A significant reduction in the transmission of malaria in various provinces in Indonesia has occurred since the country has implemented its national commitment to eliminate malaria. It has a diverse ethnic composition, with 1340 ethnic groups distributed from Sabang to Merauke. Indonesia is a SEA country, with a total population of approximately 265 million.
Two countries, the Maldives and Sri Lanka, have been certified malaria-free areas by the WHO, whereas India and Indonesia are still affected by malaria, contributing 85% and 13% to the total number of malaria cases in the region, respectively. The action plan of the region indicates that all countries in the region will be malaria-free zones by 2030. In 2018, the World Health Organization (WHO) reported 228 million cases, 3.5% of which were from Southeast Asian (SEA) countries. Malaria is a major global health problem, with an estimated 3.9 billion people living at risk of malaria infection. International Registered Report Identifier (IRRID): DERR1-10.2196/23545 In this protocol, we developed a methodology to provide new evidence to guide health policy in supporting the ENTP government’s expectation to achieve the malaria-free rating by 2030.
The study results are expected to be published in peer-reviewed journals.Ĭonclusions: The best malaria risk prediction model will be developed in this study. Results: Of the total participants, 99.46% (1495/1503) of rural adults from 49 villages in the ENTP participated in a face-to-face interview from October to December 2019. Multilevel logistic regression will be applied to estimate the risk score for malaria. Malaria risk factors will be analyzed using logistic regression. Coverage and access to LLINs will be evaluated based on the WHO recommendations. The proportion of knowledge, attitude, and practice toward aspects of malaria and their variations across different sociodemographic and ethnic groups will be analyzed using descriptive statistics and chi-square tests. Information on sociodemographic, environmental, and lifestyle factors was also documented. Each participant participated in a face-to-face interview to assess their awareness and knowledge, attitude, and practice toward aspects of malaria, practices of sleeping under LLINs, and history of malaria. Methods: A multistage cluster sampling procedure with a systematic random sampling procedure at cluster level 4 was applied to recruit 1503 adults aged 18 years or older from the ENTP. Objective: The aims of this cross-sectional study are to determine the awareness and knowledge, attitude, and practice toward various aspects of malaria among rural adults and their associated factors, including sociodemographic factors and ethnicities assess the gap between coverage of, access to, and use of long-lasting insecticide-treated nets (LLINs) among the households estimate the prevalence of and factors associated with malaria in rural adults and develop a risk prediction model for malaria. However, the eastern part of Indonesia, including the East Nusa Tenggara Province (ENTP), still has a disproportionately high rate of malaria. Following the World Health Organization (WHO) initiative, Indonesia is in the process of achieving malaria-free zone status by 2030.