Analysis of Environmental Risk Factors and Treatment Efforts  Malaria Import Patients in Puskesmas in the Work Area of  District Health Center of Segeri, Pangkep Regency 2019

Authors

Environment, Medicine, Import Malaria, Pangkep

Malaria is transmitted by female Anopheles mosquito bites. Plasmodium carried by mosquito bites will live

and multiply in human red blood cells. This study aims to determine the relationship between environmental

risk factors and treatment efforts in patients with Imported Malaria in the work area of the District Health

Center of Segeri, Pangkep Regency.

This type of research is observational analytic using a case-control design. The sampling technique for case

groups is exhaustive sampling. Control group sampling is adjusted based on the number of sample cases as

many as 40 cases with a ratio of 1:1 with a total of 80 respondents. Data analysis was performed univariate,

bivariate (Chi-square yielded Odds Ratio (OR), and multivariate (logistic regression).

The results of the bivariate analysis showed an association between malaria sufferers in the migration area

(p=0.017; OR=3.273), nighttime habits (p=0.025; OR= 2,786), wearing closed clothes (p=0.044; OR=2.500),

using mosquito nets at night (p=0.043; OR=2.538), history of suffering from malaria (p=0.029; OR=9.750),

knowledge about the causes of malaria (p=0.012; OR=6.333), knowledge about malaria transmission

(p=0.027; OR=2.143), knowledge about the clinical symptoms of malara (p=0.029; OR=9.750), knowledge

about the type of malaria treatment (p=0.025; OR=3.857), knowledge about malaria prevention (p=0.025;

OR=3.857 ), and have attended/heard of malaria counseling (p=0.027; OR=2.143) with imported malaria.

Multivariate analysis showed that the most dominant factor associated with imported malaria was the use of

mosquito nets in the migration area (Wald = 6.604; Exp. (B) = 5.239; 95% CI 1.481-18.526).

The solution provided is the need to increase awareness of protecting the environment specifically with the

use of mosquito nets in the migration area, increasing knowledge of malaria and prevention by counseling

and awareness to take chemoprophylaxis for people who want to migrate.

1Scholar Researcher of Department of Environmental Health, Faculty of Public Health, Hasanuddin University,

2Professor of Department of Environmental Health, Faculty of Public Health, Hasanuddin Universit, 3Professor of

Health Policy Administration, Faculty of Public Health, Hasanuddin University