The purpose of this study was to analyze the sustainability status of malaria vector control programs in coastal ecosystems in malaria-endemic areas. The experiment was conducted in August-October 2013. The study was conducted in Pesawaran District, Lampung Province. A stage of the research was to develop aspects of the sustainability dimensions of malaria vector control programs, collect data and analyze the data. Aspects of the dimensions of sustainability includes social, economic, environmental and technological. These aspects are built through the study of literature and in depth interviews with experts. The data was collected using a questionnaire distributed to respondents' fishpond owners, religious leaders, community leaders and the District Health Office of Pesawaran. Sustainability assessment of the status of malaria vector control programs carried out by the method of Multi-Dimensional Scaling (MDS) Method is called with rap-malaria. The results of the research is the management of malaria vector control of abandoned farms have relatively large indexes on technological and economic dimensions while the chemical larvicides have a relatively large index of socio-cultural dimensions and programs Insecticide Residual Spraying (IRS) has an index of indoor and outdoor large relative to the dimensions of the environment.