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Enferm Clin. 2020 Mar;30 Suppl 2:424-428. doi: 10.1016/j.enfcli.2019.07.129.

Institutional strengthening as an anticipatory measure for dengue virus transmission to reduce the incidence of dengue fever.

[Article in English, Spanish]

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Universitas Muhammadiyah Parepare, Parepare, Indonesia. Electronic address:
Universitas Muhammadiyah Parepare, Parepare, Indonesia.
Department of Epiodemiology, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia.
Universitas Muslim Indonesia, Makassar, Indonesia.



This paper aimed to prove whether it is necessary to support institutional strengthening to reduce dengue fever cases.


This study used the Interpretative Structural Modeling Analysis (ISM) model, which was used to analyze complex matters of a system through patterns designed using graphics. This analysis model was conducted through the stages, namely (1) compiling a structural interaction matrix, (2) collecting a reachability matrix table, (3) compiling a power-dependent matrix driver, and (4) composing a structural model of each sub-element.


The result showed that 2 out of 10 sub-elements had DP value equal to 1.00, which were the growth of sectoral-centric attitudes and weak inter-institutional commitment. While among institutions, there were three of 11 institutions that play a crucial role in reducing DHF, namely the Office of Health, Community health centers, and hospitals (DP=1.00).


It can be concluded that strengthening the institutional system can help in reducing cases of dengue hemorrhagic fever (DHF).


Coordination function; Dengue fever; Institutional strengthening

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