Development of Model for Malaria Prevention and Control through Participation of the Bakdong Subdistrict Network, Khun Han District, Sisaket Province

Abstract

          This research aimed to develop a community-engaged model for malaria prevention and control in Bak Dong Sub-district, Khun Han District, Sisaket Province. The research was conducted between March and July 2024, spanning 20 weeks. The sample consisted of 30 individuals, including former malaria patients and members of the Bak Dong sub-district network. A participatory action research design by Kemmis & McTaggart was employed over two cycles, each cycle comprising four phases: planning, acting, observing, and reflecting. Data were analyzed, involving data collection, categorization, content analysis, and paired t-tests to compare mean scores before and after the implementation of the model.
           Results indicated the effectiveness of the community-engaged malaria prevention and control model. The plan aimed to eliminate malaria transmission by 2028, involving proactive case finding, vector surveillance, and community engagement through a village-level quality of life development committee. Funding was secured from the village health fund and the private sector. Training workshops were conducted to equip participants with skills for early detection, investigation, and response to malaria cases. Collaborative efforts focused on vector control measures, including indoor residual spraying, distribution of long-lasting insecticidal nets, and mosquito repellent, along with the use of a LINE application for timely alerts. Monitoring involved blood tests, LINE-based notifications, and annual data collection for planning. Evaluation revealed significant improvements in community participation in decision-making, implementation, and evaluation. There was significant cooperation from all sectors in terms of decision-making and planning, both before and after the implementation of the system. Statistical analysis revealed a significant difference (p < 0.05) in terms of participation in decision-making and planning. Similarly, there was a significant difference (p < .05) in terms of participation in implementation activities before and after the system was implemented. Finally, there was a significant difference (p < .05) in terms of participation in the evaluation process before and after the implementation and control program.