MENGURAI ENDEMISITAS DBD DI PROVINSI NTB MELALUI DETERMINASI SOSIAL DAN LINGKUNGAN: SEBUAH KAJIAN EPIDEMIOLOGI

Lalu Herman Mahaputra; Anna Indriani; Sadikin Apriadi; Elya Endriani; Susi Wirawati Triono; Yuly Peristiowati

doi:10.53625/jcijurnalcakrawalailmiah.v5i3.11765

Authors

Lalu Herman Mahaputra Doktor Kesehatan Masyarakat Universitas Strada Indonesia
Anna Indriani Doktor Kesehatan Masyarakat Universitas Strada Indonesia
Sadikin Apriadi Doktor Kesehatan Masyarakat Universitas Strada Indonesia
Elya Endriani Doktor Kesehatan Masyarakat Universitas Strada Indonesia
Susi Wirawati Triono Doktor Kesehatan Masyarakat Universitas Strada Indonesia
Yuly Peristiowati Doktor Kesehatan Masyarakat Universitas Strada Indonesia

DOI:

https://doi.org/10.53625/jcijurnalcakrawalailmiah.v5i3.11765

Keywords:

dengue fever, endemicity, social determinants,, environment, epidemiology, NTB

Abstract

Objective: This article aims to unravel the endemicity of Dengue Hemorrhagic Fever (DHF) in West Nusa Tenggara Province through an analysis of social and environmental determinants from an epidemiological perspective. This study seeks to provide a comprehensive understanding of the factors that maintain the dengue transmission cycle in the region.

Methods: This study used a narrative literature review approach, searching publications from Google Scholar, PubMed, ScienceDirect, DOAJ, and official reports such as the NTB Health Profile, Ministry of Health DHF surveillance data, and Riskesdas. Literature was selected based on its relevance to the topic of DHF endemicity, social, environmental, behavioral, and vector dynamics determinants. The analysis was conducted using narrative synthesis using an environment-based disease epidemiology approach and the Social Determinants of Health framework.

Results: The study results indicate that DHF endemicity in NTB is influenced by the interaction of social, environmental, and behavioral factors. Poor sanitation conditions, household water storage practices, population density, low 3M+ PSN behavior, and limited health literacy are the dominant factors. Furthermore, seasonal rainfall, climate change, and inequitable health services contribute to the continued cycle of transmission. Urban areas such as Mataram City and West Lombok have a higher incidence due to population density and mobility.

Implications: Efforts to control dengue fever endemicity in West Nusa Tenggara (NTB) require an integrated, multisectoral approach, including strengthening environmental management, community-based mosquito breeding sites, health education, improving water and sanitation infrastructure, and strengthening epidemiological surveillance systems.

Limitations: As a literature review study, this research relies on the availability and completeness of secondary data. Variations in data between sources can affect the consistency of interpretation, and no quantitative statistical analysis was performed to measure the strength of the relationship between variables.

References

Bappeda NTB. (2023). Laporan Pembangunan Daerah: Bidang Kesehatan Tahun 2023. Pemerintah Provinsi NTB.

Badan Penelitian dan Pengembangan Kesehatan. (2018). Riset Kesehatan Dasar (Riskesdas) 2018. Kementerian Kesehatan RI.

Badan Pusat Statistik NTB. (2022). Statistik Kesejahteraan Rakyat Provinsi NTB 2022. Badan Pusat Statistik.

Bowman, L. R., Donegan, S., & McCall, P. J. (2016). Is dengue vector control deficient? Systematic review of the evidence. PLoS Neglected Tropical Diseases, 10(3), e0004551.

Brady, O. J., Golding, N., Pigott, D. M., Kraemer, M. U., Messina, J. P., Reiner, R. C., ... & Hay, S. I. (2014). Global temperature constraints on Aedes aegypti and Ae. albopictus persistence and competence. Parasites & Vectors, 7(1), 338.

CDC. (2022). Dengue: Epidemiology and Transmission. Centers for Disease Control and Prevention.

Dinas Kesehatan Provinsi NTB. (2022). Profil Kesehatan Provinsi NTB 2022. Dinas Kesehatan Provinsi NTB.

Dinas Kesehatan Provinsi NTB. (2023). Profil Kesehatan Provinsi NTB 2023. Dinas Kesehatan Provinsi NTB.

Eisen, L., & Morrison, A. C. (2014). Ecology of Aedes aegypti and Aedes albopictus and medical importance. In Dengue and dengue hemorrhagic fever (pp. 45–86). CAB International.

Focks, D. A. (2003). A Review of Entomological Sampling Methods and Indicators for Dengue Vectors. World Health Organization.

Gubler, D. J. (2011). Dengue, urbanization and globalization: The unholy trinity of the 21st century. Tropical Medicine & Health, 39(4), 3–11.

Kementerian Kesehatan RI. (2022). Profil Kesehatan Indonesia 2022. Kementerian Kesehatan RI.

Kementerian Kesehatan RI. (2023). Data Surveilans DBD 2023. Direktorat Pencegahan dan Pengendalian Penyakit Tular Vektor.

Kementerian PUPR. (2021). Laporan Akses Air Minum dan Sanitasi NTB. Direktorat Jenderal Cipta Karya.

Khormi, H. M., & Kumar, L. (2011). Modelling dengue fever risk based on socioeconomic and environmental variables in Jeddah, Saudi Arabia. Acta Tropica, 119(3), 111–118.

Liu-Helmersson, J., Stenlund, H., Wilder-Smith, A., & Rocklöv, J. (2014). Vectorial capacity of Aedes aegypti: Effects of temperature and implications for global dengue epidemic potential. PLOS ONE, 9(3), e89783.

Masyarakat NTB. (2023). Laporan Pemetaan Risiko Dengue Berbasis Desa. NTB Dengue Control Program.

Mayxay, M., Castonguay-Vanier, J., Chansamouth, V., et al. (2013). Causes of fever in rural southeastern Asia: A systematic review. The Lancet Infectious Diseases, 13(7), 567–574.

Ministry of Health Malaysia. (2019). National Dengue Surveillance Report 2019. Government of Malaysia.

Morin, C. W., Comrie, A. C., & Ernst, K. (2013). Climate and dengue transmission: Evidence and implications. Environmental Health Perspectives, 121(11–12), 1264–1272.

Osei, F. B., et al. (2021). Influence of water storage practices on Aedes aegypti breeding: Systematic review. Journal of Vector Ecology, 46(1), 90–100.

Reiner, R. C., Stoddard, S. T., & Scott, T. W. (2015). Socially structured human movement shapes dengue transmission. Proceedings of the National Academy of Sciences, 112(28), 201510395.

UNICEF Indonesia. (2021). Dengue Situation and Prevention in Indonesia. UNICEF.

Wilder-Smith, A., & Gubler, D. J. (2020). Dengue in the age of urbanization. The Lancet, 395(10224), 165–167.

WHO. (2012). Handbook for Integrated Vector Management. World Health Organization.

WHO. (2021). Dengue and Severe Dengue: Factsheet. World Health Organization.

Wijayanti, S. P. M., Umniyati, S. R., & Mardihusodo, S. J. (2016). The changing distribution of dengue hemorrhagic fever in Indonesia: A spatial and temporal analysis. Journal of Infection and Public Health, 9(4), 1–12.