RISK ANALYSIS CHARACTERISTIC, SOCIO-ECONOMIC, BEHAVIOR, AND ENVIRONMENTAL FACTORS OF MALARIA INCIDENCE IN ARONGAN LAMBALEK SUBDISTRICT, WEST ACEH REGENCY

Abstract

Background : Malaria is  an infections disease of global concern, The subdistrict of Arongan lambalek in Aceh Barat district which belongs to the Medium Incidence Area category was a malaria endemic area with API with 3,67 at 1000  Population in 2013. The Annual Parasite Incidence was higher than National Parasite Malaria Incidence than is less API  1 at 1000 population.

Method : The objective of this research was to analyze the characteristic, socio-economic, behavior, environmental factors to determine of malaria incidence in Arongan lambalek sub district, West Aceh regency. The study was an observational case-control analytic approach, sampling method used is purposive sampling.  As the case of the study, there were thirty-three (33) malaria positive people were involved. Laboratory test or rapid diagnostic test  was employed to select 33 respondents from malaria negative.

Result : The result of bivariate analysis shows that there are five variables are risk factors for the incidence of malaria such as occupation (p=0,000, OR=0,05), knowledge (p=0,000, OR = 17,5), attitude (p =0,001, OR = 7,43), action (p = 0,000, OR= 9,8) and  environment (p-value =  0,000, OR= 9,0). The result of multivariate analysis shows that knowledge is the risk factor with the most dominant influence on the incident of malaria (p =0,006, OR=12,783, CI 95% =2,045–79,893).

Conclusion : Need for intensive counseling regarding malaria to do this more often for more knowledge and and society information.

Keywords : Malaria, Socio economic, behavioral, Environment