Malaria elimination in West Java, Indonesia: A descriptive-and-qualitative study.
Autor: | Fauziah N; Division of Parasitology, Department of Biomedical Sciences, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia.; Laboratory of Parasitology, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia.; Research Center for Care and Control of Infectious Disease, Universitas Padjadjaran, West Java, Indonesia., Rinawan FR; Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia.; Center for Health System Study and Health Workforce Education Innovation, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia.; Indonesian Society for Remote Sensing Branch West Java, Indoenesia., Nugraha NF; Research Center for Care and Control of Infectious Disease, Universitas Padjadjaran, West Java, Indonesia., Faridah L; Division of Parasitology, Department of Biomedical Sciences, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia.; Laboratory of Parasitology, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia.; Research Center for Care and Control of Infectious Disease, Universitas Padjadjaran, West Java, Indonesia., Jati KM; Undergraduate Medical Study Program, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia., Dakosta A; Undergraduate Medical Study Program, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia., Santika MK; Undergraduate Medical Study Program, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia., Zakiyyudin MY; Undergraduate Medical Study Program, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia., Muhsin A; Undergraduate Medical Study Program, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia., Rizkillah KF; West Java Provincial Health Office, Bandung, West Java, Indonesia., Nisa MN; Health Polytechnic of Health Ministry Yogyakarta, Yogyakarta, Indonesia.; World Health Organization (WHO) Country Office of Indonesia, Jakarta, Indonesia., Ristandi RB; West Java Provincial Health Office, Bandung, West Java, Indonesia. |
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Jazyk: | angličtina |
Zdroj: | Journal of vector borne diseases [J Vector Borne Dis] 2024 Apr 01; Vol. 61 (2), pp. 183-194. Date of Electronic Publication: 2024 Jun 06. |
DOI: | 10.4103/jvbd.jvbd_113_23 |
Abstrakt: | Background Objectives: Following World Health Organization (WHO) plans for thirty-five malaria-endemic countries, Indonesia will eliminate malaria by 2030. As one of the Indonesian provinces, West Java targeted subnational malaria elimination in 2022. This article aims to describe malaria surveillance data and elimination programs, including weaknesses in sustaining the program. Methods: This study used secondary data from malaria surveillance information system regencies/cities' case reports for 2019-2022 and achievement data of sub-national malaria elimination certification from each regency/city from 2014-2022. The data was confirmed from the evaluation study document, analysis of reported cases, and interviews. Results: Most cases were confirmed by microscopic examination (84.1% in 2021 and 94.4% in 2022) and rapid diagnostic tests (57% in 2019 and 58.1% in 2020). Malaria is more prevalent among men (93% in 2019, 95% in 2020, 96% in 2021, and 95.9% in 2022) and productive ages of 15-64 years (98.8% in 2019, 100% in 2020, 99.2% in 2021, and 98.8% in 2022), frequently occurs in the military (56.3% in 2019, 75.7% in 2020, 45.2% in 2021) and police (40.5% in 2022), often uses passive case detection for identifying cases (97.9% in 2019 and 2020, 95.2% in 2021, and 97.6% in 2022), and the majority undergo inpatient treatment (86.4% in 2019, 81.7% in 2021, and 82.6% in 2022). Most positive cases originated from imported cases, and last indigenous cases were still found in 2019. Plasmodium vivax dominated malaria cases and and relapses were high (55.0% in 2020, and 47.3% in 2022). Interpretation Conclusion: All regencies/cities have obtained sub-national malaria elimination certification in 2022. West Java has the potential to be verified for Java-Bali sub-national malaria elimination targeted in 2023, albeit cases of imported malaria still occur. It is imperative to address the issue of imported cases transitioning into locally transmitted cases (introduced) by effective coordination across all regencies/cities and inter-provincial efforts. (Copyright © 2024 Copyright: © 2024 Journal of Vector Borne Diseases.) |
Databáze: | MEDLINE |
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