Swaddiwudhipong W, Lerdlukanavonge P, Khumklam P, Koonchote S, Nguntra P, Chaovakiratipong C
Department of Community and Social Medicine, Mae Sot General Hospital, Tak, Thailand.
Southeast Asian J Trop Med Public Health. 1992 Jun;23(2):207-11.
To evaluate the effect of a health education program on the prevention and control of dengue hemorrhagic fever (DHF) in the municipality of Mae Sot, Tak Province, a survey of adult residents, mainly housewives, was conducted in late April 1990 to assess their knowledge of DHF and practice of preventive methods. A total of 417 respondents from 417 households selected by a systematic-cluster sampling method were interviewed. More than 90% of them knew that the disease is transmitted by Aedes mosquitos and indicated water jars and water retention in the houses as the common breeding places. However, the other two common breeding places, ant-traps and cement baths, were less frequently mentioned. This finding was consistent with the greater proportion of respondents who reported no larval control methods for these two kinds of containers than for the others. Covering water containers was the most common practice to prevent mosquito breeding in drinking-water containers whereas addition of abate (temephos sand granules) or changing stored water frequently was commonly used for non-drinking water storage. Larval control for ant-traps was mainly accomplished by the addition of chemicals, including abate, salt, oil or detergent. Health education efforts in this area could induce the majority of respondents to accept themselves as responsible for the Aedes control program. Health education by health personnel played an important role in disseminating DHF information and prevention methods. Radio and television were the main effective mass media for public health education on DHF in this area.
为评估健康教育项目对泰国北碧府夜功市登革出血热防控的效果，1990年4月下旬对成年居民（主要是家庭主妇）进行了一项调查，以评估她们对登革出血热的了解程度和预防措施的实施情况。通过系统整群抽样方法从417户家庭中选取了417名受访者进行访谈。超过90%的受访者知道该病由伊蚊传播，并指出水缸和房屋内的积水是常见的滋生地。然而，另外两个常见滋生地，蚁饵盒和水泥浴盆，提及较少。这一发现与更多受访者报告对这两种容器没有采取幼虫控制方法的比例高于其他容器的情况一致。覆盖盛水容器是防止饮用水容器中蚊子滋生的最常见做法，而在非饮用水储存中通常使用添加双硫磷（杀螟硫磷砂粒剂）或频繁换水。蚁饵盒的幼虫控制主要通过添加包括双硫磷、盐、油或洗涤剂在内的化学品来实现。该地区的健康教育工作可以促使大多数受访者接受自己对伊蚊控制项目负有责任。卫生人员开展的健康教育在传播登革出血热信息和预防方法方面发挥了重要作用。广播和电视是该地区登革出血热公共卫生教育的主要有效大众媒体。
