Pengetahuan, Sikap Dan Perilaku Masyarakat Pasca Pengobatan Dan Pengaruhnya Terhadap Endemisitas Filariasis Di Kabupaten Tanjung Jabung Timur

Abstract Lymphatic filariasis (elephantiasis) is a health problem in Indonesia, including in East Tanjung Jabung. Lymphatic filariasis elimination program in Indonesia was done by breaking the chain of transmission of filariasis with mass drug administration (MDA). The effectiveness of MDA program depends on knowledge, attitudes and practice (KAP) of the community. This study aims to determine the KAP towards lymphatic filariasis and evaluate MDA program. The study was conducted in two phases, namely interviews and finger blood survey (FBS). The number of respondents who interviewed were 117 and the number of people who had blood tests as many as 1,209. Interviews result showed that most respondents knew about lymphatic filariasis. The attitude of the majority of respondents showed a positive attitude. Interviews showed that the behavior of people taking medication was high (88%). Based on the results of the proportion of positive FBS, microfilariae were dominants found in people who do not take medication. Although the knowledge of community is high, the East Tanjung Jabung still declared as filariasis-endemic areas because it found the village with a number of microfilaria (Mf rate) of more than 1%. Keywords: Lymphatic filariasis, KAP, East Tanjung Jabung, endemis Abstrak Filariasis (penyakit kaki gajah) masih merupakan masalah kesehatan di Indonesia termasuk di Kabupaten Tanjung Jabung Timur. Program eliminasi filariasis di Indonesia dilakukan dengan pemutusan mata rantai penularan melalui pemberian obat massal pencegahan (POMP) filariasis. Keberhasilan program POMP filariasis dipengaruhi oleh pengetahuan, sikap dan perilaku (PSP) masyarakat tentang filariasis. Penelitian ini bertujuan untuk mengetahui PSP masyarakat terhadap filariasis dan evaluasi kegiatan POMP filariasis. Penelitian dilakukan dalam 2 tahap, yaitu wawancara dan survei darah jari (SDJ). Jumlah responden yang diwawancarai sebanyak 117 orang dan jumlah penduduk yang diperiksa darahnya sebanyak 1.209 orang. Hasil wawancara menunjukkan bahwa sebagian besar responden mengetahui tentang filariasis. Sikap responden sebagian besar menunjukkan sikap positif. Hasil wawancara menunjukkan bahwa perilaku masyarakat minum obat cukup tinggi (88%). Berdasarkan hasil SDJ proporsi penduduk yang positif mikrofilaria paling besar ditemukan pada penduduk yang tidak minum obat. Meskipun pengetahuan masyarakat cukup tinggi, namun Kabupaten Tanjung Jabung Timur masih dinyatakan sebagai daerah endemis filariasis karena ditemukan desa dengan angka mikrofilaria ( mf rate ) > 1%. Kata Kunci: Filariasis, PSP, Tanjung Jabung Timur, endemisitas