Analysis of key factors in SMK3 development: Malaria elimination policy in South Buru, Maluku

The highest prevalence of malaria has been observed in South Buru Regency. Effective elimination strategies can be developed only through an improved understanding of the etiology and spatial distribution of malaria cases. To meet the objectives of this study, spatial analysis was combined with the MICMAC method, which was conducted in two stages to clarify and formulate a malaria elimination strategy. The spatial distribution of malaria cases was mapped, while the MICMAC method was applied to examine factors influencing malaria elimination. The relationships among critical factors and their impact on malaria eradication were derived from the data analysis. Spatial analysis indicated that Namrole District is currently a malaria hotspot and may serve as a strategic target for preventive measures. The MICMAC analysis identified that human resource development, routine surveillance and rapid treatment investigations, and community education fall within Quadrant 1 (high influence–low independence), underscoring their importance in malaria elimination efforts. This study emphasizes the role of community engagement in achieving malaria eradication. Recommended strategies include: (1) prioritizing high-risk areas, (2) promoting intersectoral collaboration, (3) implementing active surveillance and case management, and (4) allocating resources effectively. Enhancing community awareness is essential for encouraging healthy practices and ensuring medical adherence. Insights from this study provide local authorities with valuable information for decision-making in malaria control, highlighting indispensable factors in Quadrant 1 that warrant focused attention, especially when identified as key predictors.