Health Literacy and Administrative Factors Affecting Dengue Prevention and Control Practices among Village Health Volunteers in Buriram Province

Abstract

This cross-sectional analytic research aimed to assess health literacy and administrative factors, and to investigate predictors of dengue prevention and control practices among Village Health Volunteers (VHVs) in Buriram Province. The sample consisted of 327 VHVs from 12 high-risk districts, selected via stratified random sampling. Data were collected between October and December 2025 using a questionnaire with a Cronbach’s alpha coefficient of 0.89. Data analysis involved descriptive statistics, Pearson’s correlation coefficient, and stepwise multiple regression analysis. The results revealed that the VHVs’ overall health literacy was at a very good level, with the highest mean score in self-management. Overall administrative factors were at a high level. Dengue prevention and control practices were at a high level, particularly in risk surveillance. Correlation analysis showed a statistically significant positive relationship between health literacy, administrative factors, and practices (p<0.01). Multiple regression analysis indicated that health literacy in decision making (β =0.264), administrative factors regarding budget (β =0.136), health literacy in self-management ( β=0.133), and administrative factors regarding management (β =0.122) were significant predictors, jointly explaining 16.90% of the variance in practices (R²=0.169). The findings suggest that VHV capacity building should emphasize decision-making and self-management skills, coupled with adequate budget support and efficient management systems to enhance dengue control success in the community.