scholarly journals Rencana Aksi Lintas Sektor dan Peran Serta Masyarakat dalam Pengendalian Fokus Keong Perantara Schistosomiasis di Dataran Tinggi Napu Kabupaten Poso Sulawesi Tengah

2019 ◽  
Vol 13 (2) ◽  
pp. 125-132
Author(s):  
Junus Widjaja ◽  
Hayani Anastasia
Keyword(s):  
Paddy Field ◽  
Action Plan ◽  
Animal Health ◽  
Control Program ◽  
Public Works ◽  
Oncomelania Hupensis ◽  
Schistosomiasis Control ◽  
Water Catchment ◽  
Central Sulawesi ◽  
Regional Institute

Abstract Schistosomiasis in Indonesia is endemic only in Napu and Bada highlands in Poso District and Lindu highlands in Sigi District, Central Sulawesi. Schistosomiasis control program has been done since 1982; however, it is not successful yet. The objective of this study was to re-identify the active focus area of O.h. lindoensis and the schistosomiasis control program by multi-sector and community. This study mapped the foci area and designed an action plan for schistosomiasis control by multi-sector in provincial level, Poso District, and Sigi District. The sectors involved are Agency for Regional Development, Regional Institute of Research and Development, Health Services, Agriculture Office, Plantation, and Animal Health Office, Maritime and Fisheries Office, Public Works Office, and Village Empowerment Office. The foci area of O.h. lindoensis were distributed in 16 villages in Napu, with a total of 242 foci area. The schistosomiasis control program by multi-sectors was making water catchment, making new paddy field, irrigation, molluscicide, cleaning foci area, draining, re-use of abandoned paddy field and plantation. There is a need for a regulation about budgeting and environmental management in sub-district and village level to support community participation in cleaning foci area, mass drug treatment, and stool survey. Abstrak Schistosomiasis di Indonesia hanya ditemukan di Dataran Tinggi Napu dan Dataran Tinggi Bada, Kabupaten Poso serta Dataran Tinggi Lindu, Kabupaten Sigi, Sulawesi Tengah. Sejak tahun 1982 telah dilakukan upaya pemberantasan tetapi sampai saat ini belum berhasil. Tujuan penulisan adalah mengidentifikasi kembali fokus keong perantara schistosomiasis yang masih aktif dan menyusun rencana aksi  lintas sektor serta peran serta masyarakat dalam penanganan fokus keong. Kegiatan meliputi pemetaan kembali dan melakukan pertemuan menyusun rencana aksi pengendalian schistosomiasis dengan lintas sektor terkait di tingkat Provinsi Sulawesi Tengah, Kabupaten Poso dan Kab. Sigi. Organisasi Perangkat Daerah (OPD) yang terlibat antara lain Badan Perencanaan Pembangunan Daerah (Bappeda), Badan Penelitian dan Pengembangan Daerah (Balitbangda), Dinas Kesehatan, Dinas Pertanian, Perkebunan dan Kesehatan Hewan, Dinas Kelautan dan Perikanan, Dinas Pekerjaan Umum dan Dinas Pemberdayaan Masyarakat Desa (PMD). Fokus keong Oncomelania hupensis lindoensis tersebar pada 16 desa di Dataran Tinggi Napu. Jumlah fokus keong O. hupensis lindoensis 242 fokus. Rencana aksi lintas sektor dengan pembuatan bak penangkap air, pencetakan sawah, pembuatan saluran air permanen dan penyemprotan moluskisida sedangkan peran serta masyarakat berupa pembersihan, pengeringan, pengaktifan sawah dan kebun. Perlu ada regulasi pembiayaan untuk pengembangan manajeman lingkungan dan regulasi di tingkat kecamatan atau desa untuk peningkatan peran serta masyarakat dalam pelaksanaan pembersihan fokus keong, pengobatan massal dan survei tinja.  

scholarly journals Evaluasi Pengendalian Schistosomiasis oleh Lintas Sektor Tahun 2018

2019 ◽  
Vol 47 (4) ◽  
Author(s):  
Hayani Anastasia ◽  
Junus Widjaja ◽  
Anis Nurwidayati
Keyword(s):  
Schistosoma Japonicum ◽  
Interactive Media ◽  
Control Program ◽  
Cross Sectional Study ◽  
Oncomelania Hupensis ◽  
Cross Sectional ◽  
Schistosomiasis Control ◽  
Control Programs ◽  
Significant Difference ◽  
Central Sulawesi

