Development of the Community Participation Model of for Dengue Hemorhagic Fever Prevention and Control : A Case Study of Thungthong village in Ladbuakhao Subdistrict, Bangpong District, Ratchaburi Province

Abstract

The research and development aimed to study the problems and needs of community participation, develop a model of community participation, and study the effectiveness of the community participation model to prevent and control DHF. The purposive sampling was select 28 participants, public health officers, health volunteers, representatives of families who had been suffered from DHF, community leaders, village committees and staff of Ladbuakhao subdistrict administrative organization and 15 participants who were representatives from household with DHF infection or survivors within five years. All participants were selected by.

The research tools comprised: 1) a semi structured interview guide for focus groups, to explore the problems and needs of the community in the prevention and the control of DHF, 2) a semi structured interview guide for focus group discussion for model development, and 3) a three parts questionnaire including a House index (HI); satisfaction evaluation forms towards DHF prevention and control; and the knowledge, attitude and practice toward DHF questionnaires. Descriptive statistics was used for quantitative data analyses and content analysis was used for the qualitative data part

The results revealed three folds that: 1) people would rather to focus on preventing mosquito bites than destroying mosquito breeding sites, 2) the model of community participation to prevent and control DHF include giving the knowledge on DHF prevention and control using the village’s wire broadcast, applying on herbs and red lime, the use of abate sand and Guppy fish for larvae removal, exchanging and sharing their experience by reflections among families whose members had experience on suffering with DHF or relapsing as well as monitoring larvae monthly; 3) after the use of the model, the prevalence of House index (HI) was reduced from 80 to 10 and the result of satisfaction evaluation was at the highest level, as well as families whose members suffering from DHF tends to gain knowledge on DHF at good level, all participants increased the scores on attitude, and most participants (86.66%), increased their practice of DHF prevention and control ranged from no practice at all to good level, also the percent of participants with no practice reduced from 20% to 13.33%