MALARIA PROFILE 2004 IN INDONESIA

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MALARIA PROFILE 2004 IN INDONESIA

• Sub-Directorate of Malaria, Directorate General
  Disease Control, Ministry of Health, Indonesia

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MALARIA ENDEMICITY, 2004
IMC-4 GFATM
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MALARIA RISK 2004
Population Province District
Country 217,072,346 30 390
Malaria Risk 95,121,318 30 290
43,82 100 74,36
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MALARIA JAVA-BALI 2000-2004
MALARIA OUTER JAVA-BALI 2000-2004
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MALARIA IN JAWA BALI 2000-2004
2000 2001 2002 2003 2004
SUSPECT/ CLINICAL 1.475.704 1.210.530 998.791 756.833 480.048
BSE 1.475.704 1.210.530 998.791 756.833 480.048
POSITIVE 101.852 86.277 64.708 27.765 7.774
Pf mix 30.089 36.121 27.091 12.984 2.324
HCI Villages 490 464 493 345 147
Banten Province not included
HCI High Case Incidence
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MALARIA IN OUTER JAWA BALI 2000-2004
2000 2001 2002 2003 2004
SUSPECT/ CLINICAL 1.060.125 1.529.082 1.760.780 1.44.679 1.876.684
BSE 300.212 369.202 413.203 333.137 699.788
POSITIVE 108.337 162.383 157.005 144.679 292.732
Pf mix 28.381 58.701 65.624 51.048 117.220
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Malaria Outbreak, 2004-2005
5. North Sulawesi
3. North Maluku
3. NAD
2. Riau
4. South Kalimantan
1. West Kalimantan
2. Maluku
1. West Java
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Reported Malaria Outbreak 2004
Mei - June
Nov
Mei-Jun
Okt-Nov
2005
Peb
Mrt
Mrt
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VECTOR MALARIA IN INDONESIA
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MALARIA INCIDENCE MOSTLY IN THE REMOTE AREAS AND
RELATED WITH POOR PEOPLE
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POTENSIAL BREEDING PLACES
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MALARIA VECTOR BREEDING IN THE RIVER DURING DRY
SEASSON OR RUNNING WATER
No malaria breeding places
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MALARIA TRANSMISSION VECTOR BREEDING IN
PLANTATION AREAS
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MALARIA VECTOR BREEDING IN THE FORREST FRINGE
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MALARIA VECTOR BREEDING ALONG THE COAST
MANGGROVES ELIMINATION CREATE MOSQUITO BREEDING
PLACES
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ENVIRONMENTAL DAMAGE IMPACT ON HUMAN HEALTH
MALARIA TRANSMISSION
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MALARIA CONTROL POLICY 2005-2009
Reduce malaria morbidity mortality by 50
in 2009 based on 2005.
OBJECTIVES
Specific objectives

• All Districts able to conduct early blood
  examination for malaria and appropriate treatment
  with 100 coverage in 2009.
• Reduce by 50 number of High Case Incidence
  villages in 2009 based on 2005.
• To free from malaria local transmission in
  Jakarta, Bali and Batam by 2010.

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MAIN ACTIVITIES

1. Prevent local transmission and control malaria
   risk factors.
2. Case detection management effectively.
3. Surveillance epidemiology and epidemic
   containment.
4. Information, education, communication and support
   for controlling malaria.

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AREAS STRATIFICATION

1. Areas with low laboratory confirmation rate
   (Outer Java-Bali).
2. Areas fully laboratory confirmation (Java-Bali).
3. Areas would like to free from local transmission
   (Jakarta, Bali and Batam).

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STANDARD TREATMENT GUIDELINES

• Complicated Pf
• QN parental-oral7Dx7/Clin7 PQ
• Artemether im-AQ3ATS3 PQ
• Artesunate parental-AQ3ATS3 PQ
• Prophylaxis
• Doxycycline
• Outbreak containment (MFS)
• AQ3ATS3 PQ for Pf
• CQ PQ for Pv

• Uncomplicated Pf
• AQ3ATS3 PQ
• QN7DX7/Clind PQ
• Uncomplicated Pv
• CQ3PQ14
• QN7PQ14

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CONTROL ACTIVITIES
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CASE FINDING AND TREATMENT
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CASE DETECTION FOR MALARIA AT THE VILLAGE LEVEL
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BLOOD SLIDES TAKEN COLLECTION FOR THE SUSPECT
CASES
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BLOOD SLIDES EXAMINATION BY MICROSCOPIST AT
HEALTH CENTER
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Malaria patient at sub- Health center or
Puskesmas pembantu (Pustu)
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SEVERE MALARIA TO BE REFFERED TO DISTRICT HOSPITAL
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MALARIA PREVENTION
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INDOOR RESIDUAL SPRAYING (IRS)
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COMMUNITY PARTICIPATION FOR MALARIA CONTROL
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Focus Group Interviews
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DRUGS SELLER AT VILLAGE LEVEL
Choice of malaria drugs
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Malaria Volunteer and Surveillance Agent at
Village level
Im Sartiyah Village Surveillance Agent
Im malaria volunteer at Sigeblog village
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COORDINATION MEETING WITH HEALTH PROVIDER
Im Kusnari District officer
Im Village Midwife
Im Mohtarom, Volunteer
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Mohtarom (Volunteer) taken blood slides from
Malaria patient
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Volunteer was given facilities by Village head ?
cupboard etc.
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THANK YOU