Ainun Jariah

DHF is tropical infection diseases that become major public health problem in Indonesia. Now almost all district reported dengue cases even in rural districts. Bogor District is one of districts located 40 km southest Jakarta. The DHF has also become major public health problem in the district with IR was : 41/100.000 & CFR : 1,73% by the year 2010 Citeureup is one of subdistricts endemis area of DHF in the district with 141 cases and CFR 4,96% in the same year.

One of public health intervention to reduce the incidence of dengue cases was PSM. Implementation of PSM ( included activities to drain and clean of water container, cover the containner water, buried used goods (tins, bottles,tire, etc) in the ground and plus use of larvacides and biological agent: fish) which was poor implemented in community was

Specific Objectives:
1.

To determne distribution Characteristic and KAP of housewives (education, knowledge, attitudes, occupational status, employment status, and exposure of information) . To determine relationship between some related factors (level of education, knowledge, attitudes, occupational status, history of DHF illness, visiting and counseling conducted by health community workers, the exposure of information) with housewifes practices on PSN

2.

INTERNAL/INDIVIDU

Level of Education Employment status

Knowledges Attitudes History of DHF Illnes

EXTERNAL - Periodic Inspection Larva by HCW - Educated by HCW - Exposure of information (tv, radio and newspapers)

PRACTICE OF 3M Plus by housewives

Cross Sectional Study Design used in the study All housewifes lived in 11 DHF endemic villages considered as the population sources of the study 239 samples had been randomly selected using Proportionate Probability to Size (PPS) to the size of the villages population

Tabel 1. Characteristic of Housewives, Health Community Workers Activity and Exposure of Infomation

VARIABELS Practice of 3M Plus - Good - Poor Level eduation of Housewives - High - Low Knowledge - Good - Poor Attitude - Good - Poor

N 141 98 89 150 149 90

% 59 41 37,2 62,8 62,3 37,7

153 86

64 36
...continued next page

Tabel 1. ...continuation

VARIABELS
Occupational Status - Working - Not working History of DHF illnes (family) - Ever - Never Inpection Larva by HCW - Ever - Never Health Education by HCW - Ever - Never Exposed to DHF Information - Ever - Never

N
65 174 25 214 86 153 129 110 160 79

%
27,2 72,8 10,5 89,5 36 64 54 46 66,9 33,1

Tabel 2. Bivariate Analysis

VARIABELS
Level of Education High Low Knowledge Good Poor Occupational Status Working Not Working History of DHF Illnes (family) Ever Never Ispecton of larva by HCW Ever Never Health Educated by HCW Ever Never Expoused to DHF Information Ever Never

Practice of 3M Plus

Good
56 85 105 36 43 98 13 128

%
62,9 56,7 70,5 40 66,2 56,3 52 59,8

Poor
33 65 44 54 22 76 12 86

%
37,1 37,1 29,5 38,8 43,7 48 40,2

P
0,415 0,000 0,22

OR
1,298 3,58 1,56

CI (95%)
0,7582,222 2,067 6,2 0,8362,747

0,591

0,728

0,3171,671

57 84 92 49 93 49

66,3 54,9 71,3 44,5 58,1 60,8

29 69 37 61 67 31

33,7 45,1 28,7 55,5 41,9 39,2

0,114 0,000 0,597

1,615 3,095 1,439

0,933-2,795 1,812-5,289 0,477-1,439

Tabel 3. Multivariate Analysis (final Model)

VARIABEL
Knowledge on DHF Health Education Constan

B
1,278

SE
0,292

Wald
19,210

Df
1

P value
0,000

OR
3,590

CI (95%)
2,027 6,358 1,7705,446

1,133

0,287

15,618

0,000

3,105

-1,42

0,242

34,54

000

1.

Among all housewifes in the study, 41% have poor PSM practices, 63% low of level of education, 38% have poor knowledge, 36%, have poor attitude, 73% have no occupation, 89% have never dengue cases in their families, 64% have never been inspected by Health care workers, and 46% have never got health education form health care providers. Only 2 variables were significantly related to PSM practices among households which are: (Knowledge on DHF OR:3,59 95%CI: 2.0276,358) and health education OR 3.105 95%CI: 1.770 5.446)

2.

Some To increase PSM among housewifes this study :

To conduct Health education on DHF among housewifes To have mother class in the DHF endemic area for dengue promotion To hold health promotion on dengue in the area use all effective media in the area

To conduct better study and bigger sample size