Mempertimbangkan Kembali Program Eliminasi Malaria 2030 dalam Konteks Indonesia
Abstract: Malaria is one of
high burden infectious diseases for tropical-subtropical areas worldwide, such
as Indonesia, especially in the eastern Indonesia. Malaria eradication once
failed in late 1960s, now re-emerge after a commitment statement of Bill Gates
in 2007. Now, Indonesia also targeting malaria elimination in 2030. Objective:
To determine the feasibility of Malaria Elimination Program 2030, especially in
Indonesia with existing modalities to combat malaria. Methods: This paper uses
data, ranging 2000-2016, which selected from MEDLINE journal portal and other
sources, which found to be relevant with topics, yet reliable. Results and
Discussion: Malaria eradication can not be equalized to smallpox's, which has
characteristics those very supportive in putting it to be eradicated (such as
no subclinical infection and do not involve vector). Until now, issues of fake
antimalarial drugs, forest malaria, financing commitment and healthcare service
in rural parts of Indonesia remain unanswered and managed optimally. It also
appears that medical advances can not contribute optimally without being
supported by strategic policies. Conclusion and Suggestions: With existing
modalities and situation, malaria control still difficult to be achieved in
Indonesia. This will cause malaria eradication program in 2030 as less
realistic target. Malaria eradication as a target may be worth to be reconsidered.
Malaria control as target may be a more realistic alternative. More advanced
studies regarding obstacles in managing malaria in Indonesia and its solutions
are mandatory.
Keywords: Elimination program,
Global eradication program; Indonesia; Malaria
Penulis: Kristian Wongso
Giamto
Kode Jurnal: jpkesmasdd170446
