Skip to main content

Advertisement

Volume 11 Supplement 1

Challenges in malaria research

Sustainable planning in a malaria vector control program: a study in Pesawaran, Indonesia

Background

One effective way to control malaria is through vector control [1, 2]. Pesawaran is a malaria endemic area with a number of Annual Parasite Incidence (API) of 2.97. [3] The formulation of vector control programs in endemic areas should consider the principles of sustainability [4]. The purpose of this study is to formulate the concept of the development of malaria vector control programs in Pesawaran considering sustainability principles.

Method

The study was conducted in the area of Pesawaran, Indonesia which has malaria receptive areas along the coast [4]. Data was obtained from a study of literature, in-depth interviews and questionnaires to experts. The experiment was conducted in April-June 2012. The analysis method used is descriptive qualitative as well as quantitative and Analytic Hierarchy Process (AHP). AHP can be used to solve problems related to tangible and intangible factors. Data, ideas, and intuition can be set by using a logical hierarchy structure. Hierarchy is the arrangement of factors/elements of the existing problems that can be set/controlled [5]. Data processing fees expert AHP using software version 11.

Results

District Pesawaran has endemic malaria receptive areas. Approximately 68.0% of the total patients in health centers Hanura Malaria, 16.9% were in health centers kike and the rest, 15.1% were in health centers Padang Mirror. There were high numbers of cases of malaria in both these areas, because of the many mosquito breeding places such as abandoned farms [4]. Hierarchical model alternative malaria vector control programs as recommended by WHO and in accordance with the conditions of the research area is the management of abandoned farms from becoming mosquito breeding places, chemical and biological larvacide, Insecticide outdoor residual spraying and insecticide Indoor residual spraying (IRS indoor and outdoor) [2]. Based on a literature study aspects into consideration in the selection of an alternative is the social, economic, environmental, technological, and institutional [2, 4, 6]. Data processing by expert software choice v. 11 shows that the best course of malaria vector control that is able to maintain the quality of the environment in Pesawaran is turned off so as not to be neglected pond breeding places of mosquitoes (62%), chemical and biological larvacida (23%), and the IRS indoor and outdoor (15%). The order of aspects to be considered in the selection of alternative mosquito control is the social aspect (0.312), the environment (0.258), economic (0.201), technology (0.131) and institutional (0.97). The social aspect (sub criteria: community participation, involvement of other stakeholders, employment, and minimal conflicts in society) tops the list to be considered in the selection of malaria vector control program. Cooperation stakeholder and public participation to determine the success of vector control in an endemic area [4, 6].

Conclusion

Priority malaria vector control in endemic areas Pesawaran, considering the principle of sustainability, namely environmental management on farms neglected in order not to become breeding places and the biggest aspects to be considered a priority selection is the social aspect.

References

  1. 1.

    Townson H, Nathan MB, Zaim M, Guillet P, Manga L, Bos R, Kindhauser M: Exploiting the potential of vector control for disease prevention. Bull World Health Organ. 2005, 83: 942-947.

  2. 2.

    WHO: [http://whqlibdoc.who.int/publications/2012/9789241502801_eng.pdf] webcite Handbook for integrated vector management. 2012, Geneva: World Health Organization, Accessed 30 August 2012

  3. 3.

    DHO Pesawaran: Malaria Control Program Report 2011. Pesawaran Lampung

  4. 4.

    Henk VDB, Raman V, Antonietta E, Ben HGC, Romulo T, Marisol T, Jeffrey H: Operational efficiency and sustainability of vector control of malaria and dengue: descriptive case studies from the Philippines. Malar J. 2012, 11: 269-10.1186/1475-2875-11-269.

  5. 5.

    Saaty Thomas L: Multicriteria Decision Making :The Analytic Hierarchy Process. 1988, RWS Publication, Pittsburgh

  6. 6.

    Beier JC, Keating J, Githure JI, Macdonald MB, Impoinvil DE, Novak RJ: Integrated vector management for malaria control. Malar J. 2008, 7: S4-10.1186/1475-2875-7-S1-S4.

Download references

Author information

Correspondence to Dewi Susanna.

Rights and permissions

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Reprints and Permissions

About this article

Keywords

  • Malaria
  • Analytic Hierarchy Process
  • Endemic Area
  • Malaria Endemic Area
  • Malaria Vector Control

Comments

By submitting a comment you agree to abide by our Terms and Community Guidelines. If you find something abusive or that does not comply with our terms or guidelines please flag it as inappropriate. Please note that comments may be removed without notice if they are flagged by another user or do not comply with our community guidelines.