Department Family Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia.
Department Public Health, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia.
J Prev Med Public Health. 2024 Mar;57(2):176-184. doi: 10.3961/jpmph.23.484. Epub 2024 Feb 21.
The dengue prevention program known as "One House One Mosquito Larva Inspector" involves health volunteers who play a crucial role in the surveillance of mosquito larvae and reporting their findings to local public health officials. This study aimed to identify factors related to the knowledge, attitudes, and practices (KAP) of dengue prevention behavior among these health volunteers.
A study was conducted in 5 sub-districts in Malang, an urban area in Indonesia. We employed a cross-sectional design and utilized a semi-structured questionnaire to assess the KAP of 400 health volunteers. Data were collected through face-to-face interviews.
Multiple logistic regression analysis revealed that individuals with a more positive attitude (odds ratio [OR], 1.69; p<0.05) and those with family sizes greater than five persons (OR, 1.90; p<0.05) were more likely to engage in effective dengue prevention practices. Additionally, possesing good knowledge was significantly assocated with more positive attitude (OR, 2.24; p<0.001). Furthermore, 40% reduction in positive attitude was observed in those over 45 years (OR, 0.60; p<0.05). The best practices most frequently reported by the majority of respondents included always reporting their surveillance activities (75.8%) and cleaning the water container in the bathroom at least once a week (65.2%). However, only 52.2% of respondents regularly checked for mosquito larvae in their neighborhood.
Sustainable promotion and training for the "One House One Mosquito Larva Inspector" initiative are necessary, particularly among young health volunteers, to improve dengue prevention behaviors both within their own homes and in the surrounding environment.
“一宅一蚊虫幼虫检查员”登革热预防计划涉及卫生志愿者，他们在监测蚊虫幼虫并向当地公共卫生官员报告其发现方面发挥着至关重要的作用。本研究旨在确定与这些卫生志愿者的登革热预防行为的知识、态度和实践（KAP）相关的因素。
在印度尼西亚城市万隆的 5 个分区进行了一项研究。我们采用横断面设计，使用半结构化问卷评估 400 名卫生志愿者的 KAP。通过面对面访谈收集数据。
多变量逻辑回归分析显示，态度更积极的个体（比值比 [OR]，1.69；p<0.05）和家庭规模大于五人的个体（OR，1.90；p<0.05）更有可能采取有效的登革热预防措施。此外，知识良好与态度更积极显著相关（OR，2.24；p<0.001）。此外，45 岁以上的个体观察到积极态度降低了 40%（OR，0.60；p<0.05）。大多数受访者最常报告的最佳实践包括始终报告他们的监测活动（75.8%）和至少每周一次清洁浴室中的水容器（65.2%）。然而，只有 52.2%的受访者定期检查他们所在社区的蚊虫幼虫。
需要对“一宅一蚊虫幼虫检查员”倡议进行可持续的推广和培训，特别是针对年轻的卫生志愿者，以改善他们在自己家中和周围环境中的登革热预防行为。
