Research on DHF in Bantul, Indonesia

RESEARCH ON DENGUE HEMORRHAGIC FEVER IN NGESTIHARJO
AND CANDEN VILLAGE IN BANTUL REGENCY, YOGYAKARTA, INDONESIA

METHOD OF RESEARCH

1. The type of the research is a qualitative research, and the data are collected by cross-sectional method.
2. The Research Variable consists of independent and dependent variable.
3. The Technique of Data Collection consists of 2 kinds: 1) Primary Data ? it is obtained by using questioner, by giving questioner to the subject of research. 2) Secondary Data ? it is obtained directly from Bantul Department of Health.
4. The Data Processing and Data Analysis ? the data is obtained by qualitative analysis using Likert Scale that is measured by answers of very agree, agree, disagree, and very disagree. The interpretation of percentage value is put into standard of objective criteria: Good = the correct answer > 75%, medium = 60 – 70%, less = < x =" average" s =" deviation" n =" number">
5. Conceptual Framework: Information (magazine, newspaper, radio, TV, book, Dept. of Health), About DHF (Meaning, Epidemiology, Extermination).

RESULT AND DISCUSSION

1. Data of DHF Victim per village in 2002-2004.
It is known that the most serious area attacked by DHF is subdistrict of Kasihan, Kasihan II village with 11 cases in 2002 and a total of 80 cases of DHF attack during the period of 3 years. While the least serious area attacked by DHF is subdistrict of Dlingo 1 with no case during 2002 – 2003, and 2 cases in 2004, so the total case is 2 cases of DHF attack during the period of 3 years. In this research, the researcher takes the data from subdistricts with the highest number of DHF incidence (endemic) and the lowest number of DHF incidence (sporadic).

2. The Rate of People’s Knowledge on DHF in Ngestiharjo village is found to be 20 people having medium knowledge. While in Canden village is found to be 4 people having medium knowledge. From 60 respondents, there are 19 people agree if DHF disease is indicated by sudden fever and 11 people disagree about that. It is also found that 36 people agree if the giving of abate powder is done by putting into water container. It is also found that 30 people disagree if the DHF vector mosquito is likely to bite in the night.
a. DHF Knowledge Difference ? t value distribution. The respondents of Ngestiharjo have a higher degree of knowledge than those of Canden village. The higher degree of respondent’s knowledge in Ngestiharjo village is because of Knowledge. This result contradicts the research by Supriyati (2002) that people had not yet understood correctly about what DHF is.

3. The attitude of people on DHF in Ngestiharjo is that 13 people have good attitude, and 11 people have medium attitude. Meanwhile, In Canden village there is 4 people having good attitude and 2 medium. Among 60 respondents, 39 of them agree if DHF can cause a death, and 5 people disagree with it. It is found that 41 people very agree with drying water container minimum once to twice in a week, and it is found no respondent disagree with it. However, this result contradicts the research by Hasyimi (1994) who said that 89% of people’s attitudes refuse to clean the water container once or twice in a week.

4. The people’s behavior on DHF in Ngestiharjo village is found to be 2 people having less, medium and good behavior. While in Canden village, there are 16 people having less behavior, 3 people having good behavior. Among 60 respondents, 19 people agree to open the door and windows when the fogging official comes to their place, and 14 people disagree. It is also found that 24 people disagree to let cans and bottles put outside the house, and 6 people agree with it. The DHF Vector Control with fogging and abating is actually proved to be able in compressing the population of Aedes aegypti.

The Facts about Dengue Hemorrhagic Fever (DHF)

The Facts about Dengue Hemorrhagic Fever (DHF)

A. Dengue Hemorrhagic Fever: A dangerous and contagious disease caused by virus that can emerge a disturbance on capillary blood vessel and blood coagulation system so that it causes a death.
Cause: It is caused by dengue virus, the family of Flaviviridae and genus of Flavivirus. Dengue virus has 4 serotypes, i.e. DEN-1.
Prevention: Extremely depend on control of its vector, i.e. Aedes Aegypti. The control of such mosquito can be distributed by using some methods: 1. Environmental (Control of mosquito’s nest and extermination of mosquito’s nest), 2. Biologic, 3. Chemical (Fogging, distribution of abate powder).

B. Prevention Effort: - DHF Prevention Program. Spraying of insecticide is held as soon as possible in order to limit the spread and transmission of DHF disease. – Extermination. The most important effort is to exterminate the infecting mosquito larva in its nest by doing “3M”, i.e. draining, covering, and burying.

Dengue Hemorrhagic Fever (DHF) disease is one of the problem of public health, and the rate of case tends to increase and it spreads more widely along with transportation advance by the development of inhabitant’s settlement (Dept. of Health, 1994).
In 1954 the first Extraordinary Case (EC) of DHF disease in Asia was found in Manila.
DHF is initially reported in Indonesia that is by the extraordinary case of DHF disease in Jakarta and Surabaya with 58 cases of DHF and 24 cases of death (CFR = 42.5%).
In 2001 the number of DHF death in Bantul regency was 4 DHF cases (CFR = 2.23%).
In 2003 it increased to be 8 people.

Since January-March 2004 the total case of DHF in whole provinces in Indonesia had attained 26.015. The number of death was 389 people. The highest case was found in the province of Jakarta, while the highest CFR was found in the province of Eastern Lesser Sundas (NTT).