Development of Dengue Hemorrhagic Fever Prevention Model in the Community
Article Sidebar
Main Article Content
Abstract
The objectives of this integrated research study aimed at developing a model for preventing hemorrhagic fever in community, and evaluating effectiveness of the preventive model. This study consisted of 2 phases:
Phase 1 was aimed to develop a model for preventing hemorrhagic fever in community using a participatory action research (PAR). The purposive sampling for participating in developing the preventive model recruited 78 stakeholders into the study. In this phase, data were gathered through focus group discussions, in-depth interviews, observation, and appropriate assessment of the preventive model for hemorrhagic fever in the community by using the assessment form and Phase 2 was aimed to evaluate effectiveness of the preventive model using a quasi-experimental research one group pre-posttest design and operating activities had been proceeded for 16 weeks. The purposive sampling participating in evaluating effectiveness of the preventive model recruited 207 household representatives whose ages were more than 18 years old. They all voluntarily participated in the study. The study tools in the second phase were the preventive model for hemorrhagic fever in the community and a set of standardized questionnaires consisted of dengue hemorrhagic fever awareness and preventive behavior. The house index (HI, percentage of houses positive for larvae) and containers index (CI, percentage of containers positive for larvae) were identified for prevalence of dengue fever transmission. The qualitative data were analyzed by content analysis while quantitative data were analyzed by descriptive statistics and paired t-test.
The study results showed that the process of dengue hemorrhagic fever prevention model consisted of five key components: 1) planning and strategies, 2) finding and evaluating risk factors, 3) building personal capacities and developing the system of community problem management, 4) building participatory action between community and government sectors, and 5) conducting dengue hemorrhagic fever prevention activities with community participation.
When testing effectiveness of dengue hemorrhagic fever prevention model, it was showed that after completing operating activities at the end of the 16th week, the sample had average scores of knowledge awareness and preventive behavior for dengue hemorrhagic fever higher than their average scores rated at the pre-operating activities with statistical significance (p < .05). For the lava index both in house and in containers, it was found that the index scores were reduced from the scores of the pre-operating activities with statistical significance (p < .05).
As the research results, it showed that dengue hemorrhagic fever prevention model was able to raise knowledge awareness and behavior for self-preventing dengue hemorrhagic fever, and reduce the lava index. Therefore, health care providers are recommended that they should apply the preventive model in other communities and could adapt the model to community contexts for preventing dengue hemorrhagic fever.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
2. Department of Disease and Control. Dengue hemorrhagic fever situation. [Internet]. [cited 2020 September 3 ]. Available from: https://drive.google.com/file/d/1G6k2BW1YafWX-MtAJedMnl8Kd77TH705/view. (in Thai).
3. Ponrachom C, Sriboonthip N, Wangkahart A. Casual factors of dengue hemorrhagic fever protecting behaviors of people living at the frontier of Thailand and Republic of the Union of Myanmar: qualitative research. Phetchabun Rajabhat Journal 2019;21(2):46-55.
4. Polpong M, Nima S, Petchuay P. Development of a participative model for prevention and control of dengue hemorrhagic fever in Koksak sub-district, Bangkeaw district, Phatthalung. The Southern College Network Journal of Nursing and Public Health 2017;4(Suppl);S243-59.
5. Department of Disease and Control. Handbook of dengue infectious disease and dengue hemorrhagic fever in medical and public health area. Bangkok: Aksorn Graphic and Design Publishing; 2015. (in Thai).
6. Tozan Y, Ratanawong P, Sewe MO, Wilder SA, Kittayapong P. Household costs of hospitalized dengue illness in semi-rural Thailand. PLoS Negl Trop Dis 2017;11(9): e0005961.
7. Shepard DS, Undurraga EA, Halasa YA. Economic and disease burden of dengue in Southeast Asia. PLoS neglected tropical diseases. 2013;7(2):e2055.
