International Journal of Community Medicine and Public Health | July 2023 | Vol 10 | Issue 7 Page 2343 International Journal of Community Medicine and Public Health Indirawati SM et al. Int J Community Med Public Health. 2023 Jul;10(7):2343-2349 http://www.ijcmph.com pISSN 2394-6032 | eISSN 2394-6040 Original Research Article Relationship analysis of protection strategy and the number of containers with the existence of Aedes aegypti larvae at Tebing Tinggi city in 2022 Sri Malem Indirawati*, Umi Salmah, Indra Chahaya, Dhani Syahputra Bukit, Risanti Febrine Ropita Situmorang, Dodi Saputra Hutagalung INTRODUCTION Dengue hemorrhagic fever (DHF) is an endemic disease in more than 100 countries around the world, especially in tropical and sub-tropical regions. Dengue hemorrhagic fever (DHF) is an infectious disease caused by the Dengue virus via the Aedes aegypti and Aedes albopictus mosquitoes. 1 The first DHF case in Indonesia was reported in Surabaya in 1968. Since it was first discovered, this case has continued to increase every year. According to the Ministry of Health, in 2021 there were 73,518 cases of DHF with 705 deaths. When compared to cases in 2022, based on records from the Directorate of Disease Prevention and Management from January 2022 to September 2022 there were 87,501 cases with 816 deaths, this indicates an increase in cases of dengue fever in Indonesia. 2 Data from the health profile of the province of north Sumatra showed that cases of dengue fever in north Sumatra in 2019 totalled 7,584 cases with 37 deaths. there ABSTRACT Background: Dengue hemorrhagic fever (DHF) is an endemic disease in Tebing Tinggi, the number of DHF cases in 2022 reached 175. Protection strategy and the number of landfills are risk factors for the presence of Aedes aegypti mosquito larvae. This study aimed to analyze the relationship between protection strategy and the number of containers in the presence of Aedes aegypti. Methods: This type of research was an analytic survey with a cross-sectional research design. The study population was all families living in 5 sub-districts in Tebing Tinggi city with 500 houses selected using a cluster sampling technique. Primary data collection used a questionnaire containing questions on protection strategy and location points, also observation sheets containing the type of landfills, and the number and presence of larvae. Data were analyzed by Chi-Square test. Results: The results showed that Aedes aegypti larvae were found in 144 houses and 14% of families had made protection strategies, 41% of houses had more than 4 containers. Protection strategies against the presence of grass bushes within a radius of 100 meters from the house and the number of landfills had a relationship with the presence of Aedes aegypti mosquito larvae (p<0.05). Conclusions: Tebing Tinggi city is an area that has a high potential risk of DHF. Suggestions for increasing DHF protection strategy and eliminating resting places and breeding places are important for empowering jumantik at the family level as well as providing ongoing assistance and education. Keywords: Containers, DHF, Protection strategy Faculty of Public Health, Universitas Sumatera Utara, Medan City, North Sumatera, Indonesia Received: 17 April 2023 Accepted: 19 May 2023 *Correspondence: Dr. Sri Malem Indirawati, E-mail: srimalem@usu.ac.id Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20232020