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Malaria elimination in West Java, Indonesia: A descriptive-and-qualitative study.
Nisa Fauziah1,2,3, Fedri Ruluwedrata Rinawan4,5,6, Naufal Fakhri Nugraha3
1Division of Parasitology, Department of Biomedical Sciences, Faculty of Medicine, Universitas Padjadjaran, West Java, Indonesia.
Journal of Vector Borne Diseases
|June 26, 2024
Summary
West Java achieved sub-national malaria elimination certification in 2022, aligning with national goals. Continued vigilance against imported malaria cases is crucial for sustained elimination efforts.
Area of Science:
- Public Health
- Infectious Disease Epidemiology
- Malaria Control
Background:
- Indonesia aims for national malaria elimination by 2030, with West Java targeting subnational elimination in 2022.
- This study evaluates malaria surveillance data and elimination program effectiveness in West Java.
Purpose of the Study:
- To describe malaria surveillance data and elimination program achievements in West Java.
- To identify weaknesses in sustaining malaria elimination programs.
Main Methods:
- Utilized secondary data from malaria surveillance information systems (2019-2022).
- Analyzed sub-national malaria elimination certification data (2014-2022).
- Confirmed data through evaluation documents, case analysis, and interviews.
Main Results:
- Malaria cases predominantly confirmed by microscopy and rapid diagnostic tests.
- Cases concentrated in males aged 15-64, particularly within military and police personnel.
- Passive case detection and inpatient treatment were primary methods; imported cases and Plasmodium vivax relapses were significant challenges.
Conclusions:
- West Java achieved sub-national malaria elimination certification in 2022.
- The province is poised for Java-Bali sub-national elimination verification, but imported cases pose a risk.
- Effective inter-regional coordination is vital to prevent imported cases from re-establishing local transmission.