Abstract In Indonesia, schistosomiasis is caused by Schistosoma japonicum with Oncomelania hupensis lindoensis as the intermediate host. Schistosomiasis can infect humans and all species of mammals. In order to achieve schistosomiasis elimination by 2020, schistosomiasis control including environmental management, has been carried out by multi-sectors. A cross-sectional study was conducted in 2018 to evaluate multi-sectoral schistosomiasis control programs. Data were collected by in-depth interviews with stakeholders, stool survey, snail survey, field observation, and document reviews. About 53.6% of control programs targeted in the schistosomiasis control roadmap were not achieved. Moreover, there was no significant difference between the number of foci area prior to the control programs and that of after the control programs completed in 2018. In addition, the prevalence of schistosomiasis in the humans was 0-5.1% and in mammals was in the range of 0 to 10%. In order to overcome the problems, establishment of a policy concerning schistosomiasis as a priority program beyond the Ministry of Health is needed. Innovative health promotion with interactive media is also needed to be applied. Nonetheless, the schistosomiasis work teams need to be more active to collaborate with other sectors and the Agency of Regional Development of Central Sulawesi Province as the leading sector. Keywords: schistosomiasis, control program, multi-sector, evaluation Abstrak Schistosomiasis di Indonesia disebabkan oleh cacing trematoda jenis Schistosoma japonicum dengan hospes perantara keong Oncomelania hupensis lindoensis. Schistosomiasis selain menginfeksi manusia, juga menginfeksi semua jenis mamalia. Untuk mencapai eliminasi schistosomiasis pada tahun 2020 dilakukan pengendalian schistosomiasis oleh lintas sektor termasuk di dalamnya pelaksanaan manajemen lingkungan. Upaya pencapaian eliminasi schistosomiasis dilakukan terutama dengan manajemen lingkungan yang direncanakan bersama oleh lintas sektor. Penelitian cross sectional dilakukan untuk mengevaluasi pelaksanaan program pengendalian schistosomiasis oleh lintas sektor dan implementasi pengendalian schistosomiasis terpadu untuk eliminasi schistosomiasis. Pengumpulan data dilakukan dengan wawancara mendalam stakeholder, review dokumen, survei keong, observasi lapangan, dan survei tinja. Hasil penelitian menunjukkan 53,6% kegiatan yang direncanakan dalam roadmap tidak terlaksana tahun 2018. Perbandingan jumlah fokus yang ditemukan pada akhir tahun 2018 tidak jauh berbeda dengan sebelum kegiatan pengendalian. Prevalensi schistosomiasis pada manusia tahun 2018 berkisar 0-5,1%. Prevalensi schistosomiasis pada hewan berkisar 0-10%. Untuk mengatasi permasalahan yang dihadapi perlu adanya rekomendasi kebijakan schistosomiasis sebagai kegiatan prioritas di kementerian di luar kesehatan sehingga memungkinkan perencanaan kegiatan yang lebih terarah oleh lintas sektor. Selain itu perlu dilakukan promosi kesehatan yang lebih inovatif dengan menggunakan media yang lebih menarik dan interaktif. Peranan aktif kelompok kerja tim pengendalian schistosomiasis perlu ditingkatkan dengan Bappeda sebagai leading sector. Kata kunci: schistosomiasis, pengendalian, lintas sektor, evaluasi

scholarly journals Implementasi Model Bada dalam Pengendalian Schistosomiasis di Desa Lengkeka, Kecamatan Lore Barat, Kabupaten Poso, Sulawesi Tengah

2020 ◽  
Vol 48 (3) ◽  
Author(s):  
Ahmad Erlan ◽  
Junus Widjaja ◽  
Anis Nur Widayati ◽  
Malonda Maksud ◽  
Intan Tolistiawaty ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Control Program ◽  
Community Empowerment ◽  
Community Based ◽  
Schistosomiasis Control ◽  
Attitude And Practice ◽  
Endemic Areas ◽  
The Impact ◽  
Central Sulawesi ◽  
Knowledge Attitude And Practice

