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Dengue hemorrhagic fever (DHF) is a disease that is still a problem in Indonesia, including Bali. The
Padangbai Karangasem port area is one of the entrances to countries that are not yet free from dengue fever
cases, because there are still reported cases of dengue fever. The number of House of Aedes Flicking Index
is still more than 1%. Based on Minister of Health Decree number 431 of 2007 Port Buffer Area <1%. The
implementation of the Mosquito Nest Eradication through 3M Plus is the most effective effort to prevent
the transmission of Dengue Hemorrhagic Fever.The purpose of this study was to determine the relationship
between knowledge, attitudes and infrastructure with the behavior of implementing the Eradication of
Dengue Hemorrhagic Fever Nests. The research design was quantitative with a cross sectional design. This
research was conducted in the Padangbai Karangasem Port Area, Bali. Data collection used a questionnaire
about Knowledge, Attitudes,facilities and infrastructure and Behavior for Eradicating Dengue Hemorrhagic
Fever Eradication. The number of samples of 89 respondents was taken proportional random sampling. The
results showed that Knowledge, Attitudes and Infrastructure were significantly related to the eradication
behavior of dengue fever mosquitoes due to the value of p<α=0.,05. The most dominant variable associated
with the implementation behavior of Eradication of Dengue Hemorrhagic Fever Eradication is Knowledge
Variable because the highest OR value is 4.287 compared to Attitudes and infrastructure.
Preliminary:
Dengue hemorrhagic fever (DHF) is one disease annual data report of the 2016/2017 Class I Port
that is still a problem in Indonesia, including Bali. Health Office in 2017 the number of cases of
The Padangbai Karangasem port area is one of the Dengue Fever in the Padangbai Port Buffer area of
entrances to the country and cannot be said to be 5 cases in 2016 increased by 7 cases in 2017, and
free from cases of dengue fever. Based on the the larvae density was also quite high, namely
International Journal of Contemporary Research and Review, Vol. 10, Issue. 02, Page no: ME 21376-21384
DOI: https://doi.org/10.15520/ijcrr.v10i02.666 Page | 21376
I Gusti Agung Gede Sudarmika et al. Relationship of Knowledge, Attitude and Infrastructure Means with Community Behavior
in the Eradication Dengue Hemorrhagic Fever in Port of Padangbai Karangasem
This research was conducted to find out the Based on univariate analysis that respondents with
relationship between knowledge, attitudes and good knowledge were 27 people (30.3)% while
infrastructure with the behavior of the community respondents who had less knowledge were 64
in the Eradication of Dengue Hemorrhagic Fever respondents (69.7)%. Respondents who have a
(PSN-DBD) in port of Padangbai Karangasem good attitude of 29 (32.6%) people who are lacking
Bali. attitudes are 60 people (67%). Renspondent with a
International Journal of Contemporary Research and Review, Vol. 10, Issue. 02, Page no: ME 21376-21384
DOI: https://doi.org/10.15520/ijcrr.v10i02.666 Page | 21377
I Gusti Agung Gede Sudarmika et al. Relationship of Knowledge, Attitude and Infrastructure Means with Community Behavior
in the Eradication Dengue Hemorrhagic Fever in Port of Padangbai Karangasem
International Journal of Contemporary Research and Review, Vol. 10, Issue. 02, Page no: ME 21376-21384
DOI: https://doi.org/10.15520/ijcrr.v10i02.666 Page | 21378
I Gusti Agung Gede Sudarmika et al. Relationship of Knowledge, Attitude and Infrastructure Means with Community Behavior
in the Eradication Dengue Hemorrhagic Fever in Port of Padangbai Karangasem
Table 5. Relationship between Facilities and entry in the form of a multivariate model because
