Evaluating effect of a community-based participatory action program on knowledge of melioidosis in Northeastern Thailand
Keywords:
ประเทศไทย, เมลิออยโดสิส, ความรู้, ความตระหนัก, การวิจัยเชิงปฏิบัติการแบบมีส่วนร่วมAbstract
Background and Purpose: Melioidosis is a public health problem in northeast Thailand, where it is associated with high mortality. We aimed to determine awareness and knowledge of melioidosis among the community in this region to inform prevention and education work. We also aimed to develop and implement an appropriate educational campaign using focus group discussions. Methods: We carried out community-based participatory action research in the Thawat Buri district of Roi Et Province in northeastern Thailand. We administered a structured pre-test questionnaire on knowledge and awareness of melioidosis to 372 residents. We also held five focus group discussions with a total of 39 participants to develop a strategy to increase knowledge of melioidosis in their community. After implementing the campaign, we re-assessed knowledge of melioidosis among the same 372 residents using the post-test questionnaire. Results: Overall,36% of respondents had heard of melioidosis, mainly from healthcare providers (35.1%). Of those unaware of melioidosis, 61.8% had only elementary education, and 73.9% worked in agriculture. The focus group discussions suggested using local songs (Mor-Lam music) to raise awareness of melioidosis. A Mor-Lam song was created to describe the symptoms, transmission, and prevention of melioidosis, and it was broadcast daily. Residents’ knowledge about melioidosis improved significantly from 14% to 80% after the campaign. Conclusion: This community’s baseline knowledge and awareness of melioidosis were poor. We recommend providing information about melioidosis and strengthening engagement of stakeholders at different levels in the health system. Using Mor-Lam music may be helpful to educate people about this disease.
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