The Effect of the Indoor Residual Spraying (IRS) Program on Reducing Parasite Incidence in the Working Area of the Sea Silau Health Center, Asahan District

Q4 Social Sciences

Journal of Social Research and Policy Pub Date : 2023-10-05 DOI:10.55324/josr.v2i11.1479

Ice Ratnalela Siregar, Mardan Ginting, Theodorus Teddy Bambang

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Abstract

Malaria is a severe, life-threatening infectious disease transmitted through the bite of infected female Anopheles mosquitoes. In Asahan Regency, four areas are endemic for malaria, with Silau Laut District having an API rate of 4.8‰ (Annual Parasite Incidence per 1000 at-risk individuals annually). Indoor residual spraying (IRS) with Lambda Cyhalothrin (Icon 100 CS) is used to eradicate mosquito vectors by applying insecticide to walls and ceilings, interrupting transmission. Research aimed to assess IRS effectiveness in reducing malaria incidence in Silau Laut District found a strong positive correlation (0.826 and 0.912) between RDT and microscopic examination results before and after IRS. However, correlations between education and malaria control using IRS and changes in knowledge and attitudes were weak (0.490 and 0.438). Paired T-tests revealed differences in RDT examination results (p = 0.044) and knowledge and attitude levels (p = 0.000) before and after IRS education. No significant difference was observed in microscopic examination results (p = 0.159). Recommendations include intensified efforts in malaria prevention and control, including active case finding, mosquito nest elimination, continued IRS, mesh installation, insecticide-treated bed net use, health education, and regular bioassay testing every 1-2 months for 3-6 months in Silau Laut District.

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室内滞留喷洒(IRS)对降低Asahan区Sea Silau卫生中心工作区域寄生虫发病率的效果

疟疾是一种严重的、危及生命的传染病，通过受感染的雌性按蚊叮咬传播。在Asahan县，有4个地区是疟疾流行区，其中Silau Laut区的疟疾流行率为4.8‰(每年每1000名高危人群的寄生虫年发病率)。使用Lambda氯氟氰菊酯(Icon 100 CS)室内残留喷洒(IRS)，通过在墙壁和天花板上喷洒杀虫剂，阻断传播，以消灭蚊子媒介。评价IRS降低Silau Laut地区疟疾发病率效果的研究发现，RDT与IRS前后镜检结果呈正相关(0.826和0.912)。然而，教育程度与IRS控制疟疾与知识和态度变化之间的相关性较弱(0.490和0.438)。配对t检验显示，IRS教育前后RDT检查结果(p = 0.044)和知识态度水平(p = 0.000)存在差异。镜检结果差异无统计学意义(p = 0.159)。建议包括加强疟疾预防和控制工作，包括积极发现病例、消除蚊虫巢穴、继续进行室内滞留治疗、安装蚊帐、使用经杀虫剂处理的蚊帐、健康教育以及在西劳劳特区每1-2个月进行3-6个月的定期生物测定检测。

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来源期刊

Journal of Social Research and Policy Social Sciences-Sociology and Political Science

CiteScore

0.30

自引率

0.00%

发文量

审稿时长

8 weeks

期刊介绍： Welfare states have made well-being one of the main focuses of public policies. Social policies entail, however, complicated, and sometimes almost insurmountable, issues of prioritization, measurement, problem evaluation or strategic and technical decision making concerning aim-setting or finding the most adequate means to ends. Given the pressures to effectiveness it is no wonder that the last several decades have witnessed the imposition of research-based social policies as standard as well as the development of policy-oriented research methodologies. Legitimate social policies are, in this context, more and more dependent on the accurate use of diagnostic methods, of sophisticated program evaluation approaches, of benchmarking and so on. Inspired by this acute interest, our journal aims to host primarily articles based on policy research and methodological approaches of policy topics. Our journal is open to sociologically informed contributions from anthropologists, psychologists, statisticians, economists, historians and political scientists. General theoretical papers are also welcomed if do not deviate from the interests stated above. The editors also welcome reviews of books that are relevant to the topics covered in the journal.