Model development for dengue prevention in Ku Sub-district Health Promoting Hospital, Prang Ku District, Si Sa Ket province

Abstract

     This is action research aimed at investigating the situation of dengue fever occurrence and analyzing risk areas. It examines factors affecting the public's dengue fever prevention behaviors to develop a community participation model based on dengue prevention. Additionally, it compares the outcomes of this model before and after the study. The study has two phases. The first phase is a cross-sectional design, collecting data through interviews and using Google Forms for data aggregation. The sample group consists of residents aged 20 and above within the jurisdiction of the Ku Health Promoting Hospital. Data were analyzed using descriptive statistics, Fisher's exact test, and ordinal logistic regression.   The result from this phase is that factors influencing dengue prevention behaviors include a positive attitude towards dengue fever (AOR: 2.22, 95% CI: 1.03–4.79) and supplementary factors for dengue prevention, including social support and motivation (AOR: 0.02, 95% CI: 0.01–0.81). The second phase is an action research project aimed at developing a community-participation model for the prevention and control of dengue fever. Activities implemented in the community for dengue prevention and control include promoting health awareness, particularly in environmental management, and continuous operations for disease prevention and control.  This phase also involved creating a dengue fever information hub in the community, establishing communication systems between the community and public health units, and allowing the community to evaluate and modify prevention strategies. Additionally, local governing bodies prioritized dengue fever as a main issue, supporting budget allocations for management with an emphasis on community participation and health literacy regarding dengue fever. The post-trial findings indicated an increase in knowledge, attitudes, and practices toward dengue fever prevention among the research participants. Furthermore, the incidence of dengue fever and larval index values showed a declining trend.