School of Public Health, All India Institute of Medical Sciences, Jodhpur, India.
Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Jodhpur, India.
J Infect Public Health. 2020 Nov;13(11):1755-1761. doi: 10.1016/j.jiph.2020.08.005. Epub 2020 Sep 2.
Dengue continues to remain a public health problem in many regions of the world. This study focuses on addressing the community level barriers and opportunities using a health education intervention model to aid in dengue control.
In-depth interviews of frontline workers were conducted to understand potential barriers during surveillance. A house-to-house cross-sectional survey was conducted in November 2018 among the crowded urban Pratapnagar area followed by intervention in the form of health education using pamphlets and counselling.
The entomological indices were found to be above the critical levels in the hotspot area. 90% of the population had heard about dengue but only 51.4% had knowledge about fever as one of the symptoms of dengue. Overall knowledge among the community was good. But attitudes and practices were low and probably required more sustained health education intervention over prolonged period. The potential barriers for surveillance which were recognised during In-depth interviews were safety issues, lack of manpower and availability of dedicated vehicles, dearth of community participation and lack of inter and intra departmental coordination.
The health administration needs to adopt robust surveillance and monitoring activities with inter-departmental coordination ensuring greater community participation focusing on behaviour change.
登革热在世界许多地区仍然是一个公共卫生问题。本研究采用健康教育干预模式，关注社区层面的障碍和机遇，以协助登革热控制。
对一线工作者进行深入访谈，了解监测过程中的潜在障碍。2018 年 11 月，在人口密集的普拉塔普纳加尔地区进行了挨家挨户的横断面调查，随后以小册子和咨询的形式进行了健康教育干预。
热点地区的昆虫学指标高于临界水平。90%的人口听说过登革热，但只有 51.4%的人知道发烧是登革热的症状之一。社区的整体知识水平良好。但是态度和做法较低，可能需要更长时间的健康教育干预。在深入访谈中认识到的监测潜在障碍包括安全问题、人力和专用车辆不足、社区参与度低以及部门间和部门内协调不足。
卫生行政部门需要采取强有力的监测和监测活动，进行部门间协调，确保更大程度的社区参与，重点是行为改变。
