Association Between Environmental Sanitation and Incidence of Dengue Hemorrhagic Fever in an Endemic Area

Menik Sahariyani1), Siti Thomas Zulaikhah2),

Wenda Nur Cholifah3)


1)Department of Parasitology, Universitas Islam Sultan Agung

2)Department of Public Health, Universitas Islam Sultan Agung

3)Faculty of Medicine, Universitas Islam Sultan Agung



Background: Dengue Hemorrhagic Fever (DHF) continues to be a major public health problem in Indonesia. Rowosari sub-district is an endemic area in Semarang, Central Java, with a cumulative incidence of 3.42 new cases per 10.000. This study aimed to determine the association between environmental sanitation and incidence of DHF in a DHF endemic area.

Subjects and Methods: A case control study was conducted in a DHF endemic area, Puskesmas Rowosari, Semarang, Central Java. A sample of 50 study sub­jects was selected for this study, consisting of 25 DHF cases and 25 controls. The dependent variable was the incidence of DHF. The independent variable was environmental sanitation. DHF data were taken from medical record. Envi­ron­mental sanitation data were collected by checklist and field observation. The data were analyzed by a logistic regression.

Results: The risk of DHF increased with poor environmental sanitation (OR=2.56; p=0.002).

Conclusion: The risk of dengue hemorrhagic fever increases with poor envi­ron­men­tal sanitation.

Keywords: dengue hemorrhagic fever, environmental sanitation

Correspondence: Menik Sahariyani.  Department of Parasitology, Universitas Islam Sultan Agung, Semarang, Central Java. Email: Mobile: +628122806541.


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