FACTORS ASSOCIATED TO COMMUNITY PARTICIPATION FOR PREVENTION AND CONTROL OF DENGUE HEMORRHAGIC FEVER: COMPARATIVE STUDY BETWEEN AN EPIDEMIC VILLAGE AND NON-INCIDENCE VILLAGE IN PAORDONCHAI SUB-DISTRICT, MUANG DISTRICT, CHIANGRAI PROVINCE

Abstract

BACKGROUND: Chiangrai province has the highest incidence rate of dengue fever in 2018 and found that 2,933 cumulative cases. The morbidity rate is 228.23 per 100,000 populations and mortality rate is 0.08 per 100,000 populations. Pa Or Don Chai sub-district had a dengue fever outbreak every year found that the morbidity rate in 2018-2020 were 82.81, 871.06, 546.61 per 100,000 populations. Therefore, prevention and control of dengue fever are the most important and fully participating of the people in the community. Which is an important to planning and solve the problem in the community.

OBJECTIVE: To investigate factors associated with community participation in prevention and  control of dengue fever between Non-incidence village and Epidemic village in Pa Or Don Chai Sub-district, Muang District, Chiangrai Province.

METHODS: A descriptive study was using quantitative and qualitative collecting data with purposive sampling of the study area. The study population used simple random sampling in  Non-incidence village was 173 and Epidemic village was 102 and 30 populations of qualitative study were the Mayor of Pa O Don Chai Sub-district, Municipal council members, community   leaders, village health volunteers, representatives of the community members and community  network.The measurement tool used a questionnaire and semi-structured questions for  interviews, focus group discussions and in-depth interviews with three expertise inspected on  content validity. The descriptive statistical analysis used percentage, mean, standard deviation and inferential statistics by Pearson's product moment correlation coefficient, independent t-test.  The qualitative analysis by thematic analysis and triangulation method.

RESULTS: From 275 study populations, we found that the average score of participation for dengue fever prevention and control in the non-incidence village was less than the epidemic village group with significantly different (2.03 v.s. 2.23, p < 0.05) The factors associated to community participation for prevention and control of dengue fever as supporting public health staff, village health volunteer and family member to reinforcing factors was a small negative correlation and moderate correlation of community participation among non- incidence village and epidemic village (r= -0.275, p<0.001 v.s. r = -0.522, p<0.001). The resource sufficiency and practicing skill of environmental control that enabling factors were not associated with community participation among non-incidence village, but moderate and a small related to community participation among epidemic village (r=0.483, p<0.001 v.s. r=0.232, p=0.019).     

CONCLUSIONS AND DISSCUSSIONS: Factors associated with community participation of dengue prevention and control, including to 1) the reinforcing factors of supporting from public health staff, village health volunteer and family member were associated with non-incidence village and epidemic village. 2) The enabling factors of resource sufficiency and practicing the skill of environmental control were associated with community participation among the epidemic village. Thus, they should establish a standard operating procedures (SOPs) of dengue prevention and control as a guideline for their surveillance, prevention and control of disease. The community involvement with staff and all stakeholders that will be effective and concrete. Moreover, they are developing a channel for information sharing of dengue fever and acknowledged thoroughly at all levels.