Abstract Schistosomiasis in Indonesia has been found in three endemic areas of Central Sulawesi Province and its control program has long been implemented for more than 35 years, but the transmission has remained unchanged. A new integrated and community based strategy, namely “Bada”was implemented in Lengkeka Village.in 2019. The study aimed to determine the impact of the implementation of Bada model to control schistosomiasis using mixed methods. The Bada model consisted of four actions, namely design of village regulations, formation of schistosomiasis control team, the improvement of capacity for several key persons and integrated schistosomiasis control with various sectors. The results showed the increase of stool collection coverage from 54.59% in 2018 to 71.92% in 2019 and the mass drug administration coverage, from 53% in 2018 to 86.04% in 2019. The snail focci areas were reduced from five to three areas. The schistosomiasis prevalence in human was 0% in 2019. The study also found the increasing of the knowledge, attitude, and practice about schistosomiasis and its prevention of people in the study area.. Based on the results, the Bada model can be considered to be implemented in other schistosomiasis endemic areas, with regard to the local wisdom. Keywords: Schistosomiasis, community empowerment, development of Bada model, Lengkeka, Poso Abstrak Schistosomiasis di Indonesia ditemukan di Provinsi Sulawesi Tengah dan upaya pengendalian sudah dilakukan selama lebih dari 35 tahun terakhir, tetapi sampai saat ini penularan masih terjadi. Sebuah strategi baru pengendalian schistosomiasis terintegrasi dan berbasis masyarakat, yang disebut pengembangan model “Bada” diimplementasikan di Desa Lengkeka tahun 2019. Penelitian dilakukan dengan mixed methods Pengembangan tersebut terdiri atas empat kegiatan, yaitu penyusunan peraturan desa, pembentukan tim pengendalian Schistosomiasis desa/Tim Peda’, peningkatan kapasitas dalam pengendalian schistosomiasis melalui beberapa tokoh masyarakat dan program pengendalian Schistosomiasis terintegrasi lintas sektor. Hasil implementasi menunjukkan terjadi penurunan kasus schistosomiasis pada manusia dan hewan mamalia ternak menjadi nol, meningkatkan cakupan pengumpulan tinja manusia, dari 54,59% menjadi 71,92%, juga meningkatkan cakupan pengobatan dari 53% pada tahun 2018 menjadi 86,04% pada tahun 2019. Pengembangan Model Bada dapat menurunkan jumlah daerah fokus dari 5 menjadi 3 daerah fokus, juga menambah pengetahuan, sikap dan perilaku masyarakat secara signifikan. Berdasarkan hasil tersebut Pengembangan Model Bada dapat dipertimbangkan untuk diimplementasikan di daerah endemis schistosomiasis lain di Provinsi Sulawesi Tengah, dengan tetap mempertimbangkan kearifan lokal masingmasing desa. Kata kunci: Schistosomiasis, pemberdayaan masyarakat, pengembangan model Bada, Lengkeka, Poso.

scholarly journals Cross-Sectoral Engagement in the Eradication of Schistosomiasis in Indonesia

2021 ◽  
Vol 13 (10) ◽  
pp. 82
Author(s):  
Gunawan Gunawan ◽  
Junus Widjaja ◽  
Phetisya Pamela Frederika Sumolang ◽  
Hayani Anastasia
Keyword(s):  
Local Governments ◽  
National Level ◽  
National Development ◽  
Control Program ◽  
Development Planning ◽  
Behavioral Changes ◽  
Schistosomiasis Control ◽  
Control Programs ◽  
Planning Agency ◽  
Central Sulawesi

BACKGROUND: Indonesia has planned a roadmap to eradicate schistosomiasis and achieved the elimination of schistosomiasis by 2025. Through cooperation between the Ministry of Health and the Ministry of National Development Planning or the National Development Planning Agency (Bappenas). The roadmap is a reference to plan the shared action multiple sectors, central-regional and communal coordinated by the National Development Planning Agency (Bappenas) and Development Planning Agency at Sub-national Level (Bappeda). OBJECTIVE: analyzing cross-sectoral involvement in 2019 in efforts to eradicate schistosomiasis. The research method is to analyze data and information regarding the schistosomiasis control program in 2019. MATERIAL AND METHODS: The data and information in the study came from six Regional Apparatus Organizations (OPD) in Poso and seven OPDs in Sigi Central Sulawesi. RESULT: This study reveals that, based on the roadmap to eradicate schistosomiasis, mass treatment regarding schistosomiasis for humans is 70-94%; mass medication for livestock is 50%; surveillance on intermediate snails, humans, and animals is 70-94%; 6,000 animals and 49%; the campaigns for behavioral changes and an increase in community participation in 18 villages and multi-sector coordination and intensive integrated supervision is 50%. Meanwhile, public toilets in the focus areas and livestock management have not proceeded. The prevalence of schistosomiasis in humans showed yields of 0.13%, 0%, and 0.0% in the Napu, Bada, and Lindu Plateaus. In addition, the prevalence of schistosomiasis in animals was 3.4% and 2.3% in buffalo and horses. CONCLUSION: Schistosomiasis control in terms of health can reduce the prevalence of schistosomiasis in humans. And schistosomiasis control is not a priority program in terms of agriculture. Who did not build schistosomiasis control programs in 2019 upon good coordination between the central and local governments?

