JAMRI, SUMATERA Kasnodihardjo and M. Sudomo ABSTRAK - PEOPLE'S ATTITUDE TOWARD FILARIASIS AND DEC TREATMENT IN KUMPEH AREA, JAMBI, SUMATERA
PEOPLE'S ATTITUDE TOWABD FILARIASIS AND DEC TltEATAIENT
IN KUMPEH AREA, JAMRI, SUMATERA
Kasnodihardjo* and M. Sudomo*
ABSTRAK
!udr otliai7 Sep tcn7Scr I Y S 5 tclai~cizlakuharz penelznan 1?7engenazstkap [)etzdudzih daerah Run?peil
teri~adapuenj~akltfilanasrs doll cara pemberanrasani/va dengall pengobatwl DEC. Sampel seban-yali
192 il(05;'id m penduduh jlai?r berumur 13 ruhuri ke atas telalr dzambif dun nga desa dl daeralz Kum>I. 1
.zi n, Pui~-itncnran,. I-'.- ~ i l rarzpanzannan
a
dart Bangs( Penpumpulan data dilalill hail derzgan rncmperguna
1,1211 I I ~ ~ >LJ ~ ; K L ' I peilmmatan sorts \vawantaru n7~.i?daiun?t1aszlrz~'anlenunjukkan baliwa szkap pendud7,A
:cthada;) pengohatan filanaszs adaiaii posztg ~>ar;u
kebanyakan responrien berpendapat bahwa p t ngcibatwz rrzi balk untul h ~ t r h a t a ntnereka rerutanla dalatn penanaulangan filarzasrs D7 sampzizg 7ni
pads L t-1 I 1 1 ~ 1 17 i: [ - I ~ ~ I ha:a~r
FL~
I ) I U F ~ dapat
/
dr fcJrznza ~ l c hr)e7ritlrtclrth dcn leh!h clur~5fiq nlctnakan o havan8 /i:i~2dlakarr
olen Irrog-anl
INTRODUCTION
T o Indonesia filariasis is still one of
ti.1~main health problems. especially in
rurrtl and transmig-ation areas. Control
i,).
treatment with dicthylcarbamazine
(DEC) has heen done in Indonesia with
satisfactory results. Standard dose of
4-6 mg/kg. BUT is usuall>. given for 10
da)-s, however side effects wcre rather
severe to most of the treated population
.4
. T o overcome this problem
Partono e t a1 (1984)' carried o u t a pilot
s t u d ? with a lower dose of DEC through
3 cornmunit). participation approach to
control timorian filariasis. The results
were ver). satisfactory, microfilaria rates
decreased one year after treatment
while side effects wcre mild, and 0111)
encountered during the first week of
trcatment. The only drawback was
that the drug treatment took more
than one year. It'ithil~ this lonq pcriod
some respondents ma!- become borctl
*
and chances are that some of them ma\
discard the follow-up drug treatment.
T o alleviate this short-comings, a studv was initiated in Kumpeh, a filariasis
endemic area, using a modified DEC
treatment with a shortened period of
three and a hall months. Six villaees
\yere chosen as study sites, i.e. Bangso.
Pemunduran. Puding, Pulomentaro , Pematmqraman, and Betunq. Low dose of
DEC administration was done in three
phases through c o m m u n i t ~participation
which were as follows:
Phase 1. 50 mg of DEC administered
\ieeklj for 1 weekb.
Phase 2. lOOrng of DEC andministered
jveekl) for 8 233 hs
Phase 3. 4-6 mg/kg. BLV administered
dail) for ten days.
Children undei 10 years old were given
half the dosages mentioned above. I n fants and pregnant uJomen were excluded
from the study.
The distribution ot the drug \\ere
Health Ecology Research Centre,
National Institute of Health Research and Development Jakarta, Indonesia.
Bul. Penelit. Kesehat. 15 (3) 1987
Peoples attitude toward 'hiasis
. . . . . . . . . . . . . . . . . Kasnodihardjo et al.
done by influential persons in each
willage such as school teacher, heads of
the village and other village officials.
They distributed the DEC weekly to
each of the villagers (per family) and
recorded the amount of DEC taken and
also the side effects. For the first and
second week our health staffs accompanied them to show how t o deliver the drug
and how to record all events they may
encounter. They were also given antihis
tamine and antipyretics to treat side
effects. Evaluation was done 6 moths
after treatment and again 1 year later.
As the treatment programme involved
the community, a socio-cultural study
was conducted to find out (1) the attitude
B u l Penelit. Kesehat. 15 (3) 1987
of the people towards treatment of fila
riasis, and (2) the factors likely to influ.
ence their attitude.
MATERIAL AND b4ETIIODS
The sociological study was done in
three villages in the Kumpeh area i.e.
Pulomentaro, Pematangraman and Bangso. These villages were chosen randoml)
from 6 treated villages (Fig.1) The respondents were 1 3 years and above, be
cause they were presumed to be able to
answer the questions intelligibly.
Random sampling of 10% (192 individuals) out of those population from the
three villages were conducted.
25
Pwples attitude toward fiiariasis
.
. . . . . . . . . .Kasnodihardjo et al.
