Lymphatic Filariasis Situation After Mass Drug Administration in Kamundu and Tanah Miring Village in Merauke Regency, Papua, in 2017 (original) (raw)

2020, Proceedings of the 5th Universitas Ahmad Dahlan Public Health Conference (UPHEC 2019)

Background: The mass drug administration program (MDA) has been implemented since 2007 and the evaluation of the assessment survey (TAS) was carried out in elementary school children in 2014 and 2016 with negative results. The activity was to assess whether there was any transmission of lymphatic filariasis in the community so that it was free from the disease. In supporting the success of MDA, a survey of knowledge, attitudes, and behavior of the community was needed to be conducted by the head of health center and the health department in order to control the disease. Method: the design of this study was cross-sectional study which was conducted from January-November 2017 in Kamundu and Tanah Miring village. A simple random sampling was 622 people. The measurement of the community knowledge, attitudes, and behavior was done using a structured questionnaire. The microfilariae survey was conducted with a fast test (diagnostic rapid test), alere Wuchereria bancrofti. Then, microscopic confirmation was carried out to find out whether or not the respondents were positive. Meanwhile, the data were analyzed descriptively. Results: The results of a microfilariae survey using an antigen test were quickly obtained that 12 respondents were positive and then that 2 respondents were poisitive based on microscopic confirmation. The results of the respondents' knowledge survey on the mass drugs administration were that the respondents still lacked of knowledge, in particular, of the causes, transmission, and sources of information about lymphatic filariasis. The attitude of respondents to POPM was good according to the number of MDA coverage treatment for 5 years. The respondents' behavior towards MDA and prevention of lymphatic filariasis was still not particularly preventive. The positive findings of respondents indicated that respondents' knowledge, attitudes, and behavior, in general, were still insufficient. Conclusion: The survey of antigen microfilariae rated of 1.9% (12/622). Then, community knowledge and behavior were still low about MDA and the prevention of lymphatic filariasishis.