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Dengue Vector Control through Community Empowerment: Lessons Learned from a Community-Based Study in Yogyakarta, Indonesia

Effort to control dengue transmission requires community participation to ensure its sustainability. We carried out a knowledge attitude and practice (KAP) survey of dengue prevention to inform the design of a vector control intervention. A cross-sectional survey was conducted in June–August 2014 am...

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Autores principales: Sulistyawati, Sulistyawati, Dwi Astuti, Fardhiasih, Rahmah Umniyati, Sitti, Tunggul Satoto, Tri Baskoro, Lazuardi, Lutfan, Nilsson, Maria, Rocklov, Joacim, Andersson, Camilla, Holmner, Åsa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466136/
https://www.ncbi.nlm.nih.gov/pubmed/30897770
http://dx.doi.org/10.3390/ijerph16061013
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author Sulistyawati, Sulistyawati
Dwi Astuti, Fardhiasih
Rahmah Umniyati, Sitti
Tunggul Satoto, Tri Baskoro
Lazuardi, Lutfan
Nilsson, Maria
Rocklov, Joacim
Andersson, Camilla
Holmner, Åsa
author_facet Sulistyawati, Sulistyawati
Dwi Astuti, Fardhiasih
Rahmah Umniyati, Sitti
Tunggul Satoto, Tri Baskoro
Lazuardi, Lutfan
Nilsson, Maria
Rocklov, Joacim
Andersson, Camilla
Holmner, Åsa
author_sort Sulistyawati, Sulistyawati
collection PubMed
description Effort to control dengue transmission requires community participation to ensure its sustainability. We carried out a knowledge attitude and practice (KAP) survey of dengue prevention to inform the design of a vector control intervention. A cross-sectional survey was conducted in June–August 2014 among 521 households in two villages of Yogyakarta, Indonesia. Demographic characteristics and KAP questions were asked using a self-managed questionnaire. Knowledge, attitudes and practice scores were summarized for the population according to sex, age, occupation and education. The average knowledge score was rather poor—3.7 out of 8—although both attitude and practice scores were good: 25.5 out of 32 and 9.2 out of 11 respectively. The best knowledge within the different groups were found among women, the age group 30–44 years, people with a university degree and government employees. Best practice scores were found among retired people and housewives. There were several significant gaps in knowledge with respect to basic dengue symptoms, preventive practices and biting and breeding habits of the Aedes mosquito. In contrast, people’s practices were considered good, although many respondents failed to recognize outdoor containers as mosquito breeding sites. Accordingly, we developed a vector control card to support people’s container cleaning practices. The card was assessed for eight consecutive weeks in 2015, with pre-post larvae positive houses and containers as primary outcome measures. The use of control cards reached a low engagement of the community. Despite ongoing campaigns aiming to engage the community in dengue prevention, knowledge levels were meagre and adherence to taught routines poor in many societal groups. To increase motivation levels, bottom-up strategies are needed to involve all community members in dengue control, not only those that already comply with best practices.
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spelling pubmed-64661362019-04-22 Dengue Vector Control through Community Empowerment: Lessons Learned from a Community-Based Study in Yogyakarta, Indonesia Sulistyawati, Sulistyawati Dwi Astuti, Fardhiasih Rahmah Umniyati, Sitti Tunggul Satoto, Tri Baskoro Lazuardi, Lutfan Nilsson, Maria Rocklov, Joacim Andersson, Camilla Holmner, Åsa Int J Environ Res Public Health Article Effort to control dengue transmission requires community participation to ensure its sustainability. We carried out a knowledge attitude and practice (KAP) survey of dengue prevention to inform the design of a vector control intervention. A cross-sectional survey was conducted in June–August 2014 among 521 households in two villages of Yogyakarta, Indonesia. Demographic characteristics and KAP questions were asked using a self-managed questionnaire. Knowledge, attitudes and practice scores were summarized for the population according to sex, age, occupation and education. The average knowledge score was rather poor—3.7 out of 8—although both attitude and practice scores were good: 25.5 out of 32 and 9.2 out of 11 respectively. The best knowledge within the different groups were found among women, the age group 30–44 years, people with a university degree and government employees. Best practice scores were found among retired people and housewives. There were several significant gaps in knowledge with respect to basic dengue symptoms, preventive practices and biting and breeding habits of the Aedes mosquito. In contrast, people’s practices were considered good, although many respondents failed to recognize outdoor containers as mosquito breeding sites. Accordingly, we developed a vector control card to support people’s container cleaning practices. The card was assessed for eight consecutive weeks in 2015, with pre-post larvae positive houses and containers as primary outcome measures. The use of control cards reached a low engagement of the community. Despite ongoing campaigns aiming to engage the community in dengue prevention, knowledge levels were meagre and adherence to taught routines poor in many societal groups. To increase motivation levels, bottom-up strategies are needed to involve all community members in dengue control, not only those that already comply with best practices. MDPI 2019-03-20 2019-03 /pmc/articles/PMC6466136/ /pubmed/30897770 http://dx.doi.org/10.3390/ijerph16061013 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sulistyawati, Sulistyawati
Dwi Astuti, Fardhiasih
Rahmah Umniyati, Sitti
Tunggul Satoto, Tri Baskoro
Lazuardi, Lutfan
Nilsson, Maria
Rocklov, Joacim
Andersson, Camilla
Holmner, Åsa
Dengue Vector Control through Community Empowerment: Lessons Learned from a Community-Based Study in Yogyakarta, Indonesia
title Dengue Vector Control through Community Empowerment: Lessons Learned from a Community-Based Study in Yogyakarta, Indonesia
title_full Dengue Vector Control through Community Empowerment: Lessons Learned from a Community-Based Study in Yogyakarta, Indonesia
title_fullStr Dengue Vector Control through Community Empowerment: Lessons Learned from a Community-Based Study in Yogyakarta, Indonesia
title_full_unstemmed Dengue Vector Control through Community Empowerment: Lessons Learned from a Community-Based Study in Yogyakarta, Indonesia
title_short Dengue Vector Control through Community Empowerment: Lessons Learned from a Community-Based Study in Yogyakarta, Indonesia
title_sort dengue vector control through community empowerment: lessons learned from a community-based study in yogyakarta, indonesia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466136/
https://www.ncbi.nlm.nih.gov/pubmed/30897770
http://dx.doi.org/10.3390/ijerph16061013
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