Infrastructures and Community Behavior in the value of p <0.25
Eradicating Nest of Dengue Hemorrhagic 2. Selection of Multivariate Models
Fever (PSN-DBD)
The 3 independent variables included in the
Infrastructure Behavior P Value
multivariate model were then analyzed by
Good Less Total considering the valuation of the disposal of the
F % F % F % variable with the highest p-valuation value then
Good 18 20.2 17 19.1 35.0 39.3 0.014
processed again by excluding variables with the
Less 14 15.7 40 44.9 54.0 60.7
highest p-valuation value, until the loglikerhood
ratio was obtained (p <0.05), the final result of
Total 32 36.0 57 64.0 89.0 100 choosing a multivariate model as shown in the
following table:
Table 7 Final Results of the Selection of
Multivariate Analysis Results:
Multivariate Models
Multivariate analysis aims to obtain the dominant
factor in the behavior of respondents in PSN-DBD. Variable Knowladge Attidue infrastructure Constants
At this stage an analysis of several factors related B 1.456 1.191 0.007 -3.787
to the behavior of respondents in PSN-DBD was Waid 6.094 4.781 0 10.508
carried out together, namely the level of DF 1 1 1 1
knowledge, attitudes, and facilities and
Sig 0.014 0.029 0.09 0.01
infrastructure. The stages:
1. Selection of candidate models OR 4.287 3.290 0.993 0.023
The first step is to determine the variables that will
95% CI 1.350 1.131 0.304
be included in the modeling with a value of p value ORLower 13.618 9.568 3.236 -
<0.25. In this study there were 3 independent upper
variables related to the behavior of respondents in
PSN-DBD. Variables that have a value of p <0.25
are included in the multivariate model as shown in From these results also seen the variables that have
the following table: the greatest Odd Ratio (OR), namely the
Table 6 Simple logistic regression analysis knowledge variable of 4,287 thus the knowledge
resultsbetween independent variables and variable is the most powerful variable relation to
independent variables of Respondents in PSN- community behavior in the Implementation of
DBD Eradication of Dengue Hemorrhagic Fever (PSN-
DHF) in Sea of port Padangbai.
No Variabel p-value
Discussion:
1. Knowladge 0.012 1. Knowledge Relationship with Respondents'
Behavior in the Implementation of Eradication
2. Attitude 0.009
of Dengue Hemorrhagic Fever Nests (PSN-
3. infrastructure 0.016 DBD)
Based on the results of bivariate analysis it is
Based on the results of simple Logistic regression known that the p value = 0.001 <α (0.05) means
analysis in three independent variables, namely that H0 is rejected or there is a relationship between
knowledge, attitudes and infrastructure meet the Knowledge and Community Behavior in the
International Journal of Contemporary Research and Review, Vol. 10, Issue. 02, Page no: ME 21376-21384
DOI: https://doi.org/10.15520/ijcrr.v10i02.666 Page | 21379
I Gusti Agung Gede Sudarmika et al. Relationship of Knowledge, Attitude and Infrastructure Means with Community Behavior
in the Eradication Dengue Hemorrhagic Fever in Port of Padangbai Karangasem
International Journal of Contemporary Research and Review, Vol. 10, Issue. 02, Page no: ME 21376-21384
DOI: https://doi.org/10.15520/ijcrr.v10i02.666 Page | 21380
I Gusti Agung Gede Sudarmika et al. Relationship of Knowledge, Attitude and Infrastructure Means with Community Behavior
in the Eradication Dengue Hemorrhagic Fever in Port of Padangbai Karangasem
about eradicating mosquito nests, the better the will react according to the stimulation he receives.
behavior of eradicating mosquito nests. So In relation to this attitude is very closely related to
increasing knowledge is very important to do in the knowledge gained both from own experience
order to improve the implementation of the and from the environment.
