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The Use of Owner House ID Card to Increase Effectiveness of Monitoring Larva Visit by Jumantik Mochammad Choirul Hadi1, Ni Made Marwati1, I Gusti Ayu Made Aryasih1, Dewa Ayu Agustini Posmaningsih1, I Nyoman Sujaya1, Anwar Mallongi 2 1 Environmental Health Department, Polytechnic of Health Denpasar, Bali, Indonesia, 2 Lecturer of Environmental Health Department, Faculty of Public Health, Hasanuddin University , Makassar, Suoth Sulawesi Indonesia ABSTRACT Some the causing ineffectiveness larval are discipline the the complicating factors, the laxness of supervision, or perhaps even the high targets. 

This study aims to analyze the effectiveness of the use of ID numbers of residents and stickers to improve the monitoring of Larva Monitoring Officers (Jumantik). This research is an operational research with an analytical method designed to assist program managers in choosing one of the various alternative problem-solving health services with a purpose. 

the of research known width the of visits the officer on instructions received the The of number ID or family as Personal Identification Number (PIN) from homeowner visited will “force” the officer to approach the The factor officers the accompanied rational targeting is able to increase the number of home visits by the larva monitoring officer. 

Keywords: identity; larva monitoring; home visits INTRODUCTION Larva officers which considered by the community as the “squad” leader who directly combats the vector of Dengue Hemorrhagic Fever (DHF). Various existing studies, which try to criticize existence officer quite lot. Sudiadnyana once highlighted the performance of officer Tabanan which be because less from Health 1 Similarly, the public spotlight on the existence of this officer recorded mid-August the of West Denpasar asked about the activities of the officer. 

The residents asked why their settlement have not been visited by the officer for along time. 2 Sali Sudiadnyana found new problems who has to do face to face counseling, an officer yet to counseling a of people. 3 Hadi’s research found that there were still Corresponding author: Mochammad Choirul Hadi choirulhadi514@gmail.com, anwar_envi@yahoo.com some Community Health Center whose its officer cannot work optimally, with the output of larvae free is still below 95%. 

This is due to ineffective larvae monitoring activities there still worked the target, as many as 30 homes/person/day. Some of the factors contributing to the above incidents were indiscipline, the complicating factors of visiting, lax supervision, or perhaps even the high targets.2 This study aims to analyze the effectiveness of the use of PIN and stickers to improve the monitoring of home in contribution reduce morbidity rate of DHF in Denpasar, Bali, Indonesia. 

MATERIALS AND METHOD This research was a prospective study and an operational research with an analytical method designed to assist program managers in choosing one of the various alternative problem-solving health services with a specific purpose as suggested by M.E. Beatty, et al. 4 As population research was all family that exists in Pedungan Village as the work area of Health Center IV South Denpasar 5,743 families spread in 14 sub-villages DOI Number: 10.5958/0976-5506.2018.00597.1 458 Indian Journal of Public Health Research & Development, June 2018, Vol. 9, No. 

6 Identify larvae The number of positive containers found mosquito larvae in the homes of residents at each stage there was a tendency more and more found. Especially in stage III when the students get involved in observing the presence of mosquito larvae in containers that exist in the house of the family that became the target of the officer. 

emergence the that increasing number of positive larvae containers can be caused by the increased activity of mosquitoes during the third phase of the research (rainy season), or it may be due to the number observations by together with the students who assist the research. The Case of Dengue Hemorrhagic Fever Based on the records at the Health Center during the year 2016 almost every month reported a case of DHF, except in January 2016. In February the cases began to appear and directly increased in March to May 2016. 

It appeared that most banjar high number of DHF patients were Karang Suwung, Pitik, and Ambengan. While the most frequent banjar dengue cases were at Karang Suwung, Pitik, and Pande. Furthermore, from Figure, it appears that there were seven banjar (50%) with House Index (HI) above 5 or that have a Free Number of Larvae less than 95% ie Kaja, Dukuh Pesirahan, Geladag, Pitik, Begawan, Pande, and Puseh. 

Figure 1 DISCUSSION PIN assignment completion time The acceleration of completion of tasks at each stage the visit the houses to them. In stage I They completed the targets charged to them on average four days. Some officer expressed their difficulties meet head families borrow ID (Balinese people call banjar), in every banjar taken 40 houses by monitoring (Jumantik) during the research or targeted as many as 560 families with quota sampling technique. As the unit of analysis is the of visits 14 to the mosquito larva.5 

The method is established by studying as Chitti Chansang has done.6 RESULTS PIN assignment completion time In early the was to approach the 40 residents who live in their working area to become family promotion, which will be observed once month Officer circumstances. 

As that family is willing to become family built, they are required to show the ID card number or family card to be installed on identity monitoring card. The ID number provided by family members mounted on the monitoring card is used as a PIN. Furthermore, the officer to identify the existence of water container inside and outside the house family target, as well as identify the presence of mosquito larvae in the landfill . 

The assignments in phase I and phase II gave no time to to the activity to 40 families that will be promoted continuously with the result of completing the task of visit 2-6 days, while in III officer the limit, they finished within 2 days. Number of home visits on the first day The range of the number of home visits in phase I phase conducted officer similar, the range of 6 - 20 houses, while in phase III the number of home visits reaches optimally (20-23 houses) because it has set the time they can use, in only two days. 

In stage III, number houses during first-day visit can be high (285 houses). Number of containers found The of found the at the visited house in phase I up to stage III shows the addition, from 2,404 containers to 2,625 containers, or an increase of 221 containers. In phase I the average number containers in III the increased from 172 to 188 containers or increased by 9.3%. 

