The Development of Regional Mechanisms to Prevent and Control of Dengue Fever in the Community
Management for dengue fever prevention and control according to the context of the area can positively reduce the incidence and distribution of diseases that may affect public health. This participatory action research (PAR) aimed to develop and investigate the effect of the area based mechanisms for dengue fever prevention and control in Muang District, Surat Thani Province. The PAR process consisted of five phases: 1) observation; 2) reflection; 3) planning; 4) action; and 5) exchange. The samples were the community stakeholders who voluntarily agreed to participate in the research, namely 44 household representatives, 22 village health volunteers, two community presidents, one personnel of the city-municipal office, and two personnel of the community health center. The research instruments consisted of a forum record form, a survey form of mosquito larvae index, and a general knowledge questionnaire on dengue fever prevention and control. Data collection was conducted from July 2020 to April 2021. Quantitative data were analyzed by descriptive statistics. Content analysis was employed to analyze qualitative data.
The main results revealed that the area based mechanisms for dengue fever prevention and control in the community consisted of three mechanisms: 1) management mechanism; 2) implementation committee; and 3) community resources for dengue fever prevention and control. After implementing the community action plan, the house index (HI) scores were found 6.00 and 3.33 in both community as lower than standard criteria which reduced from the scores at the pre- implementation. The average scores of general knowledge questionnaire on dengue fever prevention and control were significantly higher than rated at the pre-implementation in both the village health volunteers and household representatives (p <.01).
The results of this study showed that using the participatory process allowed the community to be aware of the problem, jointly design the action plan systematically, be able to appoint a concrete implementation committee, and utilize the community resources. Therefore, such area based mechanisms can effectively prevent and control dengue fever.
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