eradication of mosquito nests. According to Sarwono (1993) where attitudes are a
2. Relationship between Attitudes and tendency to respond positively and negatively to an
Respondents' Behavior in the object through persuasion, role models from
Implementation of Eradication of Dengue someone or from a social group. This is consistent
Hemorrhagic Fever Nests (PSN-DBD) with what Green found in Notoatmodjo (2003) that
a person's behavior is influenced by knowledge,
Based on the results of bivariate analysis it is
attitudes, beliefs and others. Thus a positive public
known that the value of p value = 0.002> α (0.05)
attitude will affect their own behavior towards
means that H0 is rejected or there is a relationship
PSN. Although a person's behavior is influenced by
between Attitudes with Community Behavior in
attitudes but not always attitudes will automatically
the Implementation of Eradication of Dengue
manifest in an action, because to be able to realize
Hemorrhagic Fever (PSN-DBD) at port of
an attitude to become a real force needed
Padangbai Karangasem, Bali . Most of the people
supporting factors include facilities, support from
in Padangbai Karangasem Port of Bali have a lack
other parties and experience, environment and
of attitude regarding the Eradication of Dengue
motivation (Azwar 2008)
Hemorrhagic Fever (PSN-DHF) which is 60 people
(67.4%) In this study the results of the multivariate analysis
of attitude variables were ranked second after
These results indicate that respondents who are
knowledge, in getting the odds ratio (OR) attitude
positive and respondents who behave negatively
variable of 3.29, meaning that respondents with
have differences in the implementation of PSN.
good attitudes had an opportunity of 3.29 times
This might happen because the more positive a
eradicating behavior DBD mosquito nests were
person's attitude or view of things, for example
compared who have a lack of attitude. So an
attitudes toward dengue disease, the better the
increase in attitude is needed in order to improve
actions taken to prevent the disease are by doing
the eradication behavior of Aedes aegypti mosquito
PSN. Someone who knows about DHF and knows
nests.
the consequences that will be experienced if they
do not take preventive action, then it will bring This is in accordance with the research conducted
someone to think and try to avoid the disease. In by Dewi, Nila. 2015. With the title Factors relating
the process of thinking there are components of to the eradication of the family nest of dengue fever
emotion, motivation and confidence so that in the mosquitoes in the village of Mulyoharjo, Jepara
end someone has a positive attitude towards Subdistrict, Jepara District, this study found that
prevention efforts, namely by doing PSN. This is in there was a significant relationship between family
accordance with what was stated by Notoatmodjo knowledge and attitudes towards the practice of
(2005). That behavior is based on knowledge, eradicating dengue mosquito nests
awareness, and a positive attitude, then the
3. Relationship between Facilities and
behavior will be long lasting. Attitudes related to
Infrastructure and Respondents' Behavior in
individual motivation to do something, thus in this
the Implementation of Eradication of Dengue
case a positive attitude will motivate individuals to
Hemorrhagic Fever Nests (PSN-DBD)
carry out PSN activities
Based on the results of bivariate analysis it is
According to Mar'at (1984) states that attitude is a known that the value of p value = 0.014 <α (0.05)
product of a socialization process, where a person
International Journal of Contemporary Research and Review, Vol. 10, Issue. 02, Page no: ME 21376-21384
DOI: https://doi.org/10.15520/ijcrr.v10i02.666 Page | 21381
I Gusti Agung Gede Sudarmika et al. Relationship of Knowledge, Attitude and Infrastructure Means with Community Behavior
in the Eradication Dengue Hemorrhagic Fever in Port of Padangbai Karangasem
means that H0 is rejected or there is a relationship condition has the potential to become a breeding
between Facilities and Infrastructure with place for mosquitoes if it is not equipped with a
Community Behavior in the Implementation of cover and application of 3 M specifically "M"
Eradication of Dengue Hemorrhagic Fever (PSN- (Drain).
