ArticleMalaria journal2015
Change of strategy is required for malaria elimination: a case study in Purworejo District, Central Java Province, Indonesia.
Article in Malaria journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Anopheles ecology and serological evidence of malaria exposure in clinically malaria-free areas of Menoreh Hills Central Java, Indonesia.Scientific reports · 2026Article
- Strengthening the health systems at national level for malaria elimination in the Greater Mekong Subregion countries: a qualitative study.Infectious diseases of poverty · 2026Article
- Genetic diversity and phylogeographic structure of Anopheles kochi, Anopheles maculatus, and Anopheles vagus: ITS2-based analysis of highland transboundary populations in the Menoreh Hills, Java, Indonesia.Parasites, hosts and diseases · 2025Article
- Human behavior determinants of exposure to Anopheles vectors of malaria in Sumba, Indonesia.PloS one · 2022Article
- A participatory approach to address within-country cross-border malaria: the case of Menoreh Hills in Java, Indonesia.Malaria journal · 2021Article
- Anopheline and human drivers of malaria risk in northern coastal, Ecuador: a pilot study.Malaria journal · 2020Article
- Vector control for malaria elimination in Botswana: progress, gaps and opportunities.Malaria journal · 2020Article
- Using health facility-based serological surveillance to predict receptive areas at risk of malaria outbreaks in elimination areas.BMC medicine · 2020Article
- Article
- Risk Factor and Cluster Analysis to Identify Malaria Hot Spot for Control Strategy in Samigaluh Sub-District, Kulon Progo, Indonesia.Iranian journal of public health · 2019Article
- Social determinants of malaria in an endemic area of Indonesia.Malaria journal · 2019Article
- Spatiotemporal patterns of malaria at cross-boundaries area in Menoreh Hills, Java, Indonesia.Malaria journal · 2019Article
- Malaria Risk Factors in Kaligesing, Purworejo District, Central Java Province, Indonesia: A Case-control Study.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2018Article
- A Time Series Analysis: Weather Factors, Human Migration and Malaria Cases in Endemic Area of Purworejo, Indonesia, 2005-2014.Iranian journal of public health · 2018Article
- Determining the Cause of Death: Mortality Surveillance Using Verbal Autopsy in Indonesia.The American journal of tropical medicine and hygiene · 2017Article
- Exploring the role of socioeconomic factors in the development and spread of anti-malarial drug resistance: a qualitative study.Malaria journal · 2017Article
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10 authors.
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Abstract
backgroundMalaria has been targeted for elimination from Indonesia by 2030, with varying timelines for specific geographical areas based on disease endemicity. The regional deadline for malaria elimination for Java island, given the steady decrease of malaria cases, was the end of 2015. Purworejo District, a malaria-endemic area in Java with an annual parasite incidence (API) of 0.05 per 1,000 population in 2009, aims to enter this elimination stage. This study documents factors that affect incidence and spatial distribution of malaria in Purworejo, such as geomorphology, topography, health system issues, and identifies potential constraints and challenges to achieve the elimination stage, such as inter-districts coordination, decentralization policy and allocation of financial resources for the programme.
methodsHistorical malaria data from 2007 to 2011 were collected through secondary data, in-depth interviews and focus group discussions during study year (2010-2011). Malaria cases were mapped using the village-centroid shape file to visualize its distribution with geomorphologic characteristics overlay and spatial distribution of malaria. API in each village in Purworejo and its surrounding districts from 2007 to 2011 was stratified into high, middle or low case incidence to show the spatiotemporal mapping pattern.
resultsThe spatiotemporal pattern of malaria cases in Purworejo and the adjacent districts demonstrate repeated concentrated occurrences of malaria in specific areas from 2007 to 2011. District health system issues, i.e., suboptimal coordination between primary care and referral systems, suboptimal inter-district collaboration for malaria surveillance, decentralization policy and the lack of resources, especially district budget allocations for the malaria programme, were major constraints for programme sustainability.
conclusionsA new malaria elimination approach that fits the local disease transmission, intervention and political system is required. These changes include timely measurements of malaria transmission, revision of the decentralized government system and optimizing the use of the district capitation fund followed by an effective technical implementation of the intervention strategy.
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