THE ROLE OF HEALTH INSTITUTIONS IN THE CONTROL OF FILARIASIS IN BOGOR DISTRICT, WEST JAVA

Abstrak

The control of filariasis in Bogor District is carried out by the health department and technical implementation at the health centre level. This study aimed to analyze the role of health institutions at the health centre and health offices in preventing filariasis in Bogor District. The role of the health centre was analyzed descriptively and analytically. The data was presented in a graph and was considered sufficient if 65% of health centres implement programs/activities. The health department's role was analyzed descriptively and analytically based on answers from in-depth interviews with presentations in the form of narratives. The results showed that the role of health institutions in controlling filariasis was quite good in several aspects, and there were still shortcomings in other aspects. There were (8.7%) of health centres that did not have a filariasis treatment program. The MDA program, clinical management and establishment of medication supervisors have been quite good, but cadres and vektor control formation were still low. There were adequate health workers at the health centre involved in the filariasis program, but entomology personnel was very low at only 13% of all health centres. The health centre have carried out patient surveys and counselling activities. In contrast, deficient activities include KPA surveys, mosquito larvae habitat surveys, and filariasis transmission and microfilaria evaluation surveys after MDA. The health centre have received good supervision, guidance, monitoring, and evaluation from the health office. The health centre have also received infrastructure support but still lacks NGO support. Evaluation of the health department level shows that aspects of policy, budget, cooperation and human resources were still very lacking. The budget was minimal and cross-sectoral cooperation have not yet been implemented. Human resources owned were very lacking both in quantity and quality. Aspects of facilities and infrastructure were considered sufficient to support filariasis control programs and activities