FACTORS INFLUENCING THE PERFORMANCE OF LARVAE MONITORING OFFICERS (JUMANTIK) IN THE PREVENTION OF DENGUE HEMORRHAGIC FEVER IN THE WORKING AREA OF SOUTH KUTA PRIMARY HEALTH CENTER, BADUNG REGENCY

Abstrak

Background: Dengue Hemorrhagic Fever (DHF) remains a public health problem in Indonesia, including the service area of the South Kuta Primary Health Center, Badung Regency, Bali, where case numbers fluctuate annually. Prevention efforts are carried out through mosquito breeding site elimination (MBSE) with sustainable vector control. The success of MBSE largely depends on the role of larva monitoring cadres (jumantik). However, their performance varies and is influenced by individual and external factors such as age, length of service, knowledge, attitudes, training, work tools, supervision, and incentives. Objective: To determine the association between individual and external factors and the performance of larva monitoring cadres in the service area of the South Kuta Primary Health Center. Methods: This analytical observational study employed a cross-sectional design involving 56 larva monitoring cadres. Total sampling was applied, including all cadres who met the inclusion criteria. Data were collected using structured questionnaires and analyzed using univariate and bivariate analyses with the Chi-square test in SPSS. Results: Most cadres demonstrated good performance (57.9%). Length of service was significantly associated with cadre performance (p = 0.045), with cadres having a service duration of less than 84 months showing good performance in 73.1% of cases. Other variables, including age, knowledge, attitudes/motivation, training, work tools, supervision, and incentives, were not significantly associated with performance. Conclusion: Length of service was significantly associated with the performance of larva monitoring cadres. Although other factors were not statistically significant, the findings suggested that greater experience and better support tended to contribute to improved cadre performance in dengue prevention.