CD Disertasi
Model Pemberantasan Sarang Nyamuk Untuk Meningkatkan Angka Bebas Jentik (ABJ) Demam Berdarah Dengue
Eradication of dengue mosquito nests is human behavior
in maintaining a clean environment to reduce the breeding habitat of dengue vector
mosquitoes. Dengue Hemorrhagic Fever (DHF) is still one of the main public health
problems in Indonesia. DHF is an infectious disease caused by the dengue virus and is
transmitted through the bite of the Aedes aegypti mosquito. In handling dengue fever,
community participation is needed to suppress dengue cases. Community participation
in environmental management strategies can be done for theoretical reasons, because
the presence or density of Aedes aegypti depends on human behavior. One of the
indicators used to control dengue fever is the larva-free rate (ABJ). Until 2018, ABJ
nationally had not reached the program target of 95%. Based on the results of previous
research on the description of the presence of larvae at the Harapan Raya Health Center,
the ABJ was only 33.13%, far below the national target. This phenomenon occurs
because the PSN efforts with 3M Plus have not been effective, therefore it is necessary
to develop a Mosquito Nest Eradication (PSN) strategy to increase the ABJ of Dengue
Hemorrhagic Fever. The purpose of this study was to determine the Mosquito Nest
Eradication Model (PSN) to increase the larva-free rate (ABJ) of Dengue Hemorrhagic
Fever. Methods: This research is a survey research with analytical quantitative method.
To find out the factors that influence DHF, a case control design was used. To analyze
the implementation of PSN DHF is done by using qualitative analysis. To formulate a
mosquito nest eradication model (PSN) for DHF using a quasi-experimental research
design. Result : There are six variables that influence the incidence of DHF, namely:
the presence of larvae, 3M plus action, the condition of the water reservoir, the habit of
sleeping in the morning and/afternoon, the presence of garbage and knowledge. The
most dominant variable is the presence of larvae. There are 4 variables that have no
effect on the incidence of DHF, namely: attitude, distance between houses, habit of
hanging clothes and the presence of ornamental/garden plants. The implementation of
PSN 3M plus which is carried out through the One House One Jumantik (SARUJU)
activity has not run effectively because almost every house has no jumantik, inadequate
facilities and infrastructure, uneven distribution of implementation guidebooks to all
jumantik cadres, lack of public awareness in the implementation eradication of
mosquito nests. The model for eradicating mosquito nests is the 5M TR (draining,
closing, recycling, cleaning, keeping fish, carefully looking at places that have the
potential as breeding grounds for mosquito larvae and rewards) to increase the number
of Aedes Aegypti larvae free in the community. The novelty resulting from this research
is the development of new community behavior in eradicating mosquito nests with the
5M TR model so that it can increase the larva free rate by 96%. The resulting model can
be used as a basis for consideration by policy makers at the regional level of Pekanbaru
City and Riau Province, as well as considerations for the central government regarding
the handling of dengue cases in Pekanbaru City in particular and Indonesia in general.
Bibliography: 112 pieces (from 2005 to 2020)
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