DHF) at Padangbai Sea Port Karangasem Bali. The Based on the results of the multivariate analysis,
majority of the people in Padangbai Karangasem the variables of facilities and infrastructure are
Port of Bali have less behavior regarding the variables related to community behavior in the PSN
Eradication of Dengue Hemorrhagic Fever (PSN- DBD. Odds Ratio (OR) of facilities and
DHF), which is 57 people (64%). infrastructure variable is 0.993. Respondents who
The results of data collection on PSN facilities and have good facilities and infrastructure have the
infrastructure during the study revealed that limited opportunity to implement PSN-DBD 0.993 times
warehouse ownership questions have the tendency higher than those who have less facilities and
to store used items such as bottles because they are infrastructures.
sold where stacked used goods have the potential
This research is in line with previous research
to become water reservoirs / mosquito breeding conducted by Agus Riyanto 2005 entitled Analysis
grounds. In addition, people tend to have water of Factors Associated with Community Behavior in
reservoirs that are not equipped with covers. The Eradicating the Nest of Dengue Hemorrhagic Fever
community feels that with the cover disturbing
(PSN-DHF) in Cigugur Central Village, Cimahi
comfort in water use activities. City, where the results indicate that there is a
This result is in accordance with Green in significant relationship between the infrastructure
Notoatmodjo (2003) which reveals facilities and and the behavior of respondents in eradicating
infrastructure is a factor that will support the mosquito nest.
community to do or behave well in health, meaning
Conclusions and Recommendations:
that with supporting factors (facilities and
infrastructure), the community will carry out real Conclusion:
activities in nest eradication Ades aegypti 1. There is a relationship between Knowledge and
mosquito. Thus the role of facilities and Respondents' Behavior in the Implementation
infrastructure is to support the PSN-DBD activities, of the Eradication of Dengue Hemorrhagic
especially in terms of the availability of abate Fever (PSN-DBD) in Padangbai Karangasem
which requires good planning in fulfilling abate Sea Port, Bali. The value of Odd Ratio (OR)
needs for the implementation of PSN-DBD so as to knowledge is the biggest compared to other
achieve the PSN-DBD target, as the researchers variables of 4,287
found in terms of access to obtain abate powder it
2. There is a relationship between Attitudes and
is sufficient but abate obtained by the community
Respondents' Behavior in the Implementation
is not used properly. Because the community thinks
of Eradication of Dengue Hemorrhagic Fever
it has an impact on water clarity. This condition
(PSN-DHF) in Padangbai Karangasem Sea
shows that the public's understanding of the use of
Harbor, Bali with an Odd Ratio (OR) of 3.29
abate needs to be improved through PSN
socialization / counseling which focuses on the 3. There is a relationship between Facilities and
procedures for using abate. Infrastructure with Respondent's Behavior in
the Implementation of Eradication of Dengue
Another condition found in the field, namely the
Hemorrhagic Fever (PSN-DBD) in Padangbai
availability of clean water in this case sourced from
Karangasem Sea Harbor, Bali with an Odd
the PDAM, is still limited (scheduled) so that
Ratio (OR) of 0.993
people tend to hold water for> 2 days. This
International Journal of Contemporary Research and Review, Vol. 10, Issue. 02, Page no: ME 21376-21384
DOI: https://doi.org/10.15520/ijcrr.v10i02.666 Page | 21382
I Gusti Agung Gede Sudarmika et al. Relationship of Knowledge, Attitude and Infrastructure Means with Community Behavior
in the Eradication Dengue Hemorrhagic Fever in Port of Padangbai Karangasem
4. Knowledge Variables have the strongest relationships with a difference in the index of
relationship with the behavior of Respondents genetics, behavior of Ae mosquitoes. aegypty
in the Implementation of Eradication of Dengue for dengue incidence, as well as people's
Hemorrhagic Fever (PSN-DHF) odds ratio behavior in accommodating water against
(OR) of the knowledge variable is 4.287, larvae indexes.
