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Spatial Analysis and Behavior Evaluation to Identify Differentiating Factors of Filariasis Endemic Status

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Background: The coverage of filariasis Mass Drug Administration (MDA) Indonesia increases from 37.7% in 2011 to 73.9% in 2014. In contrary, reported filariasis case increases from 11,902 cases in 2012 to 14,932 cases in 2014. Pekalongan City has the highest number reported of filariasis cases in Central Java, Indonesia. It has been implementing MDA but it has not decreased the filariasis case number and the Microfilaria rate (Mf-rate) yet. Filariasis elimination in Pekalongan City and many other areas in Indonesia has been prioring MDA, but neglecting environment and behavior factors. Method: This study aimed to identify the factors which distinguish the non-endemic area from the endemic ones in Pekalongan City by spatially analyzing the environmental factors and evaluating behavior. This was an ecological study. The studied-area were 6 high-risk villages, both with Mf-rate >1% (endemic area) and <1% (non-endemic area). Data were collected by spatial mapping, observation and interview. Results: It was identified that all villages had good practice in MDA participation, but only village with Mf-rate <1% had good practice in using mosquito net during sleep. It was observed that there were some potential sites for mosquito breeding and resting places in all studied-areas. They were swamp, tidal flood, rice field and bushes. GIS mapping showed that the village with Mf-rate <1% also had large areas of bushes, but most of them were well organized. Conclusion: Good practice in using mosquito net during sleep and having bush areas organized were the differentiating factors of filariasis endemic status Pekalongan City.
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Keywords: Diferentiating Factors; Environmental Health; Filariasis; Health Behavior; Spatial Analysis

Document Type: Research Article

Affiliations: 1: Environmental Health Division, Public Health Department, Universitas Negeri Semarang, Semarang, 50229, Indonesia 2: Health Promotion Division, Public Health Department, Universitas Negeri Semarang, Semarang, 50229, Indonesia

Publication date: April 1, 2017

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