SPATIAL ANALYSIS RISK FACTORS OF DENGUE HEMORRHAGIC FEVER AT SINGKAWANG MUNICIPALITY WEST KALIMANTAN 2010 Frans Yosep Sitepu1,

Tri Baskoro T. Satoto2, Lutfan Lazuardi3 ABSTRACT Background : Dengue hemorrhagic fever (DHF) is still a public health problem in West Kalimantan especially at Singkawang municipality. Singkawang is an endemic of DHF with an increasing of incidence rate (IR) and case fatality rate (CFR) every year. In 2010, IR of DHF is 60,21/100.000 people, CFR=2,73%. The objective of this study is to identify and analyze the risk factors of DHF with spatially analysis. Method: This was an observational study using case control design involving 220 respondents. The total number of cases was 110 people. Controls were neighbors of cases who were healthy. Interviews about risk factors and geo-coordinated captures of their houses by using GPS had been conducted. The study used individual and spatial analysis. Individual analysis used chi-square and logistic regression. Odds ratio (OR) was used to determine risk factors. Spatial analysis used GeoDa, SaTScan and ArcGIS. Results : The multivariate analysis showed that not using mosquito repellent devices (OR=2,3 95%CI=1,248-4,292) and not eradicating mosquito nests (OR=1,9 95%CI=1,0123,659) were the risk factors for infection. Spatial analysis showed that density (coefficient=0,4182 , standard error=0,1595, tstatistic=2,6219, probability=0,0156) was the risk factor. Most likely cluster was found in 275167 m E, 99124 m N, radius 872,03 m with total number of cases was 27 people (p=0,011 (<0,05) OR=1,9), secondary cluster in 278570 m E,100400 m N, radius 1015,47 m with total number of cases 13 people (p=0,015 (<0,05) OR=2,1). Conclusions : Not using mosquito repellent devices, not eradicating mosquito nests and density were the risk factors related to DHF at Singkawang municipality. Health promotion and prevention are prioritized in the clusters of DHF to minimize the future cases of DHF. Keywords : spatial analysis, risk factors, dengue hemorrhagic fever. 1. Provincial Health Office of North Sumatera 2. Departement of Parasitology, Faculty of Medicine Gadjah Mada University 3. Health Information System, Faculty of Medicine Gadjah Mada University