Overview Of Malaria Diagnosis Methods In Bitung City Community Health Center
Keywords:
Malaria diagnosis, microscopy examination, RDTs, Bitung CityAbstract
Malaria remains one of the leading causes of morbidity and mortality in many countries. A definitive diagnosis of malaria can be made through microscopic examination or Rapid Diagnostic Tests (RDTs). Both microscopic examination and RDT have their own characteristics, advantages, and limitations. This study aims to describe the methods of malaria diagnosis at community health centers in Bitung City. A descriptive research design with a cross-sectional approach was used in this study. Data were obtained through interviews with nine health workers, including laboratory assistants and malaria program coordinators, from nine community health centers in Bitung City. The results showed that microscopic examination was available in only five community health centers. These centers confirmed RDT results and identified Plasmodium species through microscopic examination. In the primary health centers where only RDT was available, three referred patients to more equipped facilities, and one made a diagnosis using only RDT. The conclusion of this study is that RDT is available in all community health centers, whereas microscopic examination is available in only five community health centers due to limited diagnostic tools and human resources.
References
CDC. Malaria Impact Worldwide. 2024. Available from: https://www.cdc.gov/malaria/php/impact/index.html#:~:text=Globally%2C%20an%20estimated%20249%20million,population%20at%20risk%20for%20infection
WHO. World Malaria Report 2023. Geneva: World Health Organization, 2023.
Kemenkes RI. Kasus Malaria di Indonesia. Available from: https://malaria.kemkes.go.id/
Kemenkes RI. Survei Kesehatan Indonesia Tahun 2023. Available from: https://www.badankebijakan.kemkes.go.id/ski-2023-dalam-angka/
Badan Pusat Statistik Provinsi Sulawesi Utara. Kasus Penyakit Menurut Kabupaten/Kota dan Jenis Penyakit di Provinsi Sulawesi Utara, 2021. Available from: https://sulut.bps.go.id/id/statistics-table/3/YTA1Q1ptRmhUMEpXWTBsQmQyZzBjVzgwUzB4aVp6MDkjMw==/kasus-penyakit-menurut-kabupaten-kota-dan-jenis-penyakit-di-provinsi-sulawesi-utara--2021.html?year=2021
Badan Pusat Statistik Provinsi Sulawesi Utara. Kasus Penyakit Menurut Kabupaten/Kota dan Jenis Penyakit di Provinsi Sulawesi Utara, 2022. Available from: https://sulut.bps.go.id/id/statistics-table/3/YTA1Q1ptRmhUMEpXWTBsQmQyZzBjVzgwUzB4aVp6MDkjMw==/kasus-penyakit-menurut-kabupaten-kota-dan-jenis-penyakit-di-provinsi-sulawesi-utara--2021.html?year=2022
Badan Pusat Statistik Provinsi Sulawesi Utara. Kasus Penyakit Menurut Kabupaten/Kota dan Jenis Penyakit di Provinsi Sulawesi Utara, 2023. Available from: https://sulut.bps.go.id/id/statistics-table/3/YTA1Q1ptRmhUMEpXWTBsQmQyZzBjVzgwUzB4aVp6MDkjMw==/kasus-penyakit-menurut-kabupaten-kota-dan-jenis-penyakit-di-provinsi-sulawesi-utara--2021.html?year=2023
Kemenkes RI. Keputusan Menteri Kesehatan Republik Indonesia nomor HK.01.07/MENKES/556/2019 tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Malaria. Jakarta: Kemenkes RI; 2019. Available from: https://www.kemkes.go.id/id/pnpk-2019---tata-laksana-malaria
Berzosa P, de Lucio A, Romay-Barja M, Herrador Z, González V, García L, et al. Comparison of three diagnostic methods (microscopy, RDT, and PCR) for the detection of malaria parasites in representative samples from Equatorial Guinea. Malar J. 2018;17(1):333. Doi: 10.1186/s12936-018-2481-4.
Mouatcho JC, Goldring JPD. Malaria rapid diagnostic tests: challenges and prospects. J Med Microbiol. 2013;62(10). Doi: https://doi.org/10.1099/jmm.0.052506-0
Watson OJ, Sumner KM, Janko M, Goel V, Winskill P, Slater HC, et al. False-negative malaria rapid diagnostic test results and their impact on community-based malaria surveys in sub-Saharan Africa. BMJ Glob Health. 2019;4:e001582. Doi: 10.1136/bmjgh-2019-001582
Kemenkes RI. Kurikulum Pelatihan Jarak Jauh Mikroskopis Malaria Bagi Tenaga ATLM. Jakarta: Kemenkes RI; 2020. Available from: https://ditmutunakes.kemkes.go.id/index.php/detail-kurikulum-pelatihan/pelatihan-mikroskopis-malaria-bagi-tenaga-ahli-teknologi-laboratorium-medik-atlm-/4d7a557a4e444d354d7a6b744d7a457a4e7930304d444d324c5749784d7a4d744d7a637a4d6a4d354d7a497a4e544d35
Tahulending J, Kawatu P, Joseph W. Perilaku Nyamuk Anopheles sp., Vektor Penyakit Malaria di Pulau Lembeh, Kota Bitung, Sulawesi Utara. JBL [Internet]. 2024;14(2):1-11. Doi: https://doi.org/10.35799/jbl.v14i2.56195
CDC. Malaria diagnostic tests. CDC [cited 2025 Jan. 15]. Available from: https://www.cdc.gov/malaria/hcp/diagnosis-testing/malaria-diagnostic-tests.html
Ngasala B, Bushukatale S. Evaluation of malaria microscopy diagnostic performance at private health facilities in Tanzania. Malar J. 2019;18(1):375. Doi: https://doi.org/10.1186/s12936-019-2998-1.