meaning that respondents who have good
Daftar Pustaka:
knowledge have an opportunity of 4,298 times
to carried out the Eradication of DHF Mosquito 1. Agus Riyanto 2005, Analisis Faktor-Faktor
Nests in Padangbai Karangasem Sea Harbor, Yang Berhubungan Dengan Perilaku
Masyarakat Dalam Pemberantasan Sarang
Suggestion Nyamuk Demam Berdarah Dengue (PSN-
1. For the community, it is expected to increase DBD) Di Kelurahan Cigugur Tengah Kota
knowledge about PSN-DBD, so that the Cimahi . Jurnal Kesehatan Kartika/ LPPM
2005
community is expected to be able to do PSN-
2. Agrina, Arneliwati, 2011, Peningkatan
DBD independently, with 3M movements and
Pengetahuan Masyarakat Tentang Demam
avoid mosquito bites including the 3M Plus
Berdarah Melalui Pendidikan Kesehatan
movement. Langsung, Vol 6, No 2, Oktober 2011: 73-
2. For Village Devices and traditional institutions 81, ISSN 1907 –364X
in the Padangbai Port area, the relevant 3. Azwar, S. 2008. Seri Psikologi, Sikap
agencies are expected to provide motivation to Manusia, Teori dan Pengukurannya.
the community to be able to carry out Yogyakarta : Liberty. Hal : 5, 31, 87, 107
independent eradication activities not 4. Keputusan Menteri Kesehatan Nomor 431
dependent on visits from health workers. It can tentang Pengendalian Resiko Kesehatan
Lingkungan di Pelabuhan /Bandara/Pos
also be done through empowerment through the
Lintas Batas dalam Rangka Karantina
establishment of larva monitoring
Kesehatan, Jakarta
(JUMANTIK) cadres from residents of each
5. Desniawati, Faradillah. 2014. Pelaksanaan
hamlet. Other activities can be through the joint 3M Plus Terhadap Keberadaan Larva
cleaning work movement every holiday or Aedes aegypti di Wilayah Kerja Puskesmas
week to foster community motivation. Ciputat Kota Tangerang. Tesis. Program
3. For relevant agencies, it is expected to always Studi Kesehatan Masyarakat Fakultas
provide information about the implementation Kedokteran dan Ilmu
of PSN and use abate to the community so that Kesehatan.Universitas Islam Negeri Syarif
Hidayatullah.Jakarta.
the community better understand and respond
6. Dewi, Nila. 2015. Faktor-faktor yang
to PSN properly, so that the implementation of
berhubungan dengan praktik
the appropriate PSN is created. Periodic control
pemberantasan sarang nyamuk demam
of the environment is also carried out, and berdarah dengue (PSN) keluarga di
invites the public to actively participate in kelurahan mulyoharjo kecamatan jepara
prevention of dengue and reporting of cases that kabupaten jepara.. Jurusan ilmu kesehatan
occur. Activating community participation in masyarakat fakultas ilmu keolahragaan
the implementation of PSN by forming cadres Universitas Negeri Semarang
involving sub-village level equipment, schools, 7. Fuka Priesley, Mohamad Reza , Selfi
customary institutions. Renita Rusjdi, 2017, Hubungan Perilaku
Pemberantasan Sarang Nyamuk dengan
5. For other researchers, it is expected to examine
Menutup, Menguras dan Mendaur Ulang
further about other factors such as behavioral
Plus (PSN M Plus) terhadap Kejadian
International Journal of Contemporary Research and Review, Vol. 10, Issue. 02, Page no: ME 21376-21384
DOI: https://doi.org/10.15520/ijcrr.v10i02.666 Page | 21383
I Gusti Agung Gede Sudarmika et al. Relationship of Knowledge, Attitude and Infrastructure Means with Community Behavior
in the Eradication Dengue Hemorrhagic Fever in Port of Padangbai Karangasem
International Journal of Contemporary Research and Review, Vol. 10, Issue. 02, Page no: ME 21376-21384
DOI: https://doi.org/10.15520/ijcrr.v10i02.666 Page | 21384