Provincial Grouping Based On Communicable and Non-Communicable Diseases For Disease Control Effort using the Multidimensional Scaling (MDS) Approach

This study aims to group provinces in Indonesia based on the prevalence of communicable and non-communicable diseases (CDs and NCDs) for disease control efforts. The results of grouping can find out the priority of communicable and non-communicable disease control areas based on seven variables related to infectious diseases and ten variables related to NCDs based on Basic Health Research 2018. A Multidimensional Scaling (MDS) technique was used as the analytical strategy. The MDS analysis resulted in four groups of provinces based on the prevalence of CDs and NCDs. Provincial groups with the highest prevalence of infectious diseases (group 2) were NTT, Central Kalimantan, Maluku, West Papua, and Papua. Provincial groups with the highest NCDs prevalence (group 3) were Bangka Belitung, DKI Jakarta, Dl Yogyakarta, East Kalimantan, North Kalimantan, and North Sulawesi. The two groups of provinces were the priority groups in controlling CDs and NCDs. The focus of communicable disease control is URI, hepatitis, malaria, and filariasis in the highest priority groups of provinces with the highest prevalence of infectious diseases. In groups of provinces with the highest NCDs prevalence, the NCD control should focus on asthma, cancer, diabetes, heart disease, hypertension, stroke, chronic renal failure, and joint disease. Further research is suggested adding risk factor analysis variables for CDs and NCDs using the MDS method to help provides a more comprehensive picture of regional groupings. Coordination between central and local governments is needed to accelerate efforts to control CDs and NCDs in priority area groups.

Automated summary

This study aimed to group provinces in Indonesia based on the prevalence of communicable and non-communicable diseases using the Multidimensional Scaling (MDS) technique. The analysis resulted in four groups of provinces, with recommendations for focusing on specific diseases in the priority groups for disease control efforts. Collaboration between central and local governments is essential to accelerate efforts in controlling both CDs and NCDs in priority areas.