Last modified: 2019-09-30
Abstract
Research problem(s) : Leptospirosis as one of the environmental-based diseases is a neglected zoonotic disease. There are ecological habitats and niches that need to be explored in depth study based on ecosocial. A basic knowledge on social networks between actors in leptospirosis control efforts is needed.. Through combination of modelling, result of studies is expected to be used as a basis for establishing leptospirosis control efforts comprehensively.
Objective : Develop an integrated leptospirosis control model based on ecosocial.
Methods: The location of the study was in Demak districts, Indonesia. Geographic coordinate data of cases during 2008-2018 were determined from the results of surveys of District Health Offices. Climate data obtained from BMKG. Environmental data were obtained from BIG. Data on social factors were obtained by interviewing sufferers using indepth interview. Case and environmental data was then analyzed using ArcGIS and MaxEnt version 3.4.1. Presentation of data in the form of a visual map. The model of leptospirosis control is based on the results of a study by Djati et al. (2015) who used the dynamic system method to be reformulated according to the availability of data. Determination of control scenarios was presented in graphical form. To describe who were the actors involved in efforts to control leptospirosis and the relationship were used social network analysis. The discussion to draw conclusions was done using an environmental science approach.
Results: The model predicted that, the intervention was biological control, which has the highest leverage to reduce the morbidity rate. An important role in efforts to control leptospirosis is in health workers, although to be supported by self-supporting roles of the community. Management and control of natural and social environmental risk factors is very important.
Conclusion: Combination model based on ecosocial was a useful tool to predict the efficiency of leptospirosis control.