Faktor Resiko Kejadian Malaria Di Kawasan Ekosistem Leuser Kabupaten Karo Provinsi Sumatera Utara
Sarumpaet, Sori Muda
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The Leuser ecosystem area of Karo district belongs to the Bukit Barisan Mountains known as the lung of the world also faces the malaria problem. There are three sub-districts i.e. Mardingding, Laubaleng and Kutabuluh still noticed as the malaria endemic areas. Since 2003 until 2005 the cases of malaria based on the indicator of Annual Malaria Incidence (AMI) increased from 12,8 permil to 25,4 permil. To examine the risk factors influencing the incidence of malaria in Leuser ecosystem a case-cotrol study was conducted. The cases are 138 people who have visited health center and have been diagnosed as malaria. The controle are 138 people who have no history of malaria, both cases and controle have matched in age and sex. Using adjustment multi logistic regression this study have identified that AMI were fluenced by poor action OR=6,9 (95% CI:3,2-14,8), mosquito breeding place OR=5,1 (95% CI:2,4-10,8), lower knowledge OR=5,5 (95% CI:2,6-11,8), lower education OR=3,3 (95% CI:1,5-6,9), farmer OR=2,8 (95% CI:1,3-6,1), the distance from mosquito breeding place to residential area < 2km OR=3,7 (95% CI:1,7-7,7), house/environmental spraying OR=4,3 (95% CI:2,0-9,1). To minimize the incidence of malaria in the community, it is suggested to perform the multidiciplines and multisectorals programme. Such as to conduct a health promotion directly to the community and indirectly through brochures, leaflets, newspapers and electronic mass media. Encourage the community to use bed net, minimize the out house night activity and to controle the mosquito breeding places.