Determinant Factors Affecting Malaria Occurrence among Pregnant Woman in the Wania Puskesmas, District of Mimika

Background: Malaria is one of the most widespread diseases that malaria is still a health problem today. Pregnant women are at twice the risk of infections compared with non-pregnant women. The province of Papua, located in the easternmost part of Indonesia, is a malaria endemic area. Data from Health Office of Mimika Regency 2016 reported malaria incidence as many as 20,292 cases and 326 (1.60%) pregnant women with malaria, 2017 malaria incidence 92,342 cases with API 432.6 / 1000 population and pregnant mother with malaria 335 cases (1.62 %). This shows that the number of malaria sufferers has increased. The number of incidents of malaria in Wania Health Center has increased quite high. In 2015 the number of malaria incidence in pregnant women is 59 cases, 2016 as many as 191 cases and in 2017 as many as 203 cases from 8,391 malaria cases (Profile of Puskesmas Wania, year 2017). The purpose of the study: to determine the determinant factors that affect the incidence of malaria in pregnant women in Puskesmas Wania Health Department of Mimika Regency Papua Province 2018. Method of research: descriptive analytics with cross sectional study approach. The population studied was all pregnant mothers in the working area of Wania Health Center with a total sample of 100 pregnant women. Data were collected using questionnaire and analyzed using chi square test. Result of research: there is influence of tribe (p-value = 0,002), job environment (p-value = 0,001), socioeconomic (p-value = 0,005), nutrient status (p-value = 0,001), house distance with breeding place (p-value = 0,002), night activity (p-value = 0,010), distance of house with health service (p-value = 0,001) with malaria incidence in pregnant mother. There is no influence of education (p-value = 0,369), gravida status (p-value = 0,521), use of mosquito net (p-value = 1,000) with malaria incidence in pregnant mother. Maternal nutritional status is the dominant factor for malaria incidence