The Effectiveness of the Community-driven Model for Liver Fluke Control in Si sa ket Province

Abstract

This research aimed to study the effects of the community-driven model for liver fluke control on the community-driven perception of health leaders, as well as knowledge, attitude, and behavior toward liver fluke control, and the proportion of the positive finding of Opisthorchis viverrini (OV) eggs of infected people in Si sa ket Province.This quasi-experimental research was a two-group pretest-posttest design There were 2 groups of samples: 1) 28 health leaders, They were selected by purposive sampling. 2) 32 OV-infected. Research instruments were 1) the community-driven model for liver fluke control based on Brach’s social empowerment concept. 2) a questionnaire on the community-driven perception of health leaders; and 3) questionnaires on knowledge, attitude, and behavior of liver fluke control. Data were analyzed by descriptive statistics, a t-test, and a Z-test.The results showed that after model implementation, health leaders had a perception of community-driven liver fluke control that was significantly better than before model implementation, and better than the comparison group, at p-value<.05 The knowledge, attitudes, and behavior toward liver fluke control of infected people were better than before model implementation and better than the comparison group at p-value<.05 However, the proportion of the positive finding of Opisthorchis viverrini (OV) eggs of infected people in the experimental and comparison groups was not different