Engaging multi-sectoral collaboration to combat schistosomiasis in Napu highlands, Poso District, Central Sulawesi

Abstract

Background. In Indonesia, schistosomiasis is endemic in Napu and Bada Highlands in Poso District and Lindu Highland in Sigi District, Central Sulawesi. Schistosomiasis in Indonesia is caused by blood fluke (trematode worm) Schistosoma japonicum with Oncomelania hupensis lindoensis snail as an intermediate host. The presence of Oncomelania hupensis lindoensis is an indicator of an area to be called a focus area for Schistosoma japonicum. Integrated control of schistosomiasis is vital in schistosomiasis control. However, lack of coordination and collaboration between multiple sectors has occurred many times. The objective of this study was to identify the role of multi-sectoral in schistosomiasis control. The identification process was needed to engage multisectoral in schistosomiasis control program. Methods. A comprehensive snail survey was conducted in Napu, Lindu and Bada Highland in 2017 which found 242 O.h. lindoensis foci area in 21 villages where 208 snail foci located in 14 villages in Napu highland. This research was part of 2017 study of Mapping of Oncomelania hupensis lindoensis snail , the intermediate host of schistosomiasis in the endemic area in Indonesia. After the mapping was carried out, an action plan to control schistosomiasis was designed by invited related sectors from the province and Poso district to develop the action plan together. Results. In order to eliminate schistosomiasis, several sectors both from province and Poso district were committed to engaging in schistosomiasis control. Those sectors were Agency for Regional Development, Agriculture Office, Maritime and Fisheries Office, Plantation and Livestock Office, Public Works Office, Environmental Office, Health Service and Lore Lindu National Park Agency. To eliminate schistosomiasis, integrated control of schistosomiasis has played a significant role. The responsibility and task of each sector involved were made clear according to each sector duty and function with the goal of the elimination of schistosomiasis by 2020.