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

Objective: This paper aimed to prove whether it is necessary to support institutional strengthening to reduce dengue fever cases. Method: 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. Results: 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). Conclusion: It can be concluded that strengthening the institutional system can help in reducing cases of dengue hemorrhagic fever (DHF). (C) 2019 Elsevier Espana, S.L.U. All rights reserved.