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Malaria Prevention Strategies in Kalimantan, Indonesia: A Secondary Analysis of 2018 Basic Health Research Data

Nurse Media Journal of Nursing · Vol. 14 No. 2 (2024) · hlm. 279–293

DOI
10.14710/nmjn.v14i2.56285
ISSN
2406-8799, 2087-7811
Terbit
2024-08-31
Penerbit
Department of Nursing, Faculty of Medicine, Universitas Diponegoro
Bahasa
eng
Lisensi
creativecommons.org/licenses/by-sa/4.0

Abstrak

Background: Kalimantan remains malaria-endemic, particularly in rural areas, where prevention efforts face challenges such as insecticide resistance and limited healthcare access. Despite available measures like insecticide-treated nets, gaps in understanding individual and household prevention practices persist, especially in relation to demographics and effectiveness in reducing malaria transmission.Purpose: This study aimed to examine the individual and household-level malaria prevention strategies utilized in rural Kalimantan and evaluate their effectiveness in reducing malaria incidence.Methods: The study was a secondary analysis of the 2018 Indonesian basic health research (Riskesdas). A total of 67,155 respondents in Kalimantan were analyzed including respondent characteristics, memories of malaria infection, and individual and household malaria prevention efforts. The data were collected through the result of the 2018 Riskesdas survey. Bivariate regression and multivariable logistic regression were used in data analysis.Results: Self-reported malaria rates were higher among older respondents compared to younger ones. Women reported lower malaria rates than men, especially in South Kalimantan. In West Kalimantan, the use of bed nets was associated with higher self-reported malaria rates (OR=1.838, 95%CI 1.147–2.943). Short-term use of insecticide-treated nets (ITNs) showed varying odds across provinces: Central Kalimantan (OR=3.659, 95%CI 1.378–9.717), South Kalimantan (OR=10.811, 95%CI 3.649–32.030), East Kalimantan (OR=2.615, 95%CI 1.041–6.567), and West Kalimantan (OR=2.428, 95%CI 1.446–4.078). In all provinces, preventive measures such as coils or electric mats reduced self-reported malaria cases. The use of mosquito screens was effective in South Kalimantan (OR=0.208, 95%CI 0.027–1.598), Central Kalimantan (OR=0.365, 95%CI 0.120–2.181), and North Kalimantan (OR=0.000, 95%CI 0.000–0.000). The multivariate model highlighted mosquito nets as the most effective household-scale prevention in nearly all Kalimantan provinces except North Kalimantan.Conclusion: This study showed that individuals aged 25 and over, women, non-farmers, and those using ITNs and other preventive measures, especially in rural areas, were less likely to report malaria, emphasizing the need for targeted interventions from local health authorities.

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  • Universitas Airlangga
  • National Research and Innovation Agency
  • Diponegoro University
  • Lambung Mangkurat University
  • Kementerian Kesehatan Republik Indonesia
  • IPB University
  • National Nuclear Energy Agency of Indonesia
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Rekan penulisOrganisasiArtikel bersama
Babucarr JasseyMinistry of Health and Social Welfare7
Triwibowo Ambar GarjitoNational Research and Innovation Agency7
Juhairiyah JuhairiyahNational Research and Innovation Agency6
Khuliyah Candraning DiyanahUniversitas Airlangga5
Aditya Sukma PawitraUniversitas Airlangga5
Lilis SulistyoriniUniversitas Airlangga5
Rahmat DapariUniversiti Putra Malaysia5
Diva Alishya ShafwahUniversitas Airlangga4
Nafi'atul IrbahUniversitas Airlangga4
Wanti WantiPoltekkes Kemenkes Kupang3
Liestiana IndriyatiKementerian Kesehatan Republik Indonesia3
Hari Basuki NotobrotoUniversitas Airlangga3
Sri SubektiUniversitas Airlangga2
Hari Basuki NotobrotoUniversitas Airlangga2
R. AzizahUniversitas Airlangga2
Soedjajadi KemanUniversitas Airlangga2
Endah Nurul KumarijatiUniversitas Airlangga2
Syarif HidayatKementerian Kesehatan Republik Indonesia2
Ulfa Farida TrisnawatiAfiliasi tidak diketahui1
Muhammad Ir'faiAfiliasi tidak diketahui1
Ferry KriswandanaPoltekkes Kemenkes Surabaya1
Isnawati IsnawatiPoltekkes Kemenkes Banjarmasin1
Muhammad PahruddinAfiliasi tidak diketahui1
Mateus Sakundarno AdiDiponegoro University1
Risna Endah BudiatiDiponegoro University1
Suharyo HadisaputroDiponegoro University1
Rr. Anggun Paramita DjatiAfiliasi tidak diketahui1
SuhartonoDiponegoro University1
Upik Kesumawati HadiIPB University1
Susi SovianaIPB University1
Zubaidah IrawatiNational Nuclear Energy Agency of Indonesia1
Ali RahayuNational Nuclear Energy Agency of Indonesia1
S SunaryoAfiliasi tidak diketahui1
Budi HairaniAfiliasi tidak diketahui1

