Community Vulnerability Map in Endemic Areas of Dengue Hemorrhagic Fever (DHF), Banyumas, Indonesia

Abstract

Background: Community vulnerability is influenced by the low participation of the community in Pemberantasan Sarang Nyamuk (PSN). PSN is an activity done by society independently in their respective environment to eliminate mosquito-breeding places by 3 M (Menguras, Menutup, Mengubur). We aimed to prove the relationship between knowledge and practice of the community in PSN with the incidence of Dengue Hemorrhagic Fever (DHF), beside to describe the map of vulnerability of the community in endemic areas of DHF. Methods: This study used case control design. The population of this research is the community in the area of Puskesmas Kembaran 1 and 2. The samples were taken from Bojongsari villageas, Banyumas districtis, Indonesia one of the endemic areas of DHF from Jan 2014- Dec 2015. The number of samples was 62 respondents. Results: The community in endemic areas of knowledge about dengue was mostly good (55%) but in practice PSN was mostly less (56%). There was no correlation of knowledge with the incidence of DHF (P=0.444) and there was an association of DHF occurrence with PSN practice (P=0.010) and the vulnerability map showing many negative DHF residents living close to dengue cases. Conclusion: Community vulnerability in DHF endemic areas is dominated by densely populated settlements, Slum environmental conditions, and PSN practices are lacking. Mobilization of all components of the communityis required to participate in prevention of DHF.