Original Research Article
Year: 2019 | Month: January-March | Volume: 4 | Issue: 1 | Pages: 151-161
The Risk Factors of Malaria Incidence in ARSO III Health Primary Regional Keerom Sub Province Papua Province
Silas Mabu1,A.L. Rantetampang2, Yacob Ruru3, Anwar Mallongi4
1Magister Program of Public Health, Faculty of Public Health, Cenderawasih University, Jayapura.
2,3Lecturer of Master Program in Public Health. Faculty of Public Health, Cenderawasih University, Jayapura
4Environmental Health Department, Faculty of Public Health, Hasanuddin University, Makassar.
ABSTRACT
Background: Malaria is an endemic disease in Keerom Regency, Papua Province which is influenced by age, sex, education, socio-economic, use of mosquito repellent, use of insecticide-treated bed nets, wire mesh installation, house walls, puddles, presence of large animal cages and distances house with a place breeding
Objective: To determine the risk factors for malaria in the working area of Arso III Community Health Center, Keerom Regency, Papua Province.
Research Methods: Descriptive analytic case control design. The population were patients who resided in the Arso III Community Health Center working area with 67 malaria cases and 67 controls taken in proportion to random sampling. Data were obtained using a questionnaire and analyzed using chi square and binary logistic regression.
Results: Factors that influence the risk of malaria incidence in Arso III Health Center in Keerom Regency are gender (ρ-value = 0.037; OR = 0.453; CI95% = (0.226 - 0.906), habit of using malaria mosquito repellent (ρ-value = 0.002; OR = 3.214; CI95% = (1,585 - 6,516), use of insecticide-treated bed nets (ρ-value = 0,000 OR = 4,526; CI95% = (2,183 - 9,384), use of wire mesh (ρ-value = 0,002; OR = 3,273 ; CI95% = (1,603 - 6,683), wall of the house (ρ-value = 0,001; OR = 3,454; CI95% = (1,694 - 7,046), standing water (ρ-value = 0,004; OR = 3,170; CI95% = (1,500 - 6,698), the distance between houses and breeding places (ρ-value = 0,036; OR = 2,237; CI95% = (1,111 - 4,504). The factors that did not influence the risk of malaria incidence in Arso III Puskesmas Keerom Regency were age (ρ-value = 0,143; OR = 0,544; CI95% = (0,263 - 1,127), education (ρ-value = 0,203; OR = 1,962; CI95% = (0,807 - 4,766), social economics (ρ-value = 0,729; OR = 0,835; CI95 % = (0,424 - 1 , 648), the existence of large livestock cages (ρ-value = 0.603; OR = 1,272; CI95% = (0.644 - 2.511). The dominant factor in malaria incidence in Arso III Health Center was the use of insecticide-treated bed nets (p value = 0,000), habit of using mosquito repellent (p value = 0,009), use of wire mesh (p value = 0,011), standing water (p value = 0,033) and gender (p value = 0.025).
Key words: Factor, Risk, Malaria Incidence