Development of a Dengue Hemorrhagic Fever prevention model in Dong Mun Lek Sub District Community, Muang District Phetchabun Province

Abstract

This study was an action research and the purpose of this study was to  develop a Dengue Hemorrhagic Fever prevention model in Dong Mun Lek Sub-district community, Muang district Phetchabun province, classified into 4 steps: planning step by using Appreciation-Influence-Control (AIC) for planning participation among stakeholders, observation step and reflection results step. The sample consisted of 165 cases from purposive sampling. A sample was selected from stakeholders in communities such as members of the sub-district administrative organization council, village headman, teachers and education personnel, monk, health officer and the house of representative. Data were collected from in-depth interviews, focus group discussion and knowledge, behavior and participation questionnaire. Data were analyzed using descriptive statistics such as frequency, percentage, average and standard deviation, Including inferential statistics by paired sample t-test and qualitative data was using content analysis.

The study found that the development process of Prevention and Control of Dengue Hemorrhagic Fever model in the community consists of 6 steps: 1) Study basic data of the areas 2) Workshop and participatory planning 3) Implementation of activities / projects 4) Observation, monitoring and evaluation 5) Exchange the knowledge and lesson learned 6) Returning information to the community. And the Dengue Hemorrhagic Fever  prevention and control model in the community consisted of 8 activities / projects: 1) Public relations to educate the community 2) Establishing a community action center  3) Creating community rules 4) Promotion local wisdom innovation 5) Aedes larval indices  management(HI,DI) 6) Project of control, monitoring and survey mosquito larva 7) Creating youth network village health volunteers 8) Environmental management. The findings showed that after development, the knowledge, behavior and participation of samples increased significantly  (p <0.001) before development. Aedes larval indices both of the House Index (HI) and the container index (CI) decreased after development.

The key success factor is DONGMUNLEK Model which composed of D: Democracy, O: Opportunity is Community Resources Assessment, N: Network, G: Generate, M: Management, U: Unity, N: News, L: Learning, E: Evaluation is controlling monitoring and evaluation, K: Knowledge.

Recommendations should apply a Dengue Hemorrhagic Fever (DHF) prevention and control model to solve other health problems in the community. To get a model that fits with the condition of the area.