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

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  • Sulistyawati Sulistyawati

    (Department of Epidemiology and Global Health, Umeå University, 90187 Umeå, Sweden
    Department of Public Health, Universitas Ahmad Dahlan, Yogyakarta 55164, Indonesia)

  • Fardhiasih Dwi Astuti

    (Department of Public Health, Universitas Ahmad Dahlan, Yogyakarta 55164, Indonesia)

  • Sitti Rahmah Umniyati

    (Department of Parasitology, Gadjah Mada University, Yogyakarta 55281, Indonesia)

  • Tri Baskoro Tunggul Satoto

    (Department of Parasitology, Gadjah Mada University, Yogyakarta 55281, Indonesia)

  • Lutfan Lazuardi

    (Department of Health Policy and Management, Gadjah Mada University, Yogyakarta 55281, Indonesia)

  • Maria Nilsson

    (Department of Epidemiology and Global Health, Umeå University, 90187 Umeå, Sweden)

  • Joacim Rocklov

    (Department of Public Health and Clinical Medicine, Umeå University, 90187 Umeå, Sweden)

  • Camilla Andersson

    (Department of Epidemiology and Global Health, Umeå University, 90187 Umeå, Sweden
    Department of Radiation Sciences, Umeå University, 90187 Umeå, Sweden)

  • Åsa Holmner

    (Department of Epidemiology and Global Health, Umeå University, 90187 Umeå, Sweden
    Department of Radiation Sciences, Umeå University, 90187 Umeå, Sweden)

Abstract

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.

Suggested Citation

  • Sulistyawati Sulistyawati & Fardhiasih Dwi Astuti & Sitti Rahmah Umniyati & Tri Baskoro Tunggul Satoto & Lutfan Lazuardi & Maria Nilsson & Joacim Rocklov & Camilla Andersson & Åsa Holmner, 2019. "Dengue Vector Control through Community Empowerment: Lessons Learned from a Community-Based Study in Yogyakarta, Indonesia," IJERPH, MDPI, vol. 16(6), pages 1-13, March.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:6:p:1013-:d:215605
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    References listed on IDEAS

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    1. Emmanuelle Kumaran & Dyna Doum & Vanney Keo & Ly Sokha & BunLeng Sam & Vibol Chan & Neal Alexander & John Bradley & Marco Liverani & Didot Budi Prasetyo & Agus Rachmat & Sergio Lopes & Jeffrey Hii & L, 2018. "Dengue knowledge, attitudes and practices and their impact on community-based vector control in rural Cambodia," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 12(2), pages 1-16, February.
    2. Sebastian Ion Ceptureanu & Eduard Gabriel Ceptureanu & Cristian Eugen Luchian & Iuliana Luchian, 2018. "Community Based Programs Sustainability. A Multidimensional Analysis of Sustainability Factors," Sustainability, MDPI, vol. 10(3), pages 1-15, March.
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    1. Sebastian Ion Ceptureanu & Eduard Gabriel Ceptureanu, 2019. "Community-Based Healthcare Programs Sustainability Impact on the Sustainability of Host Organizations: A Structural Equation Modeling Analysis," IJERPH, MDPI, vol. 16(20), pages 1-18, October.
    2. Auliya A. Suwantika & Angga P. Kautsar & Woro Supadmi & Neily Zakiyah & Rizky Abdulah & Mohammad Ali & Maarten J. Postma, 2020. "Cost-Effectiveness of Dengue Vaccination in Indonesia: Considering Integrated Programs with Wolbachia -Infected Mosquitos and Health Education," IJERPH, MDPI, vol. 17(12), pages 1-15, June.
    3. Lia Faridah & Fedri Ruluwedrata Rinawan & Nisa Fauziah & Wulan Mayasari & Angga Dwiartama & Kozo Watanabe, 2020. "Evaluation of Health Information System (HIS) in The Surveillance of Dengue in Indonesia: Lessons from Case in Bandung, West Java," IJERPH, MDPI, vol. 17(5), pages 1-13, March.

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