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Southeast Asian J Trop Med Public Health ; 2007 Mar; 38(2): 213-22
Article in English | IMSEAR | ID: sea-31057


The cooperative malaria control project between Indonesian and Japanese institutions was conducted from 2001 to 2004 at small malaria endemic foci on Lombok and Sumbawa Islands. The aim of this research was to evaluate the effects of the project according to the opinions of the villagers. We conducted a KAP survey of a simple random sample of 300 householders on each island. The conclusion of the study was that the project reduced malaria incidence significantly on Lombok. However, the effects were not as clear on Sumbawa. Poor socio-economic status and lack of school education were important related factors. Therefore, health education, or behavioral change communication, was an essential component of malaria control.

Adolescent , Adult , Aged , Aged, 80 and over , Bedding and Linens/supply & distribution , Communicable Disease Control/methods , Female , Health Education , Health Knowledge, Attitudes, Practice , Health Surveys , Humans , Indonesia/epidemiology , Insecticides , Interinstitutional Relations , Interviews as Topic , Japan , Malaria/epidemiology , Male , Middle Aged , Mosquito Control/methods , Reagent Kits, Diagnostic , Socioeconomic Factors
Southeast Asian J Trop Med Public Health ; 2003 Sep; 34(3): 495-500
Article in English | IMSEAR | ID: sea-35788


Medical and entomological surveys were conducted to determine the risk factors of Plasmodium falciparum and P. vivax infections on Lombok Island, Indonesia, to find the risk factors and the main mosquito vectors for each malaria. Multivariate longitudinal analysis demonstrated two significant risk factors for infection with P. falciparum: disappearance of P. vivax parasitemia (p<0.001) and a specific study site (p<0.001). In contrast, younger age (p=0.024) and the interpolated virtual density of An. subpictus (p=0.041) were significantly associated with increased risk of infection with P. vivax. Thus, it seems that the distribution of P. vivax was determined largely by the presence of An. subpictus, whilst that of P. falciparum was influenced by antagonism with P. vivax. This result shows the importance of following-up treated P. vivax patients to identify recrudescence of P. falciparum in this area.

Adolescent , Adult , Age Distribution , Aged , Animals , Anopheles , Child , Child, Preschool , Humans , Indonesia/epidemiology , Infant , Infant, Newborn , Insect Vectors , Larva , Logistic Models , Longitudinal Studies , Malaria, Falciparum/epidemiology , Malaria, Vivax/epidemiology , Middle Aged , Multivariate Analysis , Population Density , Risk Factors , Small-Area Analysis