{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T18:10:51Z","timestamp":1780596651009,"version":"3.54.1"},"reference-count":43,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100009509","name":"Kementerian Riset Teknologi Dan Pendidikan Tinggi Republik Indonesia","doi-asserted-by":"publisher","award":["105\/C3\/DT.05.00\/PL\/2025"],"award-info":[{"award-number":["105\/C3\/DT.05.00\/PL\/2025"]}],"id":[{"id":"10.13039\/501100009509","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Malaria remains endemic in Indonesia, with high transmission rates observed in the Papua region. Routine surveillance data are essential to inform service delivery and optimize case management. This cross-sectional study examined malaria cases in Sorong City in 2024 reported through Indonesia\u2019s national surveillance system to describe malaria burden across healthcare facilities, diagnostic and treatment practices, and predictors of hospital attendance and hospitalization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All laboratory-confirmed malaria cases were analyzed, including demographics, malaria diagnosis, disease severity, treatment received, and hospitalization data. Descriptive statistics and logistic regression were used to identify determinants of hospital attendance and inpatient admission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 3,953 malaria cases, most patients were \u226515 years old (65.9%), males (59.4%), Papuan (54.2%), students (36.6%), and living in highly endemic areas (78%). Community health centers reported most cases (61.7%). Microscopy was the primary diagnostic tool (70.1%).\n                      <jats:italic>Plasmodium vivax<\/jats:italic>\n                      was the predominant species (65.5%), and nearly all infections were uncomplicated (99.9%). Notably, nearly 21% of patients received non-standard antimalarial regimens. Predictors of hospital attendance include older age (aOR: 1.02; 95% CI: 1.00\u20131.02; p\u2009=\u20090.001), non-Papuans ethnicity (aOR: 1.77; 95%CI: 1.51\u20132.07; p\u2009=\u20090.001), being housewife (aOR: 1.57; 95%CI: 1.02\u20132.42; p\u2009=\u20090.041) or student (aOR: 1.56; 95%CI: 1.05\u20132.31; p\u2009=\u20090.029), and living in moderate- (aOR: 2.01; 95%CI: 1.69\u20132.40; p\u2009=\u20090.001) or low- (aOR: 4.57; 95%CI: 2.01\u201310.39; p\u2009=\u20090.001) endemicity areas. Children &lt;15 years were more likely to be hospitalized (aOR 1.9; 95% CI 1.18\u20133.06; p\u2009=\u20090.009).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Malaria remains a substantial public health burden, dominated by\n                      <jats:italic>P. vivax<\/jats:italic>\n                      , with community health centers serving as primary care providers. Older individuals were more likely to attend hospital, while younger children had a higher likelihood of hospitalization once diagnosed. Strengthening community-based services, promoting early treatment-seeking among children, and ensuring consistent adherence to national treatment guidelines are critical to reducing severe disease and hospital burden.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0350434","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T17:32:31Z","timestamp":1780594351000},"page":"e0350434","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Epidemiological patterns and healthcare utilization among malaria patients in Sorong City, Papua, Indonesia: A cross-sectional analysis of national surveillance data"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4428-7894","authenticated-orcid":true,"given":"Tri Nugraha","family":"Susilawati","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Herry","family":"Susanto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oanh Kieu Nguyet","family":"Pham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federika","family":"Kondororik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivian Nanny Lia","family":"Dewi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamdiah","family":"Ahmar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noviyati Rahardjo","family":"Putri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rogan","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9300-0047","authenticated-orcid":true,"given":"Minh Cuong","family":"Duong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,6,4]]},"reference":[{"key":"pone.0350434.ref001","unstructured":"World Health Organization. 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