Kesenjangan Pengetahuan, Sikap, dan Praktik (KAP) Pencegahan DBD di Wilayah Kerja Puskesmas Cakranegara: Diagnosis Komunitas

Penulis

  • Nisia Putri Rinayu Universitas Islam Al-Azhar
  • Irwan Syuhada Universitas Islam Al-Azhar
  • Ni Made Dwita Wiwahani Universitas Islam Al-Azhar
  • Ahmad Tristan Amartya Universitas Islam Al-Azhar
  • Baiq Fahira Mentari Universitas Islam Al-Azhar

DOI:

https://doi.org/10.55123/sehatmas.v4i4.6508

Kata Kunci:

Dengue, Community Diagnosis, Knowledge–Attitudes–Practices (KAP), Demonstration-Based Education

Abstrak

Dengue remains a major public health concern in Indonesia. In 2024, the incidence rate (IR) more than doubled (91.1) versus 2023 (41.4), while the case fatality rate (CFR) fell from 0.96% to 0.57%, underscoring the need to shift from curative care to community-based prevention. This descriptive observational study using a community-diagnosis approach assessed knowledge, attitudes, and practices (KAP) for dengue prevention and household environmental conditions in RT 6 Selagalas Lama. The target population comprised 153 households; 60 respondents were selected with Slovin’s formula (10% margin of error). Data were collected via a KAP questionnaire and household environmental observations and analyzed descriptively (univariate). Most respondents showed good knowledge (86.7%) and positive attitudes (86.7%), yet preventive practices were suboptimal (good 28.3%; fair 35.0%; poor 36.7%). Household environments were predominantly poor (70.0%), with key misconceptions persisting (43.3% cited Anopheles as the vector; 46.7% believed dengue cannot be prevented). To address the K–A–P gap, we implemented hands-on, demonstration-based “3M Plus” education focused on weekly self-inspection of water-holding containers and improved personal protection (morning–afternoon protection; window/door screens and bed nets). The knowledge/attitude–practice gap remains a primary local risk; structured, measurable, demonstration-based interventions should be institutionalized and evaluated using practice indicators, vector indices, and clinical outcomes.

Unduhan

Data unduhan belum tersedia.

Referensi

Andersson, N., Nava-aguilera, E., Arosteguí, J., Morales-perez, A., Suazo-laguna, H., Legorreta-soberanis, J., Hernandez-alvarez, C., Fernandez-salas, I., Paredes-solís, S., Balmaseda, A., Cortés-guzmán, A. J., Santos, R. S. D. L., Coloma, J., Ledogar, R. J., & Harris, E. (2015). Evidence Based Community Mobilization for Dengue Prevention in Nicaragua and Mexico (Camino Verde , the Green Way ): Cluster Randomized Controlled Trial. BMJ. https://doi.org/10.1136/bmj.h3267

Arfan, I., Sulistyorini, L., Sulistyowati, M., Syahrul, F., Junaidi, H., & Rizky, A. (2024). Benefits and barriers of community participation in dengue control : A systematic review. African Journal of Reproductive Health, 28(October), 482–498. https://doi.org/10.29063/ajrh2024/v28i10s.49

Arham, A. F., Mokhtar, M. I., Jaafar, M. H., Amin, L., Rusly, N. S., Fadhli, M., Khaidzir, S., Aziz, M. F., & Muslim, N. (2025). Asian Household’s Dengue-related Knowledge, Attitudes, and Practices : a Systematic review. Humanities and Social Sciences Communications, 12, 1–12. https://doi.org/10.1057/s41599-025-05017-1

Azevedo-Santos, V. M., Vitule, J. R. S., Pelicice, F. M., García-Berthou, E., & Simberloff, D. (2017). Nonnative Fish to Control Aedes Mosquitoes: A Controversial, Harmful Tool. BioScience, 67(1), 84–90. https://doi.org/10.1093/biosci/biw156

Dambach, P., Louis, V. R., Standley, C. J., & Montenegro-quiñonez, C. A. (2024). Beyond Top-down : Community Co-creation Approaches for Sustainable Dengue Vector Control. Global Health Action, 17(1). https://doi.org/10.1080/16549716.2024.2426348

Dapari, R., Muniandy, K., Zaid, A., Azman, F., Abu, S., Id, F. M., Rosli, N. M., Ammar, M., Ahmad, I., Id, Z., Rohaizat, M., Id, H., Che, N., Id, D., Sharizman, S., Abdul, S., Id, R., Gill, B. S., & Hamid, N. A. (2024). Effectiveness of the Integrated Dengue Education and Learning ( iDEAL ) module in improving the knowledge , attitude , practice , environmental cleanliness index , and dengue index among schoolchildren : A randomised controlled trial protocol. PLOS ONE, 19(4), 1–14. https://doi.org/10.1371/journal.pone.0302736

Dikes NTB. (2024). Profil Kesehatan Nusa Tenggara Barat Tahun 2023.

