Mitigation Strategy of Soil Transmitted Helminths (STH) Through Environmental Risk Identification and Anthelmintic Basic Materials in the Endemic Land Units of Coastal Rural Ambon Island

Corresponding to the decree of the Indonesian Health Minister (2006), Brooker (2000, 2004, 2006), Salakory. , Et al (2010), Soil Transmitted Helminths control (STH) can be conducted by some interventions, namely, it is needed to be done the integrated research to find the risk environmental and endemic areas, forming a healthy perception of society, especially in the areas with a high risk environment, performing a mass treatment with local wisdom-based approach. The mass treatment with the local wisdom approach is intended to encourage the health care-seeking behavior of the poor people. It is conducted the image analysis of multy spectral satellite to determine the components of the risk environment. The result of image interpretation, then processed through Geographic Information Systems with ArcView program to produce a map of that risk environment distribution of Soil Transmitted Helminths (STH). The residents with the risk to be infected by Soil Transmitted Helminths (STH) who lived on the land units corresponding to the risk environment would be examined in its faeces to know the prevalence of infection due to the Soil Transmitted Helminths (STH), to obtain the identification and activation test of the anthelmintic basic materials from surrounding environment (local wisdom). The next stage is to make a software of environmental information system called by Soil Transmitted Helminths risk (STH). On the basis of these policy recommendations, it is conducted the prevention and treatment on the risk group. The preventive action is measured in the form of selection of the famous young doctor. Treatment to the risk group who was positive of Soil Transmitted Helminths (STH) is conducted by using the drugs that are derived from the surrounding environment (local wisdom). The usefulness of the results is expected can be formed a healthy perception in a group of risk, decreasing the prevalence of soil-transmitted Helminths (STH), using anthelmintic with basic materials that is obtained from the coastal environment of the Ambon island, providing a policy reference for stake holder in the health field of Maluku province. The method used is a combination of surveys, True Experiment in the laboratory, and Development.