Dengue Hemorrhagic Fever Prevention and Control: New and Efficient Strategies Applied in Four Districts of Eastern Tak Province
Keywords:
Strategy, DHF, Prevention, Control, Dengue Hemorrhagic FeverAbstract
This mixed methods research aimed to study the health behaviors of people in their prevention activities for control of dengue hemorrhagic fever (DHF), it is to say: conditions, efficiency, and factors related for prevention and control of DHF, as well as developing and evaluating the efficiency strategies for prevention and control of DHF.
The study was divided in three phases. First phase consisted in collecting data by studying documentation as well as by focus group discussions and a questionnaire on efficiency, factors related for prevention, and general conditions in control of DHF. The second phase was dedicated to workshops for developing strategies in the prevention and control of DHF in four of eastern districts in Tak Province. Last phase was having the strategies evaluated by 19 experts so to assess their consistency, suitability, feasibility and utility. The data were analyzed by using percentage, standard deviation and content analysis. The findings showed as follows.
1. The people’s health behaviors for control and prevention of DHF consisted of survey the larva, destroy mosquito breeding site, but lacking of continuity put them at risk. People lacked of awareness in eliminating larva and mosquito breeding sites. They perceived that the DHF prevention and control was the duty of public health officials and village health volunteers.
2. The significant strategies developed to solve the problems were as follows: 1) increasing the competency of personnel in proactive dengue fever prevention and control work, 2) adjusting the resource availability management mechanism for dengue fever prevention and control according to the criteria and performance indicators, 3) developing management systems and mechanisms for disease surveillance and prevention of dengue fever through a quality cycle, 4) modifying the monitoring, inspection, and evaluation system in managing dengue fever through a visual information system, and 5) strengthening the coordination mechanisms in the management of dengue fever.
3. The strategies implemented for developing the effectiveness of DHF prevention and control were consistent, appropriate, feasible, and useful at the highest level.
Participatory action research and a study on the results of using this strategy should be conducted to develop further strategies.
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