa dengan kasus filariasis tinggi. Pengambilan sampel dengan cara pemeriksaan darah jari pada malam hari dimulai jam 19.00 sampai 24.00 WIB terhadap seluruh penduduk desa yang datang pada waktu kegiatan survei darah. Hasil pemeriksaan darah terhadap 3.350 orang ditemukan sebanyak 30 orang yang positif mikrofilaria dengan spesies Brugia malayi yang berasal dari 4 desa. Jumlah kasus tertinggi ditemukan di Desa Sarang Elang sebanyak 13 orang  dengan  angka  mirofilaria  (Microfilaria  rate/Mf  rate)  sebesar  2,9%.  Angka  mikrofilaria tertinggi ditemukan di Desa Manis Mato sebesar 6,3%. Hasil wawancara singkat terhadap penderita
mikrofilaria menunjukkan bahwa sebagian besar (68%) penderita tidak pernah minum obat pada saat kegiatan pengobatan massal. Setelah pengobatan massal masih ditemukan kasus positif di daerah
dengan  endemisitas  yang  masih  tinggi,  Mf  rate>1%.   Disarankan  kegiatan  pengobatan  massal hendaknya  melibatkan  tokoh  masyarakat  dan  lintas  sektor  terkait  dalam  rangka  membantu
memberikan penyuluhan tentang pentingnya minum obat.

Kata kunci : Filariasis, Pengobatan Massal, Efektifitas.


Keywords


Filariasis, Pengobatan Massal, Efektifitas.

Full Text: PDF

Refbacks

  • There are currently no refbacks.



Buletin Penelitian Kesehatan (Bulletin of Health Research, p-ISSN: 0125-9695. e-ISSN: 2338-3453) is published by Badan Penelitian dan Pengembangan Kesehatan, Ministry of Health of Republic of Indonesia
Main Indexing :

More...
Visitor Number : View BPK Statistics
Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.