Original Article

Community Vulnerability Map in Endemic Areas of Dengue Hemorrhagic Fever (DHF), Banyumas, Indonesia

Abstract

Background: Community vulnerability is influenced by the low participation of the community in Pemberantasan Sarang Nyamuk (PSN). PSN is an activity done by society independently in their respective environment to eliminate mosquito-breeding places by 3 M (Menguras, Menutup, Mengubur). We aimed to prove the relationship between knowledge and practice of the community in PSN with the incidence of Dengue Hemorrhagic Fever (DHF), beside to describe the map of vulnerability of the community in endemic areas of DHF.

Methods: This study used case control design. The population of this research is the community in the area of Puskesmas Kembaran 1 and 2. The samples were taken from Bojongsari villageas, Banyumas districtis, Indonesia one of the endemic areas of DHF from Jan 2014- Dec 2015. The number of samples was 62 respondents.

Results: The community in endemic areas of knowledge about dengue was mostly good (55%) but in practice PSN was mostly less (56%). There was no correlation of knowledge with the incidence of DHF (P=0.444) and there was an association of DHF occurrence with PSN practice (P=0.010) and the vulnerability map showing many negative DHF residents living close to dengue cases.

Conclusion: Community vulnerability in DHF endemic areas is dominated by densely populated settlements, Slum environmental conditions, and PSN practices are lacking. Mobilization of all components of the communityis required to participate in prevention of DHF.

1. Bhatt S, Gething PW, Brady OJ et al (2013). The global distribution and burden of dengue. Nature, 496 (7446): 504–7.
2. Kemenkes (2016). Situasi DBD di Indone-sia. Kementrian Kesehatan Republik In-donesia Available from: https://www.depkes.go.id/article/view/16090700004/situasi-dbd-di-indonesia.html
3. PemkabBanyumas (2016). Banyumas KLB Kasus Demam Berdarah. Pemerintah Kabupaten Banyumas: Available from : https://www.banyumaskab.go.id/read/18857/banyumas-klb-kasus-demam-berdarah#.XjlrHGgzY2w
4. Wijayanti SP, Sunaryo S, Suprihatin S (2016). Dengue in Java, Indonesia: Relevance of Mosquito Indices as Risk Predictors. Plos Neg Trop Dis, 10(3):e0004500.
5. Hikmawati I, Purwito D (2013). Phenomenology Study of Various Obstacle Efforts to Eliminate of Dengue Haemoragic Fever in Banyumas Dic-trict. in: NETS ( National Olympiade and International Conference on Education Technology and Science. Universitas Muhammadiyah Purwokerto, pp. 416–20.
6. Luz DM, Codeco CT, Medlock J et al (2009). Impact of insecticide interventions on the abundance and resistance profile of Aedes aegypti. Epidemiol Infect, 137(8):1203–15.
7. Telle O, Vaguet A, Yadav NK, Lefebvre B, Daudé E (2016). The Spread of Dengue in an Endemic Urban Milieu – The Case of Delhi, India. PLoS One, 11(1):e0146539.
8. Fontenille D, Failloux AB (2007). Should we expect Chikungunya and Dengue in Southern Europe? In: Emerging Pests and Vector-Borne Diseases in Europe Eds, pp. 169–84.
9. Hu WTS, Clements A, Williams G, Tong S (2011). Spatial analysis of notified dengue fever infections. Epidemiol Infect, 139(3):391-9.
10. Murray S, Quam MB, Wilder (2013). Epi-demiologi of Dengue: Past, present and future prospects. Clin Epidemiol, 5(1): 299–309.
11. Nagao AT, Svasti P (2008). Geographical structure of dengue transmission and its determinants in Thailand. Epidemiol Infect, 136 : 843–51.
12. CDC (2011). Update: Dengue, Tropical and subtropical Regions. Available from: https://wwwnc.cdc.gov/travel/notices/watch/dengue-tropical-sub-tropical
13. Waris L, Yuana W (2002). People’s knowledge and behavior to Dengue Hemorragic Fever in Batulicin subdis-trict,Tanah Bumbu District Kalimantan Selatan Province. J Buski, 4(3):144-49.
14. Hikmawati I, Purwito D, Setyabudi R (2009). Epidemiology Analysis of Vector Control Towards Endemic Area of DHF (Den-gue Haemoragic Fever) in Banyumas Re-gency. In: Natural Procuct for Cancer Chemoprevention, pp. 53–60.
15. Zahir A, Ullah A, Shah M, Mussawar A (2016). Community Participation, Dengue Fever Prevention and Control Practices in Swat, Pakistan. Int J MCH AIDS, 5(1): 39–45.
16. Setyabudi R , Hikmawati I (2016). Kesukaan Nyamuk Ae. Aegypti Bertelur pada Kon-tainer Berwarna Gelap dan Kontainer Tidak Berwarna Gelap. Medisains Fikes UMP, 4(2): 14–22.
17. Wijayanti SPM , Anandari D (2017). Vertical transmission of dengue virus on field mosquitoes in Banyumas Regency Central Java, Indonesia. Int J Public Heal Clin Sci, 4(3): 109–19.
18. Wijayanti SPM, Sunaryo S, Suprihatin S, Mcfarlane M (2016). Dengue in Java, In-donesia: Relevance of Mosquito Indices as Risk Predictors. PLoS Negl Trop Dis, 10(3):e0004500.
19. Triyunis MD (2011). Modul pengendalian demam berdarah dengue. Kementrian Kesehatan RI Direktorat Jenderal, Pen-gendalian Penyakit &Penyehatan Ling-kungan , Jakarta.
20. Dickin SK, Schuster-wallace CJ, Elliott SJ (2013). Developing a Vulnerability Map-ping Methodology: Applying the Water-Associated Disease Index to Dengue in Malaysia. PLoS One, 8(5): e63584.
21. Polwiang S (2015). The seasonal reproduc-tion number of dengue fever: impacts of climate on transmission. Peer J, 3:e1069.
22. Ebi KL, Nealon J (2016). Dengue in a changing climate. Environ Res, 151 (1) :115–123
23. Fidayanto R, Susanto H, Yohanan H, Yudhastuti R (2013). Control Model of Dengue Hemorrhagic Fever. J Kesehat Masy Nas, 7(11) : 522–28.
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IssueVol 49 No 3 (2020) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v49i3.3143
Keywords
Vurnerability Dengue Endemic

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How to Cite
1.
HIKMAWATI I, SHOLIKHAH U, WAHJONO H, MARTINI M. Community Vulnerability Map in Endemic Areas of Dengue Hemorrhagic Fever (DHF), Banyumas, Indonesia. Iran J Public Health. 2020;49(3):472-478.