8. Tansiri S, Piboon K, Oppawongsapat D. Dengue hemorrhagic fever situation in Ban Bueng, Chon Buri province. BJM 2018;5(1):1-12.
9. Phoolsap P, Krongrawa R, Leesuwan P, Hirunkhro B. DHF preventive behavior development of village health volunteers by authentic work participatory at Thapa district health promotion hospital, Ban Pong district, Ratchaburi province. Nursing Journal of the Ministry of Public Health 2015;25(2):206-18.
10. Seedaket S, Tantasit Y, Phajan T, Wasuwipa J. Dengue hemorrhagic fever (DHF): development of a prevention and control model in community, using appreciation influence control (AIC) process. The Southern College Network Journal of Nursing and Public Health 2019;6(1):26-38.
11. Department of Disease and Control. A handbook of dengue infectious diseases and dengue hemorrhagic fever in medical and public health. [Internet]. [cited 2020 October 15]. Available from: http://e-lib.ddc.moph.go.th/pdf/material%20276/material%20276.pdf. (in Thai).
12. Chonburi Provincial Public Health Office. Morbidity rate of dengue fever 2019 in Health service 6, Chon Buri province. [Internet]. [cited 2020 January 30]. Available from: http://cbi.hdc.moph.go.th/hdc/reports/report.php?source= formated/ format_2.php&cat_id=7f9ab56b0f39fd053143ecc4f05354fc&id=d4034b79ce2c889f3318a624543a4740. (in Thai).
13. Department of Disease Control. Dengue fever disease forecast report 2020. [Internet]. [cited 2020 June 10]. Available from: http://122.155.1.141/site6/cms-download_content.php?did=32461. (in Thai).
14. The Institute for Citizen Centered. A how to guide for service improvement initiatives. [Internet]. [cited 2019 February 5 ]. Available from: https://www.scribd.com/document/310505227/ A-How-to-Guide-for-Service-Improvement-Initiatives.
15. Brouwers M, Kho ME, Browman GP, Cluzeau F, Feder G, Fervers B, et al. AGREE II: advancing guideline development, reporting and evaluation in healthcare. CMAJ 2010;182(18):E839-42.
16. World Health Organization. Global strategy for dengue prevention and control 2012-2020. [Internet]. [cited 2017 January 10 ]. Available from: http://www.who.int/denguecontrol/9789241504034/en/.
17. Tapia-Conyer R, Mendez-Galvan J, Burciaga-Zuniga P. Community participation in the prevention and control of dengue: the patio limpiostrategy in Mexico. Paediatr Int Child Health 2012;32(S1):10-3.
18. Parks W, Lloyd L. Planning social mobilization and communication for dengue fever prevention and control, a step-by-step guide. Geneva, Switzerland: WHO, 2004 [cited 26 August 2020]. Available from: https://apps.who.int/iris/bitstream/handle/10665/42832/9241591072.pdf?sequence=1.
19. Promsa B, Laosupap K. The development of the dengue hemorrhagic fever prevention model in Nonrang village, Srisongkhram district, Nakhonphanom province. Nakhonpanom Hospital Journal 2006;1(3):67-79.
20. Rakseenil T, Phatisena T. Community participation of dengue hemorrhagic fever prevention by applying social marketing theory in municipality district, Wichianburi Phetchabun province. KKU Research Journal (Graduate Studies) 2018;18(4):102-14. (in Thai).
21. Yana K, Rutchanagul P, Thongbai W. The effects of an AIC process-based action plan on children’s behaviors in preventing dengue haemorrhagic fever and mosquito larvae index at a shelter. Thai Science and Technology Journal 2014;22(3):407-18. (in Thai).
22. Dusit R, Krangkarn S, Warawong J. The development of preventive model of dengue haemorrhagic fever at community level in Hun village, Khwao sub-district, Maung district, Mahasarakham province. Nursing Public Health and Education Journal 2017;18(3):107-16. (in Thai).