Risk Management Affecting the Effectiveness of Dengue Hemorrhagic Fever Prevention and Control among Public Health Personnel under Local Government Organizations

Abstract

This cross-sectional analytical study aimed to study the risk management factors affecting the efficiency of dengue hemorrhagic fever prevention and control among public health personnel under local government organizations. The study was framed by the COSO - Enterprise Risk Management 2017 framework. Data were collected from 378 participants selected through multi-stage random sampling. The research instrument was a questionnaire with validated content validity and a reliability coefficient of 0.946. Data were analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation, and inferential statistics, including chi-square and multiple logistic regression.

The results revealed that the majority of participants reported high levels of risk management and work efficiency, at 81.48% and 93.12%, respectively. Two risk management factors influencing work efficiency significantly at the 0.05 level were Performance Goals (AOR = 8.28, 95% CI: 1.66–41.31) and Review and Revision (AOR = 9.37, 95% CI: 1.95–45.01).

Therefore, organizations should prioritize developing risk management systems that emphasize outcome-based goals aligned with local disease incidence. Furthermore, implementing an After Action Review (AAR) mechanism is essential to integrate real-world operational challenges into the continuous improvement of disease control plans. These two factors are critical drivers for significantly enhancing the efficiency of public health operations.