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Situasi Filariasis setelah Pengobatan Massal di Kabupaten Muaro Jambi, Jambi
Muaro Jambi is an endemic lymphatic filariasis district in the province of jambi. until 2012 there were 149 reported chronic cases. Mass Drug Administration (MDA) for lympatic filariasis elimination was carried out since 2003, but it was only spatial, per sub-distric and conducted not at the same time.
The study was conducted to assess the effectivenes of the MDA in the subdistrict in the district of muaro jambi. The study design was a cross sectional. the population were all of the community living in 8 villages with the highest chronic cases night blood samples were collected betweent 19.00 - 24.00 people were asked to gather in a certain place where the blood collection were conducted. A total of 3,350 blood sample were able to be collected and processed for microfilaria examination.
Results showed that out of 3,350 people 30 people living in 4 villages were found positive for microfilaria. The highest microfilaria rate was found in the Village of manis mato, with microfilaria rate (Mf rate) of 6.3%. While in the village of sarang elang where the higest chronic cases were found (13 people), the Mf Rate was only 2,9%. During the brief interviews with the Mf positive peoples revealed that most of the population (68%) did not take the medicice during the MDA. so it was concluded that after the MDA the Mf Rate is still high in those villages,
higher than 1%.
We recommended that before MDA was implemented, an intensive socialization and advocation should be conducted, and political will from the bufati, members of parliament and other sectors should be taken. During the MDA implementation, community leaders, formal and
non formal, should be involved as well as active community participatioan should be initiated
Keywords : lymphatic filariasis, Mas Drug Administration, Community participation
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