CORRELATION OF HOME ENVIRONMENTAL FACTORS AND HABITS OF RESIDENTS WITH MALARIA INCIDENCE IN ASAHAN REGENCY, NORTH SUMATRA PROVINCE IN 2018

Abstract

Background: Malaria can cause pain and death. Malaria occurs in 91 countries in the world and 50% of the population lives in areas at risk of contracting malaria with a morbidity rate of 216 million cases and death of 445,000 people. The purpose of this research was to analyze the risk factors for malaria incidence in Asahan Regency.

Materials and Methods: This type of research is observational analytic, using matched case-control according to gender and age. The population was all patients and not malaria sufferers who live in Asahan Regency in 2017. Malaria sufferers were recorded at E-socialism Public Health Center as many as 469 cases. Case samples were malaria patients recorded in E-Sismal Public Health Center, taken by simple random sampling as many as 90 cases, control samples are residents who live near the case house and non-malaria sufferers are not recorded in E-Sismal Public Health Center as many as 90 people. Data obtained through observation and interviews with questionnaires. Bivariate analysis using Mc.Neymar, multivariate use Conditional logistic regression.

Result: The results found that there was a correlation of the presence of livestock, the habit of the night out and hanging clothes with the incidence of malaria. The most influential risk factor for malaria incidence is night out habits (OR = 5,086, 95% CI 2,675 - 9,668).

Conclusion: It is recommended to increase public knowledge by conducting counseling about malaria prevention efforts by actively participating in efforts to protect themselves from mosquito bites if they do activities outside the house at night or by reducing activities outside the home at night.

Keywords: Home Environment, Habits of Residents, Endemic, Malaria