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Sumber metadata: OAI-PMH (metadata jurnal) https://ejournal.undip.ac.id/index.php/medianers/oai, pertama di-harvest 10 Nov 2026, terakhir terlihat 10 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en-US">Malaria Prevention Strategies in Kalimantan, Indonesia: A Secondary Analysis of 2018 Basic Health Research Data</dc:title>
	<dc:creator>Ridha, Muhammad Rasyid</dc:creator>
	<dc:creator>Andiarsa, Dicky</dc:creator>
	<dc:creator>Noor, Ihya Hazairin</dc:creator>
	<dc:creator>Wiliyani, Erni</dc:creator>
	<dc:creator>Ramadhani, Tri</dc:creator>
	<dc:creator>Yudhastuti, Ririh</dc:creator>
	<dc:subject xml:lang="en-US">Household; individual; Kalimantan malaria; prevention</dc:subject>
	<dc:description xml:lang="en-US">Background:  Kalimantan remains malaria-endemic, particularly in rural areas, where prevention efforts face challenges such as insecticide resistance and limited healthcare access. Despite available measures like insecticide-treated nets, gaps in understanding individual and household prevention practices persist, especially in relation to demographics and effectiveness in reducing malaria transmission.Purpose: This study aimed to examine the individual and household-level malaria prevention strategies utilized in rural Kalimantan and evaluate their effectiveness in reducing malaria incidence.Methods: The study was a secondary analysis of the 2018 Indonesian basic health research (Riskesdas). A total of 67,155 respondents in Kalimantan were analyzed including respondent characteristics, memories of malaria infection, and individual and household malaria prevention efforts. The data were collected through the result of the 2018 Riskesdas survey. Bivariate regression and multivariable logistic regression were used in data analysis.Results:  Self-reported malaria rates were higher among older respondents compared to younger ones. Women reported lower malaria rates than men, especially in South Kalimantan. In West Kalimantan, the use of bed nets was associated with higher self-reported malaria rates (OR=1.838, 95%CI 1.147–2.943). Short-term use of insecticide-treated nets (ITNs) showed varying odds across provinces: Central Kalimantan (OR=3.659, 95%CI 1.378–9.717), South Kalimantan (OR=10.811, 95%CI 3.649–32.030), East Kalimantan (OR=2.615, 95%CI 1.041–6.567), and West Kalimantan (OR=2.428, 95%CI 1.446–4.078). In all provinces, preventive measures such as coils or electric mats reduced self-reported malaria cases. The use of mosquito screens was effective in South Kalimantan (OR=0.208, 95%CI 0.027–1.598), Central Kalimantan (OR=0.365, 95%CI 0.120–2.181), and North Kalimantan (OR=0.000, 95%CI 0.000–0.000). The multivariate model highlighted mosquito nets as the most effective household-scale prevention in nearly all Kalimantan provinces except North Kalimantan.Conclusion:  This study showed that individuals aged 25 and over, women, non-farmers, and those using ITNs and other preventive measures, especially in rural areas, were less likely to report malaria, emphasizing the need for targeted interventions from local health authorities.</dc:description>
	<dc:publisher xml:lang="en-US">Department of Nursing, Faculty of Medicine, Universitas Diponegoro</dc:publisher>
	<dc:date>2024-08-31</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
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	<dc:identifier>https://ejournal.undip.ac.id/index.php/medianers/article/view/56285</dc:identifier>
	<dc:identifier>10.14710/nmjn.v14i2.56285</dc:identifier>
	<dc:source xml:lang="en-US">Nurse Media Journal of Nursing; Vol 14, No 2 (2024): (August 2024); 279-293</dc:source>
	<dc:source>2406-8799</dc:source>
	<dc:source>2087-7811</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://ejournal.undip.ac.id/index.php/medianers/article/view/56285/27189</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2024 by the Authors, Published by Department of Nursing, Faculty of Medicine, Universitas Diponegoro</dc:rights>
	<dc:rights xml:lang="en-US">https://creativecommons.org/licenses/by-sa/4.0</dc:rights>
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