Malaria elimination in West Java']Java, Indonesia: A descriptive-and-qualitative study

被引:0
作者
Fauziah, Nisa [1 ,2 ,3 ]
Rinawan, Fedri Ruluwedrata [4 ,5 ,6 ]
Nugraha, Naufal Fakhri [3 ]
Faridah, Lia [1 ,2 ,3 ]
Jati, Karomahul Malaya [7 ]
Dakosta, Angelina [7 ]
Santika, Mahatyanta Kalya [7 ]
Zakiyyudin, Muhammad Yusuf [7 ]
Muhsin, Ahmad [7 ]
Rizkillah, Kiky Furbani [8 ]
Nisa, Miftahul Nurun [9 ,10 ]
Ristandi, Ryan Bayusantika [8 ]
机构
[1] Univ Padjadjaran, Div Parasitol, Dept Biomed Sci, Fac Med, Jl. Prof. Eyckman 38, Bandung 40161, West Java, Indonesia
[2] Univ Padjadjaran, Lab Parasitol, Fac Med, Bandung, West Java, Indonesia
[3] Univ Padjadjaran, Res Ctr Care & Control Infect Dis, Bandung, West Java, Indonesia
[4] Univ Padjadjaran, Dept Publ Hlth, Fac Med, Bandung, West Java, Indonesia
[5] Univ Padjadjaran, Ctr Hlth Syst Study & Hlth Workforce Educ Innovat, Fac Med, Bandung, West Java, Indonesia
[6] Indonesian Soc Remote Sensing Branch West Java, Bandung, West Java, Indonesia
[7] Univ Padjadjaran, Undergrad Med Study Program, Fac Med, Bandung, West Java, Indonesia
[8] West Java Prov Hlth Off, Bandung, Indonesia
[9] Minist Yogyakarta, Hlth Polytech Hlth, Yogyakarta, Indonesia
[10] World Hlth Org WHO Country Off Indonesia, Jakarta, Indonesia
关键词
Certification; Elimination; Indonesia; Malaria; Sub-national Malaria Elimination; West [!text type='Java']Java[!/text; IMPORTED MALARIA; CHALLENGES; TRANSMISSION; CHINA; RISK;
D O I
10.4103/jvbd.jvbd_113_23
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
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.
引用
收藏
页码:183 / 194
页数:12
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