Table Respondents and their
occupation
Data collections were made through
questionaires and interviews taken from
each of the respondents, such as:
1. Personal data.
2. Their awareness on the treatment
programme
4. Their involvement in the treatment
pro
IN KUMPEH AREA, JAMRI, SUMATERA
Kasnodihardjo* and M. Sudomo*
ABSTRAK
!udr otliai7 Sep tcn7Scr I Y S 5 tclai~cizlakuharz penelznan 1?7engenazstkap [)etzdudzih daerah Run?peil
teri~adapuenj~akltfilanasrs doll cara pemberanrasani/va dengall pengobatwl DEC. Sampel seban-yali
192 il(05;'id m penduduh jlai?r berumur 13 ruhuri ke atas telalr dzambif dun nga desa dl daeralz Kum>I. 1
.zi n, Pui~-itncnran,. I-'.- ~ i l rarzpanzannan
a
dart Bangs( Penpumpulan data dilalill hail derzgan rncmperguna
1,1211 I I ~ ~ >LJ ~ ; K L ' I peilmmatan sorts \vawantaru n7~.i?daiun?t1aszlrz~'anlenunjukkan baliwa szkap pendud7,A
:cthada;) pengohatan filanaszs adaiaii posztg ~>ar;u
kebanyakan responrien berpendapat bahwa p t ngcibatwz rrzi balk untul h ~ t r h a t a ntnereka rerutanla dalatn penanaulangan filarzasrs D7 sampzizg 7ni
pads L t-1 I 1 1 ~ 1 17 i: [ - I ~ ~ I ha:a~r
FL~
I ) I U F ~ dapat
/
dr fcJrznza ~ l c hr)e7ritlrtclrth dcn leh!h clur~5fiq nlctnakan o havan8 /i:i~2dlakarr
olen Irrog-anl
INTRODUCTION
T o Indonesia filariasis is still one of
ti.1~main health problems. especially in
rurrtl and transmig-ation areas. Control
i,).
treatment with dicthylcarbamazine
(DEC) has heen done in Indonesia with
satisfactory results. Standard dose of
4-6 mg/kg. BUT is usuall>. given for 10
da)-s, however side effects wcre rather
severe to most of the treated population
.4
. T o overcome this problem
Partono e t a1 (1984)' carried o u t a pilot
s t u d ? with a lower dose of DEC through
3 cornmunit). participation approach to
control timorian filariasis. The results
were ver). satisfactory, microfilaria rates
decreased one year after treatment
while side effects wcre mild, and 0111)
encountered during the first week of
trcatment. The only drawback was
that the drug treatment took more
than one year. It'ithil~ this lonq pcriod
some respondents ma!- become borctl
*
and chances are that some of them ma\
discard the follow-up drug treatment.
T o alleviate this short-comings, a studv was initiated in Kumpeh, a filariasis
endemic area, using a modified DEC
treatment with a shortened period of
three and a hall months. Six villaees
\yere chosen as study sites, i.e. Bangso.
Pemunduran. Puding, Pulomentaro , Pematmqraman, and Betunq. Low dose of
DEC administration was done in three
phases through c o m m u n i t ~participation
which were as follows:
Phase 1. 50 mg of DEC administered
\ieeklj for 1 weekb.
Phase 2. lOOrng of DEC andministered
jveekl) for 8 233 hs
Phase 3. 4-6 mg/kg. BLV administered
dail) for ten days.
Children undei 10 years old were given
half the dosages mentioned above. I n fants and pregnant uJomen were excluded
from the study.
The distribution ot the drug \\ere
Health Ecology Research Centre,
National Institute of Health Research and Development Jakarta, Indonesia.
Bul. Penelit. Kesehat. 15 (3) 1987
Peoples attitude toward 'hiasis
. . . . . . . . . . . . . . . . . Kasnodihardjo et al.
done by influential persons in each
willage such as school teacher, heads of
the village and other village officials.
They distributed the DEC weekly to
each of the villagers (per family) and
recorded the amount of DEC taken and
also the side effects. For the first and
second week our health staffs accompanied them to show how t o deliver the drug
and how to record all events they may
encounter. They were also given antihis
tamine and antipyretics to treat side
effects. Evaluation was done 6 moths
after treatment and again 1 year later.
As the treatment programme involved
the community, a socio-cultural study
was conducted to find out (1) the attitude
B u l Penelit. Kesehat. 15 (3) 1987
of the people towards treatment of fila
riasis, and (2) the factors likely to influ.
ence their attitude.
MATERIAL AND b4ETIIODS
The sociological study was done in
three villages in the Kumpeh area i.e.
Pulomentaro, Pematangraman and Bangso. These villages were chosen randoml)
from 6 treated villages (Fig.1) The respondents were 1 3 years and above, be
cause they were presumed to be able to
answer the questions intelligibly.
Random sampling of 10% (192 individuals) out of those population from the
three villages were conducted.
25
Pwples attitude toward fiiariasis
.
. . . . . . . . . .Kasnodihardjo et al.
Table Respondents and their
occupation
Data collections were made through
questionaires and interviews taken from
each of the respondents, such as:
1. Personal data.
2. Their awareness on the treatment
programme
4. Their involvement in the treatment
pro