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MALARIA PROFILE 2004 IN INDONESIA. Sub-Directorate of Malaria, Directorate General Disease Control, Ministry of Health, Indonesia. MALARIA ENDEMICITY, 2004. IMC-4 GFATM. MALARIA RISK 2004. MALARIA JAVA-BALI 2000-2004. MALARIA OUTER JAVA-BALI 2000-2004. MALARIA IN JAWA BALI 2000-2004.
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MALARIA PROFILE 2004 IN INDONESIA Sub-Directorate of Malaria, Directorate General Disease Control, Ministry of Health, Indonesia
MALARIA ENDEMICITY, 2004 IMC-4 GFATM
MALARIA JAVA-BALI 2000-2004 MALARIA OUTER JAVA-BALI 2000-2004
MALARIA IN JAWA BALI 2000-2004 * Banten Province not included HCI= High Case Incidence
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
Reported Malaria Outbreak 2004 Mei - June Nov Mei-Jun Okt-Nov 2005 Peb Mrt Mrt
MALARIA INCIDENCE MOSTLY IN THE REMOTE AREAS AND RELATED WITH POOR PEOPLE
MALARIA VECTOR BREEDING IN THE RIVER DURING DRY SEASSON OR RUNNING WATER No malaria breeding places
MALARIA VECTOR BREEDING ALONG THE COAST MANGGROVES ELIMINATION CREATE MOSQUITO BREEDING PLACES
ENVIRONMENTAL DAMAGE IMPACT ON HUMAN HEALTH & MALARIA TRANSMISSION
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.
MAIN ACTIVITIES • Prevent local transmission and control malaria risk factors. • Case detection & management effectively. • Surveillance epidemiology and epidemic containment. • Information, education, communication and support for controlling malaria.
AREAS STRATIFICATION • Areas with low laboratory confirmation rate (Outer Java-Bali). • Areas fully laboratory confirmation (Java-Bali). • Areas would like to free from local transmission (Jakarta, Bali and Batam).
Uncomplicated Pf AQ3+ATS3 + PQ QN7+DX7/Clind + PQ Uncomplicated Pv CQ3+PQ14 QN7+PQ14 Complicated Pf QN parental-oral7+Dx7/Clin7 + PQ Artemether im-AQ3+ATS3 + PQ Artesunate parental-AQ3+ATS3 + PQ Prophylaxis Doxycycline Outbreak containment (MFS) AQ3+ATS3+ PQ for Pf CQ + PQ for Pv STANDARD TREATMENT GUIDELINES
Malaria patient at sub- Health center or Puskesmas pembantu (Pustu)
SEVERE MALARIA TO BE REFFERED TO DISTRICT HOSPITAL
DRUGS SELLER AT VILLAGE LEVEL Choice of malaria drugs
Malaria Volunteer and Surveillance Agent at Village level I’m Sartiyah Village Surveillance Agent I’m malaria volunteer at Sigeblog village
COORDINATION MEETING WITH HEALTH PROVIDER I’m Kusnari District officer I’m Village Midwife I’m Mohtarom, Volunteer
Mohtarom (Volunteer) taken blood slides from Malaria patient
Volunteer was given facilities by Village head cupboard etc.