Bacillus Thuringiensis H-14 with Coconut Water Media: An Alternative Method to Involve Rural Communities in Malaria Control

Background: Increased community involvement has become a topic in global malaria control and eradication plans. This study aimed to examine a method or system of community involvement in developing Bacillus thuringiensis H-14 with coconut media for malaria control in the Central Bangka District. Method: The quasi-experimental research design with qualitative observation method involving 30 participants. Selected participants received training on Bacillus thuringiensis culture in coconut and guidance in assessing the population density of Anopheles larvae in ponds containing mosquito larvae before and after administration of Bacillus thuringiensis. Results: The use of local coconuts as a breeding medium for Bacillus thuringiensis H-14 was able to mobilize the community members to participate voluntarily. Participants were able to easily practice Bacillus thuringiensis H-14 culture using local coconut media and determine the location of ponds with Anopheles larvae and assess the population density of larvae in ponds few days after sowing Bacillus thuringiensis H-14. Conclusion: The intervention proved successful in mobilizing participants in malaria prevention and control in malaria-endemic areas. The intervention consisted of local organizational structure, education, and utilization of local wisdom as well as encompassing problem identification, planning, and evaluation elements. This method can be applied in other archipelagic areas that are still endemic to malaria.