Implementation of Dengue Prevention and Control Programs in the Darul Imarah Health Center Service Area Aceh Besar

Abstract

Background: Dengue hemorrhagic fever requires control that links health-center activities with household prevention practices. Purpose: This study described the implementation of dengue prevention and control programs in the service area of Darul Imarah Health Center, Aceh Besar Regency. Methods: A descriptive qualitative study was conducted in 2026. Eight purposively selected informants included the health-center head, dengue program coordinator, surveillance officer, one larva-monitoring cadre, and four residents with previous dengue. Data were collected through in-depth interviews, observation, and documentation, then analyzed through reduction, thematic grouping, display, and conclusion verification. Triangulation was applied to ensure trustworthiness. Results: Planning used activity evaluations, case data, larval inspection findings, and environmental conditions documented in RUK and RPK. Implementation covered surveillance, epidemiological investigation, 3M Plus mosquito breeding-site elimination, health education, larval inspections, and cross-sector coordination. Cadres supported education and household monitoring. Community participation was positive, although prevention practices were not consistently maintained because of daily routines and irregular habits. Open water containers and discarded items capable of holding water remained observed. Staffing limitations and equipment needs were additional constraints. Conclusion: The program has implemented planning, delivery, and evaluation components but requires stronger accompaniment, resources, and environmental monitoring follow-up. This study explains implementation processes and does not measure program effects on case reduction.