LEPTOSPIROSIS PREVENTION AND CONTROL STRATEGIES ONE HEALTH BASED IN KARANGTENGAH DEMAK INDONESIA
Leptospirosis transmission is closely related to the low behavior of clean and healthy living in humans. Leptospirosis occurs every year in Indonesia including Karangtengah Demak which has 2 cases with 1 death in 2016, 2017 there are 2 cases, 2018 there are 12 cases with 3 deaths. The target IR is ≤ 3 / 100,000 population and CFR ≤ 10%. In 2018 IR Karangtengah 16.82 / 100,000. and CFR is very high, namely 25%, because only the health sector is engaged in preventing leptospirosis.
The research method is qualitative with an active participatory design using OH-SMART which aims to obtain a strategy / model for the prevention and control of leptospirosis with a one health approach. The research subjects are public health center health workers such as surveillance, health promotion personnel, environmental health workers, doctors, private clinics, village health post midwives, the Coordinator of the Agricultural Extension Center, the Head of the Technical Implementation Unit of the Education and Culture Office, the Islamic Religious Education Office, the Principal of the School. Junior High School, Senior High School, Head of the Subdistrict Family Welfare Empowerment Team, 4 Village Heads. Collecting data by means of Focus Group Discussion (FGD) for two days.
Results from OH-SMART: The strategy for leptospirosis prevention and control resulted from OH-SMART is the formation of a one health team in Karangtengah sub-district, advocacy to the Karangtengah sub-district head, coordination through the Whattaps group, cross-sector monitoring, cross-sector activity reports, evaluation of OH team activities, OH team training, dissemination of early diagnosis of leptospirosis to clinics, monitoring and evaluation of leptospirosis detection carried out by clinics, counseling on safe rat control to farmer groups by Bapeluh, eradicating rats by the community, routine chlorination, monitoring chloritization, leptospirosis counseling in schools , Discipline application of Clean and Healthy Behavior in schools, installation of leptospirosis promotional media, monitoring of the implementation of Clean and Healthy Behavior in schools.
Copyright (c) 2020 Nura Ma’shumah, Bagoes Widjanarko, Adi Sakundarno
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