The Development of Participatory Prevention for Liver Fluke in Pornsamran Sub-District, Khumuang District, Buriram Province

Abstract

The purpose of this action research was to develop the participatory prevention for liver fluke in Pornsawan Sub-District, Khumuang District, Buriram province. The action research of PAOR cycle was employed with participatory planning technique. The 48 participants comprised of 30 members from Board of Disease and Health Hazards Prevention and Control and 18 persons who had liver fluke. Data was collected by questionnaire, interview and observation. Descriptive and inferential statistics were used to analyze data such as frequency, percentage, mean, standard deviation, and paired sample t-test. Qualitative data was analyzed by content analysis. The study result found the participant realized that live fluke disease was still a major health problem that must to solve and prevent the problem. The public relations by multi-channel communication need to be informed for people understanding in liver fluke prevention. Community network participated together the lessons from role models revealed the “3 No Pornsamran” including No raw fish eating, No liver fluke, and No cholangiocarcinoma. There were the active behavioral modification and behavioral tracking to raise people awareness called “Knock the house”. As a result, the participants could reduce and quit raw fish consumption. There was no complaint about sewage in community. After the development, knowledge, attitude, practice and participation of the samples were significantly improved (p-value <0.001). Key success factors of liver fluke prevention were problem awareness, community participation, and support disease prevention. In summary, the development of model for the prevention of liver fluke disease should be based on participatory techniques in a multi-methods, with a focus on real participation from the community all stages.