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

Dublin Core

Title

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

Subject

Household; individual; Kalimantan malaria; prevention

Description

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.

Creator

Muhammad Rasyid Ridha1,2, Dicky Andiarsa1

, Ihya Hazairin Noor3, Erni Wiliyani3, Tri Ramadhani2,

Ririh Yudhastuti1

Source

https://doi.org/10.14710/nmjn.v14i2.56285

Date

26 August 2024

Contributor

peri irawan

Format

pdf

Language

english

Type

text

Files

Collection

Citation

Muhammad Rasyid Ridha1,2, Dicky Andiarsa1 , Ihya Hazairin Noor3, Erni Wiliyani3, Tri Ramadhani2, Ririh Yudhastuti1, “Malaria Prevention Strategies in Kalimantan, Indonesia: A Secondary Analysis of 2018 Basic Health Research Data,” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/11270.