FACTORS RELATED TO THE CLINICAL DEGREE OF MALARIA IN ELIMINATION AREAS IN INDONESIA

Aneke Theresia, Helda, Malaria Derajat, Klinis Daerah, Eliminasi
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Abstract

Malaria treatment depends on the clinical degree of the disease and can cause death if not treated appropriately. This study looks at factors associated with the clinical degree of malaria in elimination areas in Indonesia. The research design used a cross-sectional quantitative study of secondary data from the Malaria Surveillance Information System (Sismal) application in 2023 in all 9435 elimination districts in Indonesia. Analysis was conducted on each variable to see the frequency distribution and percentage of each variable. Data was processed with the SPSS program. Multivariate analysis showed that anemia (p=0.000; OR=11.748; CI 95% =7.833-17.620) and treatment status (p=0.000; OR=8.554; CI 95% =5.694-12.851) had p<0.05. It can be concluded that anemia and treatment status are significantly associated with the clinical degree of malaria. In elimination areas, because cases are rare, training is needed for health workers to provide appropriate and rapid diagnosis and treatment so that no infection or recurrence causes severe anemia and death. Many factors affect the clinical degree of malaria. However, the variables employed are constrained, necessitating further investigation into a comprehensive array of factors influencing the clinical severity of malaria.
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与印度尼西亚消除疟疾地区疟疾临床程度有关的因素
疟疾的治疗取决于疾病的临床程度,如果治疗不当会导致死亡。本研究探讨了与印度尼西亚消除疟疾地区疟疾临床程度相关的因素。研究设计采用了横截面定量研究方法,从印度尼西亚所有 9435 个消除疟疾地区 2023 年应用的疟疾监测信息系统(Sismal)中获取二手数据。对每个变量进行了分析,以了解每个变量的频率分布和百分比。数据使用 SPSS 程序处理。多变量分析显示,贫血(P=0.000;OR=11.748;CI 95% =7.833-17.620)和治疗状态(P=0.000;OR=8.554;CI 95% =5.694-12.851)的P<0.05。由此可以得出结论,贫血和治疗状况与疟疾的临床程度密切相关。在消除疟疾地区,由于病例很少,因此需要对卫生工作者进行培训,以提供适当和快速的诊断和治疗,从而避免感染或复发导致严重贫血和死亡。影响疟疾临床程度的因素很多。然而,所采用的变量有限,因此有必要进一步调查影响疟疾临床严重程度的一系列综合因素。
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