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. 2019 Apr 12;18(1):134.
doi: 10.1186/s12936-019-2760-8.

Social determinants of malaria in an endemic area of Indonesia

Hamzah Hasyim  1   2 , Pat Dale  3 , David A Groneberg  4 , Ulrich Kuch  4 , Ruth Müller  4   5
Affiliations

Social determinants of malaria in an endemic area of Indonesia

Hamzah Hasyim et al. Malar J. .

Abstract

Background: Malaria is an increasing concern in Indonesia. Socio-demographic factors were found to strongly influence malaria prevalence. This research aimed to explore the associations between socio-demographic factors and malaria prevalence in Indonesia.

Methods: The study used a cross-sectional design and analysed relationships among the explanatory variables of malaria prevalence in five endemic provinces using multivariable logistic regression.

Results: The analysis of baseline socio-demographic data revealed the following independent risk variables related to malaria prevalence: gender, age, occupation, knowledge of the availability of healthcare services, measures taken to protect from mosquito bites, and housing condition of study participants. Multivariable analysis showed that participants who were unaware of the availability of health facilities were 4.2 times more likely to have malaria than those who were aware of the health facilities (adjusted odds ratio = 4.18; 95% CI 1.52-11.45; P = 0.005).

Conclusions: Factors that can be managed and would favour malaria elimination include a range of prevention behaviours at the individual level and using the networks at the community level of primary healthcare centres. This study suggests that improving the availability of a variety of health facilities in endemic areas, information about their services, and access to these is essential.

Keywords: Community health services; Malaria prevalence; Multivariable analysis; Social epidemiology; Social health determinants.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Map of the study areas
Fig. 2
Fig. 2
Framework determinants of malaria among participants in the selected area
See this image and copyright information in PMC

References

    1. Aimone AM, Perumal N, Cole DC. A systematic review of the application and utility of geographical information systems for exploring disease-disease relationships in paediatric global health research: the case of anaemia and malaria. Int J Health Geogr. 2013;12:1–13. doi: 10.1186/1476-072X-12-1. - DOI - PMC - PubMed
    1. Bannister-Tyrrell M, Verdonck K, Hausmann-Muela S, Gryseels C, Muela Ribera J, Peeters Grietens K. Defining micro-epidemiology for malaria elimination: systematic review and meta-analysis. Malar J. 2017;16:164. doi: 10.1186/s12936-017-1792-1. - DOI - PMC - PubMed
    1. Manh BH, Clements AC, Thieu NQ, Hung NM, Hung LX, Hay SI, et al. Social and environmental determinants of malaria in space and time in Viet Nam. Int J Parasitol. 2011;41:109–116. doi: 10.1016/j.ijpara.2010.08.005. - DOI - PMC - PubMed
    1. Hasyim H, Nursafingi A, Haque U, Montag D, Groneberg DA, Dhimal M, et al. Spatial modelling of malaria cases associated with environmental factors in South Sumatra, Indonesia. Malar J. 2018;17:87. doi: 10.1186/s12936-018-2230-8. - DOI - PMC - PubMed
    1. National Institute of Health Research and Development . Indonesia Basic Health Research (RISKESDAS) 2007. Jakarta: Ministry of Health (Indonesia); 2008.