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STABILITY ANALYSIS ON MATHEMATICAL MODEL OF








                                                                                                                                                                                                 RECRUDESCENCE OF MALARIA IN INDONESIA


















                                                                                        NAME: INTAN NOOR LIANA BINTI                                                                                                                                                          SUPERVISOR’S NAME: MADAM NURUL






                                                                                                                       ZAKARIA (K242/32)                                                                                                                                                                   AKMA MOHAMAD RASAT











                                                                                                                                                                                                                               ABSTRACT





                                  Malaria is still a serious health problem in many tropical countries, including Indonesia. One big challenge is recrudescence, where





                                  the disease comes back after treatment because the parasite is not fully gone. This study uses a SELITR model that divides people




                                  into six groups: Susceptible, Exposed, Latent, Infectious, Treated, and Recovered. It helps to understand how malaria spreads and




                                  why  it  stays  in  the  population.  The  model  looks  at  important  things  like  treatment  failure,  losing  immunity,  and  moving  between




                                  stages  of  the  disease.  A  stability  test  using  a  mathematical  method  was  done  to  study  two  situations:  when  malaria  goes  away





                                  (disease-free)  and  when  it  stays  at  a  low  level  (endemic).  The  results  show  that  malaria  can  be  eliminated,  but  relapse  and  re-




                                  infection make it harder. This means good treatment, strong health action, and regular check-ups are needed to stop malaria from




                                  coming back. The results can help improve future plans to control and remove malaria in Indonesia and other affected places.













                                                                  PROBLEM STATEMENT                                                                                                                                                                                                                                                                    METHODOLOGY







                Malaria  is  still  a  big  problem  in  Sub-Saharan  Africa.  The  disease



                often comes back after treatment because the parasite isn’t fully                                                                                                                                                                                          MODEL FORMULATION



                gone.  This  is  called  recrudescence.  It  happens  due  to  wrong




                medicine  use,  fake  drugs,  or  weak  immune  systems.  Hot  weather



                and  poor  healthcare  also  make  things  worse.  There  are  still  not



                enough studies on recrudescence, and some model parts need to




                change  to  test  treatment  better.  Understanding  this  can  help



                improve malaria control and save more lives.




                                                                                      OBJECTIVE





                       To  construct  SELITR  Model  of  Malaria  transmission  with                                                                                                                                               EQUILIBRIUM POINT



                       recrudescence in human population.




                       To investigate the stability analysis of disease-free equilibrium



                       point and endemic equilibrium point for malaria transmission.









                                                                             IMPLEMENTATION









                                                 DFEP                                                                                                                  EEP
















                                                                                                                                                    STABILITY ANALYSIS







                       BASIC REPRODUCTION NUMBER





































































                                                                                                                                                                                                                                               CONCLUSION & RECOMMENDATION











                                                                                                                                                                                                                                            The  study  concludes  that  malaria  can  be




                                                                                                                                                                                                                                            controlled if the basic reproduction number R0 is


                                                                                                                                                                                                                                            less than 1. However, recrudescence increases the



                                                                                                                                                                                                                                            risk  of  the  disease  returning,  making  elimination



                                                                                                                                                                                                                                            more  challenging.  Stability  analysis  shows  that



                                                                                                                                                                                                                                            complete treatment and strong control measures


                                                                       RESULT & DISCUSSION                                                                                                                                                  are  important  to  stop  the  spread  and  reduce





                                                                                                                                                                                                                                            relapse.  It  is  recommended  to  improve  malaria

      The  model  shows  two  main  outcomes:  disease-free  equilibrium  (DFE),                                                                                                                                                            treatment  quality  and  ensure  patients  complete



      where  malaria  disappears,  and  endemic  equilibrium  (EEP),  where  it                                                                                                                                                             the  full  course  of  medication  to  prevent




      stays at a low level. The basic reproduction number R0 plays a key role                                                                                                                                                               recrudescence.                                        Health                       authorities                              should



      if R0 < 1, malaria will die out; if R0  > 1, it can spread. Stability analysis                                                                                                                                                        strengthen  monitoring  and  follow-up  systems  to



      using  the  Jacobian  matrix  confirms  that  DFE  is  stable  when  all                                                                                                                                                              detect  and  manage  relapse  cases  early.  Public



      eigenvalues  are  negative.  The  recrudescence  parameter  κ2 ,  which                                                                                                                                                               awareness  about  the  importance  of  completing




      represents  treatment  failure,  increases  the  chance  of  relapse  and                                                                                                                                                             treatment must also be increased. Lastly, further



      makes elimination harder. These results highlight the need for effective                                                                                                                                                              studies should explore how changes in treatment



      treatment and careful monitoring to reduce the impact of malaria in the                                                                                                                                                               failure  rates  affect  malaria  spread,  to  support




      population.                                                                                                                                                                                                                           better health strategies in Indonesia.
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