THE ANALYSIS OF INCIDENCE OF DENGUE HEMORRHAGIC FEVER IN PUBLIC HEALTH CENTER OF CELIKAH OGAN KOMERING ILIR REGENCY

Abstract

Background: Dengue Hemorrhagic Fever is one of many infectious diseases that can cause death in a short time and can cause epidemics. Based on the  data from the Health Department OKI 2016, public health center of Celikah is endemic DHF puskesmas with the rate of DHF still high and exceeds of national indicator is expected that is IR <51 per 100,000. The objective of this study is analysis of incidence of gengue hemorrhagic fever

Method: This study used a case control study design. The samples of this study were 114 samples from 57 dengue hemorrhagic  fever  cases and 57 controls of the ratio of 1: 1. The data analysis that has been done were univariate, bivariate analysis by using chi-square test and multivariate logistic regression using predictive models.

Result: The variables significantly associated with the incidence of dengue  hemorrhagic fever were age (p value = <0.001; OR = 9.000; 95% CI: 2.486- 32.579), gender (p value = 0.002; OR = 5.622; 95% CI: 1.934-16.337), occupation (p value = 0.001; OR = 3.743; 95% CI: 1.718- 8.155), knowledge (p value = 0.015; OR = 2.750 95% CI: 1.284 -5.889), drain water reservoir (p value = 0.004; OR = 3.672; 95% CI: 1,554- 8.677), the installation of wire gauze (p value = <0.001; OR = 7.884 95% CI: 3.247- 19.142), health care utilization (p value = 0.012; OR = 2.9 95% CI: 1,322- 6.362). Variables that are not related, among others, education, attitudes, habits hang clothes, plants surrounding the house and the history of DHF. Age is the most dominant variable influenced by the incidence of DHF after controlling for other variables (p value = 0.007; ORa = 14.153; 95% CI: 2,062- 97.154).

Conclusion: The result of this study for relevant agencies are to increase the efforts of promotive and preventive care in order to reduce the number of DHF.

Keywords: Risk, Dengue Hemorrhagic Fever

DOI: https://doi.org/10.26553/jikm.2017.8.1.19-27