This approach was in line with research conducted by Minhas and Sekhon.7 Indian Journal of Public Health Research & Development, June 2018, Vol. 9, No. 6 459 card to be used as a PIN on a card that will be left at home visited. These constraints were the reason why they took so long to meet their targets, only 4 out of 14 people (28.6%) can complete the target visit within 2-6 days. 

In II officer their on within 3 days, one day faster than at stage I. Although the time span of completion of the task was the same, between - days, out 14 officer 1%) do the task within 3 days. Constraints faced by the officer in tasks in phase II this is a matter of time. 

During the execution of the task of stage II Balinese people are busy with the activities of holiday, so they worked at shorter time. In stage III, the assignment of completion of the 40th visit target of the house was determined by the researcher within two days, but they were given a choice of four days. It turns out that all officer succeeded in fulfilling the set target within two days. 

Number of home visits on the first day The of visited the day phase I and II was almost no different, but in phase III the of visited the day to 60 houses (30%). In terms of range the number of home in I phase conducted officer is similar, that is in the range of 6 - 20 houses, while in phase III the number of home visits reaches optimally (20-23 houses) they use, ie only two days. 

In stage III, the number of houses visited during the day can high houses) to phase and II, all are to the set time target. Within that time set by accompanied by student officer out can the target to monitor larvae to the house of citizens as much as 20 houses in a day. This fact was in line with research conducted Sandi the of influence of supervision on the performance of officer. 

9 Number of containers found The number of containers found at the visited house in phase I up to stage III shows the addition, from 2,404 containers to 2,625 containers, or an increase of 221 containers. In phase I the average number of containers found stage by officer from to 188 containers or increased by 9.3%. The presence of students or third parties in the implementation of larva monitoring has officer to better. 

This is in line with the conclusion of Sandi’s research that sees the strong role of direct supervision in improving the performance of the officer. 9 To compared to conditions elsewhere such as Cebu City, Philippines, in 2004 the Container Index (CI) is at 14.44 - 55.37.10 In South India, in February 1998 the CI was there in the range of 4.02 - 13.73. 11 Five areas in Jakarta, in January 2007 the CI is in the range of 0.27 to 2.34.12 In Semarang, Central Java, the CI in February 2008 in the range 0,11 – 0,14. 

13 In Dire Dawa, East Ethiopia, in October 2014 reported CI is in the range 23,18 - 73,91. 14 CI in Pedungan village, Denpasar, can reach the lowest because of 2016 in the range of 0,0 - 4,6. Free Figures and Cases of DHF In Figures 1 and 2 obtained from the data collection of Phase III (dated 15, 16, 22 and 23 October 2016) found 50% of the Banjars in Pedungan Urban Village have Free Number of Larvae less than 95% of the Banjar: Kaja, Dukuh Pesirahan, Geladag, Pitik, Begawan, Pande, Puseh. 

And when connected between the ABJ with the number of cases of dengue, we see that there are two Banjars with the highest dengue cases appear in Banjar with high ABJ also, namely Karang Suwung and Ambengan. It can be explained that the working area of Aedes aegypti mosquitoes is not affected by the administration area. It could be that the patient had an infection from outside the village or there was a positive container by monitoring, found Andriyani in North Jakarta.15. 

Compared to other places, half of its territory Pedungan Village has reached free number of larva (ABJ) more than 95, such as Semarang City in Central Java in February 2008 there is no village which stated have ABJ more than 95. 16. Semarang by 2013, the free rate of larvae reaches 55%. 17 This ABJ has not been used outside Indonesia, the size that is often used to see free larvae used Breteau Index (BI) beside Container Index (CI) and HI (House Index). BI in Pedungan Village is 0.0 - 17.5, while in other places like South India 0.29 - 33.87 (Tewari et al., 

2004), in Cebu City, Philipine BI figures 50-230 2004 et 2005). This index is interpreted the greater the value of BI increasingly risky environment in the region, reversed with the number of free larvae the greater the value the better the environment.18 460 Indian Journal of Public Health Research & Development, June 2018, Vol. 9, No. 

6 While Banjar Ambengan which has 1,015 families visited in 68 days, or 12 weeks, or three months. Thus the Ministry of Health’s instructions for each family can be visited once every four months is possible to implement. 15 In stage II which is carried out by requesting the Supervisor to provide stickers written down date to the was to larva activities by officer. 

target of agreed officer the officer opportunity measure themselves how much they could make a visit to the residents’ house at that time. In stage III when the researchers also sent 14 students assist officer doing duty monitor the existence of larvae. Joint observation between officer and students resulted in a good cooperation synergy, as evidenced by the increasing number of containers that were successfully found as much as 9.3%. The key to the prevention of DHF is a strict monitoring of the results of officerperformance that each at least every three months. 

The results of the monitoring are processed into numbers in HI, CI, and BI formats, as well as the Freely Numeric Rate (ABJ) can be used as a tool to see the environmental quality of DHF threats. The performance from officer the increasing ABJ and continues to decrease the Incidence Dengue Rate.15,19 CONCLUSIONS There 14 Officer Health IV South Denpasar, Bali carrying out monitoring of larvae from house to house during their working hours (at 8:00 to 12:00 pm) of 6-23 houses in one day. 

In one-day event coordinator or supervisor capable of supervising the implementation of the monitoring officer against 5 of the officer in working use the ID card number or family numbers homeowners as PIN stickers a card “force” approach to home owners. Ethical Clearance: Obtained from the Health Center and responden agreement Confict Interest: All author declare that there is no any conflict of interest within research and publication including the financial agency. REFERENCES 1. Sudiadnyana, I. W. 

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