The Effectiveness of Integrated Vector Management (IVM) in Eliminating Malaria in Indonesia: A Case Study in the Purworejo District, Central Java Province, Indonesia

The third objective of Sustainable Development Goals (SDGs) is a good level of health, including healthy from Malaria. Malaria still becomes a health in Indonesia with API of 0,99 in 2014 that decreases into 0,85 in 2015. Malaria becomes a target for elimination in Indonesia in 2030. Purworejo District still becomes an area for anendemic Malaria with API of 1,8 (2015), with 1.364 cases. IVM is a new approach to improve the elimination management of Malaria. This research is an analytical descriptive research with cross-sectional survey approach. It is used to conduct the analysis of IVM effectiveness. The Bionomic survey of temperature with thevector density is conducted to observe 12 villages for 12 hours. It is conducted by using the Manual on Practical Entomology in Malaria, WHO Division of Malaria and Other Parasitic Diseases, Part I,II for vector identification. Nine species are found: Anopheles balabacensis, An. aconitus, An. barbirostris, An. vagus, An. anullaris, An. kochi, An. maculatus, An. indifinitus and An. subpictus. The distribution of species includes 82.35% of reseach area. Three of them become vectors, they are An. maculatus and An. balabasencis. It shows the ineffectiveness of the application of integrated vector management as the main factor of Malaria elimination. The integration among vectors do not work well. The decision making on the cases is effective only for treatment, but not for controlling. Community empowerment has not become mosquito control as a community culture. Local wisdom is conducted to isolate patients inside mosquito nets. Conclusion: Integrated Vector Management (IVM) has not been effective to control Malaria. Local wisdom by isolating Malaria patients is able to reduce Malaria spread