1 Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
2 Health Systems Research Division, Indian Council of Medical Research, New Delhi, India.
Glob Health Promot. 2019 Mar;26(1):50-59. doi: 10.1177/1757975916686912. Epub 2017 Mar 28.
Dengue is endemic in India. The capital, Delhi, continues to witness a higher number of cases due to urbanization-related factors. This study is intended to implement health education towards prevention of dengue, and to assess its impact on people's knowledge and practices related to causes and prevention of dengue among urban poor in Delhi. Pre- ( n = 484) and post- ( n = 496) intervention surveys from 15 sub-clusters from five slums/slum-like settlements in Delhi were carried out. Health education based intervention was carried out through partnership with the municipal bodies and non-governmental organizations. Socio-demographic characteristics of participants were similar in both surveys. Intervention resulted in significant increase in knowledge on cause, symptom perception and mosquito behaviour in terms of breeding and biting habits. Practice of personal protection measures increased significantly. The participation of people increased during intervention compared to the routine programme. Health education based interventions are instrumental in improving people's knowledge and behaviour. Hence, routine health educational activities as a supportive strategy in the health system need to be strengthened. New integrated approaches such as eco-bio-social approaches with community participation are to be developed and tested in endemic settings like Delhi.
登革热在印度流行。由于城市化相关因素，首都德里继续见证着更高数量的病例。本研究旨在开展登革热预防健康教育，并评估其对城市贫困人口中登革热病因和预防相关知识和实践的影响。在德里五个贫民窟/类似贫民窟的地区的 15 个子集群中进行了干预前（n=484）和干预后（n=496）调查。通过与市政机构和非政府组织合作，开展了基于健康教育的干预措施。两次调查中，参与者的社会人口学特征相似。干预措施导致在病因、症状感知和蚊子行为（包括繁殖和叮咬习惯）方面的知识显著增加。个人保护措施的实施显著增加。与常规方案相比，干预期间的参与人数增加。基于健康教育的干预措施有助于提高人们的知识和行为。因此，需要加强卫生系统中的常规健康教育活动作为支持策略。需要在像德里这样的流行地区制定和测试新的综合方法，如生态-生物-社会方法和社区参与。
