Setianingsih Eni, Sulistyaningrum Eny
Development Economics Program, Universitas Gadjah Mada, Indonesia.
Department of Economics, Universitas Gadjah Mada, Indonesia.
Public Health Pract (Oxf). 2025 May 15;9:100625. doi: 10.1016/j.puhip.2025.100625. eCollection 2025 Jun.
The goal of eliminating malaria in Indonesia by 2030 faces significant challenges, particularly due to the stagnation of malaria cases in recent years. This issue is exacerbated by the high concentration of cases in Eastern Indonesia, with Papua Province alone contributing to 86 % of the national malaria cases. To address this, the Malaria Centre Programme has been implemented to eradicate malaria in highly endemic regions. This study aims to evaluate the impact of the malaria centre program on the prevalence of malaria in Papua.
a mixed-method approach.
First, fixed effects analysis effectively evaluates program impacts shaped by pre-existing attributes. Second, in-depth interviews help identify potential impacts, analyze mechanisms, and assess benefits to beneficiaries.
The findings indicate that the malaria centre program has successfully reduced the annual parasite incidence (API) in Papua Province by 31.81 cases per 1000 population. Additionally, controlling for healthcare facilities, especially the ratio of community health centres, significantly lowers malaria incidence by 430.695 cases. However, the availability of hospitals does not significantly impact malaria incidence in the province.
The malaria centre program has had a significant impact on reducing malaria incidence in Papua Province. Implementing the program has effectively lowered malaria cases in several regencies, including Keerom, Nabire, Boven Digoel, and Jayapura.
到2030年在印度尼西亚消除疟疾的目标面临重大挑战，特别是由于近年来疟疾病例停滞不前。印度尼西亚东部病例高度集中使这个问题更加严重，仅巴布亚省就占全国疟疾病例的86%。为解决这一问题，已实施疟疾中心计划以在高流行地区根除疟疾。本研究旨在评估疟疾中心计划对巴布亚疟疾流行率的影响。
采用混合方法。
首先，固定效应分析有效地评估由先前存在的属性所形成的项目影响。其次，深入访谈有助于确定潜在影响、分析机制并评估对受益人的益处。
研究结果表明，疟疾中心计划已成功将巴布亚省的年度寄生虫发病率（API）降低至每1000人口31.81例。此外，控制医疗设施，特别是社区卫生中心的比例，可使疟疾发病率显著降低430.695例。然而，医院的可用性对该省的疟疾发病率没有显著影响。
疟疾中心计划对降低巴布亚省的疟疾发病率产生了重大影响。实施该计划已有效降低了包括凯鲁姆、纳比雷、上迪古尔和贾亚普拉在内的几个摄政区的疟疾病例。