scholarly journals Quality testing of veterinary antimicrobial products used for livestock in Vietnam, 2018–2019

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0247337
Author(s):  
Huong Luu Quynh ◽  
Thuy Nguyen Thi Bich ◽  
Long Ta Hoang ◽  
Vera Irene Erickson ◽  
Pawin Padungtod
Keyword(s):  
Quality Control ◽  
High Performance ◽  
Action Plan ◽  
Animal Health ◽  
Control Program ◽  
National Standard ◽  
Veterinary Drug ◽  
Quality Control Program ◽  
Efficient Treatment ◽  
Actual Concentration

Access to quality veterinary antimicrobial products contributes to efficient treatment of diseases in Vietnamese livestock and to reducing antimicrobial resistance (AMR). Poor quality antimicrobial drugs can lead to treatment failure, potentially influencing the inappropriate use of antimicrobials products, including increasing the dose, combining drugs, or changing to a broader spectrum antimicrobial. The objective of the study was to determine the actual concentration of antimicrobial active ingredient (AAI) in commercially available veterinary antimicrobial products as an indicator of their quality. A total of 144 veterinary antimicrobial products were purchased from randomly selected veterinary drug stores in 34 districts in eight provinces. For the qualitative analysis, we observed criteria linked to form, colour, and labelling information according to the Department of Animal Health regulations. For the quantitative analysis, high-performance liquid chromatography was used to determine the actual concentration of AAI in each sample. Of the 144 samples, 131 (91%) met the national standard of quality of being within ±10% of the labelled concentration. Ten antimicrobials (6.9%) contained less than half of the labelled content concentrations. Veterinary antimicrobial product quality control is an important part of addressing AMR. To support the national action plan to lower AMR, a veterinary drug quality control program should be implemented at all stages of the supply chain to assure high quality drugs and effective treatment of sick animals.

scholarly journals Effectiveness of the new integrated strategy to control the transmission of Schistosoma japonicum in China: a systematic review and meta-analysis

Parasite ◽  
2018 ◽  
Vol 25 ◽  
pp. 54 ◽  
Author(s):  
Chunyan Qian ◽  
Yuefeng Zhang ◽  
Xinyan Zhang ◽  
Chao Yuan ◽  
Zhichao Gao ◽  
...  
Keyword(s):  
Schistosoma Japonicum ◽  
Control Strategy ◽  
Meta Analysis ◽  
Infection Risk ◽  
Oncomelania Hupensis ◽  
Local Conditions ◽  
Schistosomiasis Control ◽  
Integrated Strategy ◽  
New Strategy ◽  
Morbidity Control

Since 2004, the national schistosomiasis control strategy in China has shifted from the morbidity control strategy (conventional strategy) to an integrated strategy (new strategy). We investigated the effectiveness of the new strategy and compared it against the conventional strategy. We retrieved from electronic databases the literature regarding the new strategy published from 2000 to 2017. The effect of the new or conventional strategy on infection by Schistosoma japonicum of humans and snails (Oncomelania hupensis) was evaluated with pooled log relative risk (logRR). A total of only eight eligible publications were included in the final meta-analysis. The results showed that implementation of the new strategy reduced the infection risk by 3–4 times relative to the conventional strategy. More specifically, the conventional strategy caused a reduction in both human (logRR = 0.56, 95% CI: 0.12–0.99) and snail infections (logRR = 0.34, 95% CI: −0.69–1.37), while the new strategy also significantly reduced both human (logRR = 1.89, 95% CI: 1.33–2.46) and snail infections (logRR = 1.61, 95% CI: 1.06–2.15). In contrast to the conventional strategy, the new strategy appeared more effective to control both human (logRR difference = 1.32, 95% CI: 0.78–1.86) and snail infections (logRR difference = 1.53, 95% CI: 0.76–2.31). Our data demonstrate that the new integrated strategy is highly effective to control the transmission of S. japonicum in China, and this strategy is recommended for schistosomiasis elimination in other affected regions across the world, with adaptation to local conditions.

scholarly journals A community-based randomized trial for the prevention and control of brucellosis among rural populations in Iran: application of the PRECEDE planning model

