Jaroenpool Jiraporn, Maneerattanasak Sarunya, Adesina Femi, Phumee Atchara, Stanikzai Muhammad Haroon, Ponprasert Chumpon, Zheng Yingqin, Shohaimi Shamarina, Nam Truong Thanh, Ageru Temesgen Anjulo, Syafinaz Amin Nordin, Suwanbamrung Charuai
School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat, Thailand.
Excellent Center for Dengue and Community Public Health (EC for DACH), Walailak University, Nakhon Si Thammarat, Thailand.
PLoS One. 2024 Dec 31;19(12):e0313171. doi: 10.1371/journal.pone.0313171. eCollection 2024.
One of the consequences of the COVID-19 lockdown is that it hinders school-based dengue management interventions. This is due to the closure of schools and the limited availability of online lessons in certain schools. Conversely, the level of basic understanding that primary school children have about the condition is directly related to their likelihood of getting it and their ability to modify their behaviour to prevent it. Thus, the study aims to assess the understanding and develop a school-based model intervention for dengue solutions and larval indices surveillance systems suitable for primary schools. The study used a purposive and convenience technique to recruit participants in the Keawsan sub-district in Nabon district, Nakhon Si Thammarat province, Thailand. An applied community participatory action research (CPAR) design was used to develop a school-based model intervention. The pre-test result shows that more than 90% and 100% of the students have a poor understanding of dengue solutions (UDS) and larval indices surveillance systems (ULISS), respectively. The students with good scores on UDS increased from 2.9% to 54.6% after the intervention, and there is still a prevalent lack of good understanding among more than 85% of the students on ULISS. Meanwhile, gender, class, and school significantly influence (p <0.05) UDS and ULISS among students in either the pre-test or post-test. Based on the thematic analysis, it was determined that the students had learned about dengue fever transmission, dengue mosquitoes, container index calculation, dengue symptoms, and how to prevent dengue mosquitoes, among other topics. Overall, it was discovered that the trained students could convey their knowledge of the dengue solution and the larval indices surveillance system to other students. We recommend that further ULISS training be provided for schoolchildren in more simple terms that they can understand.
新冠疫情封锁的后果之一是阻碍了以学校为基础的登革热管理干预措施。这是因为学校关闭，且某些学校的在线课程供应有限。相反，小学生对这种疾病的基本了解程度直接关系到他们感染登革热的可能性以及他们改变行为以预防感染的能力。因此，该研究旨在评估小学生的了解程度，并为适合小学的登革热解决方案和幼虫指数监测系统开发一种以学校为基础的模型干预措施。该研究采用了立意抽样和便利抽样技术，在泰国那空是贪玛叻府纳蓬区考桑分区招募参与者。采用应用社区参与式行动研究（CPAR）设计来开发一种以学校为基础的模型干预措施。预测试结果显示，分别有超过90%和100%的学生对登革热解决方案（UDS）和幼虫指数监测系统（ULISS）了解不足。干预后，在UDS测试中得分良好的学生比例从2.9%提高到了54.6%，但仍有超过85%的学生对ULISS缺乏良好的了解。同时，在预测试或后测试中，性别、班级和学校对学生的UDS和ULISS有显著影响（p<0.05）。基于主题分析，确定学生们学习了登革热传播、登革热蚊子、容器指数计算、登革热症状以及如何预防登革热蚊子等主题。总体而言，发现经过培训的学生能够将他们对登革热解决方案和幼虫指数监测系统的知识传授给其他学生。我们建议以更简单易懂的方式为学童提供进一步的ULISS培训。
