SUMMARY
AbstractMuaro Jambi is an endemic lymphatic filariasis district in the province of jambi. until 2012 there were 149 reported chronic cases. Mass Drug Administration (MDA) for lympatic filariasis elimination was carried out since 2003, but it was only spatial, per sub-distric and conducted not at the same time. The study was conducted to assess the effectivenes of the MDA in the subdistrict in the district of muaro jambi. The study design was a cross sectional. the population were all of the community living in 8 villages with the highest chronic cases . night blood samples were collected betweent 19.00 - 24.00 people were asked to gather in a certain place where the blood collection were conducted. A total of 3,350 blood sample were able to be collected and processed for microfilaria examination. Results showed that out of 3,350 people 30 people living in 4 villages were found positive for microfilaria. The highest microfilaria rate was found in the Village of manis mato, with microfilaria rate (Mf rate) of 6.3%. While in the village of sarang elang where the higest chronic cases were found (13 people), the Mf Rate was only 2,9%. During the brief interviews with the Mf positive peoples revealed that most of the population (68%) did not take the medicice during the MDA. so it was concluded that after the MDA the Mf Rate is still high in those villages, higher than 1%. We recommended that before MDA was implemented, an intensive socialization and advocation should be conducted, and political will from the bufati, members of parliament and other sectors should be taken. During the MDA implementation, community leaders, formal and non formal, should be involved as well as active community participatioan should be initiatedKeywords : lymphatic filariasis, Mas Drug Administration, Community participationAbstrakMuaro Jambi merupakan daerah endemis filariasis. Jumlah kasus yang dilaporkan sampai tahun 2012 sebanyak 149 orang. Kegiatan pengobatan massal telah dilakukan sejak tahun 2003, namun tidak meliputi semua daerah dalam waktu bersamaan. Penelitian ini bertujuan untuk menilai efektifitas pengobatan massal filariasis. Desain penelitian adalah studi potong lintang, lokasi penelitian adalah delapan desa dengan kasus filariasis tinggi. Pengambilan sampel dengan cara pemeriksaan darah jari pada malam hari dimulai jam 19.00 sampai 24.00 WIB terhadap seluruh penduduk desa yang datang pada waktu kegiatan survei darah. Hasil pemeriksaan darah terhadap 3.350 orang ditemukan sebanyak 30 orang yang positif mikrofilaria dengan spesies Brugia malayi yang berasal dari 4 desa. Jumlah kasus tertinggi ditemukan di Desa Sarang Elang sebanyak 13 orang dengan angka mirofilaria (Microfilaria rate/Mf rate) sebesar 2,9%. Angka mikrofilaria tertinggi ditemukan di Desa Manis Mato sebesar 6,3%. Hasil wawancara singkat terhadap penderita mikrofilaria menunjukkan bahwa sebagian besar (68%) penderita tidak pernah minum obat pada saat kegiatan pengobatan massal. Setelah pengobatan massal masih ditemukan kasus positif di daerah dengan endemisitas yang masih tinggi, Mf rate>1%. Disarankan kegiatan pengobatan massal hendaknya melibatkan tokoh masyarakat dan lintas sektor terkait dalam rangka membantu memberikan penyuluhan tentang pentingnya minum obat.Kata kunci : Filariasis, Pengobatan Massal, Efektifitas.