Geographic Index as Direction for Cases of Malaria Disease in the Archipelago of East Nusa Tenggara Year 2013

Background Based on Indonesian Health Basic Research 2007) In Indonesia, East Nusa Tenggara is the province with the highest number of malaria victims after Papua. East Nusa Tenggara Health Department 2006 reported number of Annual Malaria Incidence (AMI) reached 145, 43 % and Annual Parasite Incidence (API) is 29, 56 %, year 2007 observed Annual Parasite Incidence (API) 119 %, whereas, Annual Parasite Incidence (API) is 29 %, year 2009 Annual Parasite Incidence (API) 31 per 1000 population. Method Type of research is analytical observational with cross sectional study design. Cross sectional study with aim of designing geographic index for health cadres to the early discovering of malaria cases in the Archipelago of East Nusa Tenggara. For Community Based Surveillance (CBS) capacity building is improving surveillance activities in the society level. Result Relation between beaches (0, 043 0, 05), farms (0, 004 0, 05), bushes (0, 003 0, 05), small trees (0, 024 0, 05), savanna (0, 003 0, 05) and ponds (0, 001 0, 05) give impact to the increase of malaria disease cases every time. This accuracy shown with the result of laboratory test such as, with cut off geographical index scores for archipelago malaria 1, 386 predicted persons or communities in farms areas or savannas inside their body lives plasmodium or malaria disease if found scores index -1, 386 it means the person does not infected by malaria disease. If the sensitivity is 82, 5 %, it means that the index if used to observe population of 100 persons in the archipelago area with malaria endemic at geographical condition which consist of farms and savanna achieved 82, 5 persons who are victims of malaria, whether from the result of clinical test or diagnostic test with bold drop. While specify is 32, 4 % if the population are 100 persons who are taken bold drop or clinical and at farms and savannas areas approved 32, 4 persons have not been suffering from malaria disease. Conclusion Many people will become victims of malaria if inside those small islands have main base for vectors such as, puddle or lagoon, dike, small trees, farm and beach who are victims of malaria in remote areas because possibility of not receive maximal service for health because of difficulty in distributing Rapid Diagnostic Test.