| Summary: | Background : Banyumas District is remind endemic villages with high case
incidence (HCI) and the increased import case to indigenous case. At 2012
malaria outbreak hold in Binangun village about 36 cases recorded there. Malaria
outbreak are common especially in endemic villages. Human factors and
environment as breading place of mosquito maybe causes of still high malaria
incidence.
Objective : To identify the risk factors of human, environment with the
distribution pattern malaria cases and vector in the endemic village at the
Banyumas District 2012.
Method : this is an observational study with case-control design with matching
ages and sex. The descriptive was made to the vector of malaria suspects. Data
analysis by Mc. Nemar, conditional logistic regression and spasial analysis to
know clustering and buffering.
Result : The mosquitoes found on the vector of malaria suspects are An. aconitus,
An. maculatus and An. balabacencis. They are prefer bite and rest outdoor with
the low mosquito density. Result of multivariate analysis is known that no work as
a coconut and rubber farmer (OR=0,44, p=0,02), history of travel to others
endemic area (OR=4,9, p=0,000), use insecticide-treated nets (OR= 1,73,
p=0,047) existence and distance of bush /shrub (OR=0,35, p=0,007) had
significant association to malaria incidence. Distribution of malaria incidence at
high case incidence malaria villages are clustered. Clusters of incidence were
found in river and bush/shrub areas.
Conclution : The malaria suspect mosquitoes prefer bite and rest outside the
house. The dominant risk factor was history of travel to others endemic area. The
incidence of malaria is clustered mostly spread close to river and bush/shrub.
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