International Journal of Public Health Science (IJPHS) Vol. 12, No. 1, March 2023, pp. 196~202 ISSN: 2252-8806, DOI: 10.11591/ijphs.v12i1.22201  196 Journal homepage: http://ijphs.iaescore.com Strategy to control and eradicate dengue hemorrhagic fever vectors in Bali I Made Dwi Mertha Adnyana 1 , Asik Surya 2 1 Department of Tropical Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia 2 Directorate General of Prevention and Control of Vector and Zoonotic Infectious Diseases, Sub-directorate of Arbovirosis, Ministry of Health Republic of Indonesia, Jakarta, Indonesia Article Info ABSTRACT Article history: Received 25 Jun, 2022 Revised Nov 5, 2022 Accepted Nov 24, 2022 Dengue hemorrhagic fever cases in Bali have increased in the past decade. Control and eradication efforts must be optimized. In order to create dengue- free zones, accurate information and a comprehensive strategy for accelerating dengue vector management are required. This paper is based on empirical, field, and epidemiological studies and program evaluations guided by the health belief model approach. In this regard, Bali's lesson on dengue cases fluctuated from 2018 to 2020. The incidence and death rates are increasing, especially during the COVID-19. Many factors affect the disease agent, the host, and the environment. The SIGAP strategy is a policy brief that is studied and implemented to accelerate dengue vector control in Bali, which includes: awareness of the importance of 4M-Plus (draining, closing, reusing used goods, and monitoring) and mosquito nest control; integration of dengue information services; using natural insecticides and larvicides; observing and reporting the presence of vectors to the larva monitoring officer; and regular monitoring weekly. Implementing the SIGAP strategy can reduce dengue vectors and speed up the process of getting rid of dengue disease in Bali. Keywords: Control vector Dengue hemorrhagic fever SIGAP strategy Eradication dengue Policy update This is an open access article under the CC BY-SA license. Corresponding Author: I Made Dwi Mertha Adnyana Master Program of Tropical Medicine, Faculty of Medicine, Universitas Airlangga Campus A, Mayjen Prof. Dr. Moestopo street, 47, Tambaksari, Surabaya City, 60132, Indonesia Email: i.made.dwi.mertha-2021@fk.unair.ac.id 1. INTRODUCTION Dengue virus infection until now has not been controlled and continues to increase, especially in Bali province. Based on health profile data in 2020, the number of incidents reached 12,173 cases, with an incidence rate of 280.7 and a case fatality rate of 0.2% (26 people) [1]. When viewed from 2018-to 2020, the number of dengue cases has increased three times from the previous year [2]. Furthermore, in the last decade, the province of Bali has been one of the top 10 contributors to the highest dengue hemorrhagic fever cases in Indonesia [3], [4]. In the COVID-19 pandemic, Bali was recorded to occupy the second position after West Java with the highest cases, and Buleleng Regency accounted for the highest cases in Indonesia [1], [5]. Aedes (stegomyia) aegypti and Aedes (stegomyia) albopictus mosquitoes are the main vectors that cause dengue and strive for control by various sectors but have not yet achieved maximum results. Control of dengue-causing vectors such as mosquito nest eradication and 4M-Plus (draining, closing, reusing used goods, and monitoring) is less desirable by the community [6]. This happens because many people are reluctant to control independently and use insecticides and larvicides for practicality [7], [8]. However, this method is ineffective in controlling mosquitoes because excessive use leads to resistance. [9], [10]. While the larva monitoring officer (JUMANTIK) has been deployed to assist in monitoring the presence of eggs, larvae, and imago in order to break the chain of mosquito breeding at the household level, this effort has encountered