印度尼西亚城市和农村疟疾治疗(Riskesdas 2013)

Revi Rosavika Kinansi, Diana Andriyani Pratamawati, R. Mayasari
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引用次数: 0

摘要

印度尼西亚的疟疾控制仍然面临许多挑战,特别是在疟疾治疗方面。青蒿素类联合疗法覆盖率低的原因之一是,一些地方不再是疟疾流行地区,忽视了来自流行地区的疟疾病例,因此患者没有立即被诊断为疟疾患者。这项进一步分析的目的是描述基于疟原虫种类的疟疾治疗与城市和农村地区青蒿素联合治疗的可及性、时间和管理相关。所使用的方法是对2013年基础卫生研究提供的多达1,027,763人的二级数据进行描述性分析,方法是对卫生人员诊断为疟疾的个人和血液检测结果为疟疾阳性的个人进行分析。分析结果提供的信息显示,在城市和农村地区,恶性疟原虫和间日疟原虫的治疗情况为良好,即大多数接受ACT治疗,接受ACT治疗的时间在前24小时内,在醉酒后3天内接受ACT治疗。然而,我们发现,在农村地区,间日疟的治疗仍然不好,因为大多数人没有接受ACT治疗。在容易到达和目标明确的地区实施疟疾控制是指能够负担得起通过公共补贴计划获得有针对性干预措施所涉及的费用的群体。这鼓励所有区域提供良好的保健服务,使人们更容易获得疟疾控制干预措施。
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Pengobatan Malaria di Perkotaan dan Pedesaan di Indonesia (Analisis Lanjut Riskesdas 2013)
Malaria control in Indonesia still against many challenges, especially in terms of malaria treatment. One of the causes of low coverage of Artemisin Based Combination Therapy (ACT) is that several locations are no longer malaria endemic, being negligent with malaria cases coming from endemic areas, so that patients are not immediately diagnosed as malaria patients. The purpose of this further analysis was to describe malaria treatment based on Plasmodium species associated with access, time, and administration of ACT treatment between urban and rural areas. The method used is descriptive analysis of secondary data from Basic Health Research in 2013 as many as 1,027,763 people by taking the unit of analysis of individuals who have been diagnosed with malaria by health personnel and individuals whose blood test results are positive for malaria. The results of the analysis provide information that in urban and rural areas, the treatment of P. falciparum and P. vivax is classified as good, namely the majority received ACT treatment, the time to receive ACT treatment was within the first 24 hours, and ACT treatment was given within 3 days of being drunk. However, it was found that in rural areas, P. vivax treatment was still not good because the majority did not receive ACT treatment. The implementation of malaria control in areas that are easily accessible and well-targeted are groups that can afford the costs involved in accessing targeted interventions by public subsidized programs. This encourages all regions to have good health services that provide better access to malaria control interventions.
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