Egid, B. R., Coulibaly, M., Kweku, S., Kamgang, B., Wilson, A. L., Mccall, P. J., & Sedda, L. (2022). Review of the ecology and behaviour of Aedes aegypti and Aedes albopictus in Western Africa and implications for vector control. Current Research in Parasitology & Vector-Borne Diseases, 2. https://doi.org/10.1016/j.crpvbd.2021.100074

Han, W. W., Lazaro, A., Mccall, P. J., George, L., Toledo, J., & Velayudhan, R. (2015). Efficacy and community effectiveness of larvivorous fish for dengue vector control. Tropical Medicine and International Health Volume, 20(9), 1239–1256. https://doi.org/10.1111/tmi.12538

Hustedt, J. C., Doum, D., Keo, V., Ly, S., Sam, B., Chan, V., Alexander, N., Bradley, J., Liverani, M., Prasetyo, D. B., Rachmat, A., Shafique, M., Lopes, S., Rithea, L., & Hii, J. (2021). Field Efficacy of Larvivorous Fish and Pyriproxyfen Combined with Community Engagement on Dengue Vectors in Cambodia : A Randomized Controlled Trial. The American Journal of Tropical Medicine and Hygiene, 105(5), 1265–1276. https://doi.org/10.4269/ajtmh.20-1088

Jahromi, A. S., Jokar, M., Abdous, A., Sharifi, N., & Abbasi, T. (2024). Global systematic review and meta-analysis of knowledge , attitudes , and practices towards dengue fever among the general population. Asian Pacific Journal of Tropical Medicine, 17(December 2023), 191–207. https://doi.org/10.4103/apjtm.apjtm

Kementerian Kesehatan RI. (2025). Profil Kesehatan Indonesia 2024. Kemenkes RI.

Mamenun, Koesmaryono, Y., Sopaheluwakan, A., Hidayati, R., & Dasanto, B. D. (2024). Spatiotemporal Characterization of Dengue Incidence and Its Correlation to Climate Parameters in Indonesia. Insects, 15(5).

Montenegro-quiñonez, C. A., Louis, V. R., Horstick, O., Velayudhan, R., Dambach, P., & Runge-ranzinger, S. (2023). Interventions against Aedes/dengue at the household level: a systematic review and meta-analysis. EBioMedicine, 93, 104660. https://doi.org/10.1016/j.ebiom.2023.104660

Naing, C., Htet, N. H., Tung, W. S., Aung, H. H., & Whittaker, M. A. (2023). Facilitators and barriers to engaging communities in health service research on dengue control in Indo-Pacific region : a systematic review. BMC Public Health, 23, 1–15.

Nasir, M. (2025). Kasus DBD tembus 4.206 di NTB, Tujuh Pasien Meninggal. IDN Times. https://ntb.idntimes.com/

Soria, C., Stewart-ibarra, A. M., Crocco, L. B., & Ricardo, W. (2024). Systematic Review of Impacts of Educational Interventions to Control Breeding Sites of Aedes aegypti and Aedes albopictus Mosquitoes. The American Journal of Tropical Medicine and Hygiene, 110(5), 979–988. https://doi.org/10.4269/ajtmh.23-0427

Utarini, A., Indriani, C., Ahmad, R. A., Tantowijoyo, W., Arguni, E., Ansari, M. R., Supriyati, E., Wardana, D. S., Meitika, Y., Ernesia, I., Nurhayati, I., Prabowo, E., Andari, B., Green, B. R., Hodgson, L., Cutcher, Z., Rancès, E., Ryan, P. A., O’Neill, S. L., … Simmons, C. P. (2021). Efficacy of Wolbachia-Infected Mosquito Deployments for the Control of Dengue. The New ENgland Journal of Medicine, 384(23), 2177–2186. https://doi.org/10.1056/NEJMoa2030243

Zahid, M. H., Wyk, H. Van, Morrison, A. C., Coloma, J., Lee, G. O., Cevallos, V., Ponce, P., & Eisenberg, J. N. S. (2023). The biting rate of Aedes aegypti and its variability: A systematic review ( 1970 – 2022 ). PLOS Neglected Tropical Diseases, 1–19. https://doi.org/10.1371/journal.pntd.0010831

Diterbitkan

2025-10-15

Cara Mengutip

Nisia Putri Rinayu, Irwan Syuhada, Ni Made Dwita Wiwahani, Ahmad Tristan Amartya, & Baiq Fahira Mentari. (2025). Kesenjangan Pengetahuan, Sikap, dan Praktik (KAP) Pencegahan DBD di Wilayah Kerja Puskesmas Cakranegara: Diagnosis Komunitas . SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat, 4(4), 1271–1280. https://doi.org/10.55123/sehatmas.v4i4.6508

Terbitan

Bagian

Articles