2020 ◽  
Author(s):  
Leila Jahangiry ◽  
Maryam Khazaee-Pool ◽  
Towhid Babazadeh ◽  
Parvin Sarbakhsh ◽  
Koen Ponnet
Keyword(s):  
Prevention And Control ◽  
Intervention Program ◽  
Controlled Trial ◽  
Animal Health ◽  
Public Health Problem ◽  
Control Program ◽  
Control Group ◽  
Community Based ◽  
History Of ◽  
And Control

Abstract Background: Brucellosis is one of the most frequently occurring zoonotic diseases of veterinary and a public health problem in developing countries. It affects human and animal health and has measurable effects on the productive and reproductive performance of livestock. Therefore, the main purpose of this study was to develop a community-based intervention program for brucellosis prevention and control. A two-arm parallel cluster randomized controlled trial investigated the effectiveness of the program over six months in a rural population in Ahar, East Azerbaijan, Iran. A total of 16 village health houses were randomly allocated to the intervention and the control groups (eight per arm), and 400 participants were recruited via household health records in the health houses. The PRECEDE model, which is an acronym for Predisposing, Reinforcing and Enabling Constructs in Educational Diagnosis and Evaluation, was used to design, implement, and evaluate the brucellosis prevention and control program. Knowledge, attitudes, self-efficacy, social support, environmental enabling, and behavioral factors were measured at the baseline and the six-month follow-up. A generalized mixed effects model was used to analyze data. Results: The mean ages (SD) of the intervention and control group respondents were 35.9 (11.87) and 37.28 (11.04) years, respectively. After the six-month intervention, significant between-group differences were found on all PRECEDE variables, adjusted for education, history of brucellosis, and family history of brucellosis. Conclusion: There is a need to consolidate collaborative health and veterinary sector efforts, as well as increase regular vaccination practices and financial resources to support farmers willing to slaughter animals and/or offer slaughter facilities. The present study was able to demonstrate which educational and ecological factors influence behaviors and environments related to brucellosis and, as such, provide evidence of the effectiveness of interventions based on the PROCEDE model.

scholarly journals Similarities and Differences in the Temporal Variability of PM2.5 and AOD Between Urban and Rural Stations in Beijing

2020 ◽  
Vol 12 (7) ◽  
pp. 1193 ◽  
Author(s):  
Disong Fu ◽  
Zijue Song ◽  
Xiaoling Zhang ◽  
Yunfei Wu ◽  
Minzheng Duan ◽  
...  
Keyword(s):  
Rural Areas ◽  
Action Plan ◽  
Control Program ◽  
Temporal Variations ◽  
Analysis Tool ◽  
Urban Station ◽  
Quality Control Program ◽  
Local Standard ◽  
Urban And Rural Areas ◽  
Second Peak

Surface particulate matter with an aerodynamic diameter of <2.5 μm (PM2.5) and column-integrated aerosol optical depth (AOD) exhibits substantial diurnal, daily, and yearly variabilities that are regionally dependent. The diversity of these temporal variabilities in urban and rural areas may imply the inherent mechanisms. A novel time-series analysis tool developed by Facebook, Prophet, is used to investigate the holiday, seasonal, and inter-annual patterns of PM2.5 and AOD at a rural station (RU) and an urban station (UR) in Beijing. PM2.5 shows a coherent decreasing tendency at both stations during 2014–2018, consistent with the implementation of the air pollution action plan at the end of 2013. RU is characterized by similar seasonal variations of AOD and PM2.5, with the lowest values in winter and the highest in summer, which is opposite that at UR with maximum AOD, but minimum PM2.5 in summer and minimum AOD, but maximum PM2.5 in winter. During the National Day holiday (1–7 October), both AOD and PM2.5 holiday components regularly shift from negative to positive departures, and the turning point generally occurs on October 4. AODs at both stations steadily increase throughout the daytime, which is most striking in winter. A morning rush hour peak of PM2.5 (7:00–9:00 local standard time (LST)) and a second peak at night (23:00 LST) are observed at UR. PM2.5 at RU often reaches minima (maxima) at around 12:00 LST (19:00 LST), about four hours later (earlier) than UR. The ratio of PM2.5 to AOD (η) shows a decreasing tendency at both stations in the last four years, indicating a profound impact of the air quality control program. η at RU always begins to increase about 1–2 h earlier than that at UR during the daytime. Large spatial and temporal variations of η suggest that caution should be observed in the estimation of PM2.5 from AOD.

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