Impact of health education-based intervention on community’s awareness on dengue and its prevention in Chidambaram during COVID-19 pandemic
Keywords:Community based intervention, Dengue, Flipchart, Health education, Prevention
Background: Dengue fever is a global public health issue. It is acknowledged that vast, repeated, intense, and persistent health education programs for community mobilization are essential to achieving the aforementioned goals. The main objective of the study was to increase the dengue-related awareness and behavioral change through health education-based intervention among the selected urban communities in Chidambaram.
Methods: A quasi experimental, community-based interventional study conducted among 150 residents of urban area of Annamalai Nagar, Chidambaram district consisting of both males and females of age groups between 18-75 years who were selected using stratified random sampling technique. Data was collected using semi structured questionnaire before and after intervention using flipchart, entered in Microsoft Excel and analysed using SPSS software. Descriptive and analytical statistics were applied.
Results: Most of the study participants (32.7%) were in the age group of 30-39 years. More women (68.7%) participated in the survey among which 50.7% were educated up to secondary and higher secondary class. On comparing the results of mean values of knowledge, attitude and practice between pre-test and post-test, reflected significant improvement upon after health education by flipchart intervention. It was found very highly significant (p<0.001) between mean knowledge scores and significant (p<0.05) between mean practice scores.
Conclusions: Health education could contribute to changes in perceptions, social capital, and a healthy house condition. It is very important to increase the awareness and participation of the community in controlling dengue prevalence.
WHO. Dengue and severe dengue. Available from: https://www.who.int/news-room/fact-sheets/detail/dengue-and-severe-dengue. Accessed on 21 June 2022.
Guzmán MG, Kouri G. Dengue: an update. Lancet Infect Dis. 2002;2(1):33-42.
Arunachalam N, Tana S, Espino F, Kittayapong P, Abeyewickreme W, Wai KT, et al. Eco-bio-social determinants of dengue vector breeding: a multicountry study in urban and periurban Asia. Bull World Health Organ. 2010;88(3):173-84.
Balaji D, Saravanabavan V. A geo medical analysis of dengue cases in Madurai city-Tamilnadu India. GeoJournal. 2020;85(4):979-94.
Wilder-Smith A, Tissera H, Ooi EE, Coloma J, Scott TW, Gubler DJ. Preventing dengue epidemics during the COVID-19 pandemic. Am J Trop Med Hyg. 2020;103(2):570.
Sarkar S, Khanna P, Singh AK. Impact of COVID-19 in patients with concurrent co-infections: a systematic review and meta-analyses. J Med Virol. 2021;93(4):2385-95.
Reegan AD, Gandhi MR, Asharaja AC, Devi C, Shanthakumar SP. COVID-19 lockdown: impact assessment on Aedes larval indices, breeding habitats, effects on vector control programme and prevention of dengue outbreaks. Heliyon. 2020;6(10):e05181.
Dash N, Rose W, Nallasamy K. India’s lockdown exit: are we prepared to lock horns with COVID-19 and dengue in the rainy season? Pediatr Res. 2021;89(5):1047-8.
Ong SQ, Ahmad H, Mohd Ngesom AM. Implications of the COVID-19 lockdown on dengue transmission in Malaysia. Infect Dis Rep. 2021;13(1):148-60.
O’Driscoll M, Ribeiro Dos Santos G, Wang L, Cummings DA, Azman AS, Paireau J, et al. Age-specific mortality and immunity patterns of SARS-CoV-2. Nature. 2021;590(7844):140-5.
O’Driscoll M, Harry C, Donnelly CA, Cori A, Dorigatti I. A Comparative analysis of statistical methods to estimate the reproduction number in emerging epidemics, with implications for the current coronavirus disease 2019 (COVID-19) pandemic. Clin Infect Dis. 2021;73(1):e215-23.
Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet Lond Engl. 2020;395(10223):507-13.
Yan G, Lee CK, Lam LTM, Yan B, Chua YX, Lim AYN, et al. Covert COVID-19 and false-positive dengue serology in Singapore. Lancet Infect Dis. 2020;20(5):536.
Government of India. Guidelines for integrated vector management for control of dengue/dengue haemorrhagic fever. Delhi: National Vector Borne Disease Control Programme (NVBDCP), Directorate General of Health Services, Ministry of Health and Family Welfare, Government of India, 2016. Available from: http:// nvbdcp.gov.in/Doc/dengue_1_.%20Director_Desk%20 DGHS%20meeting%20OCT%2006.pdf. Accessed 10 on July 2016.
Kumar AV, Rajendran R, Manavalan R, Tewari SC, Arunachalam N, Ayanar K, et al. Studies on community knowledge and behavior following a dengue epidemic in Chennai city, Tamil Nadu, India. Trop Biomed. 2010;27:330-6.
Shriram AN, Sugunan AP, Manimunda SP, Vijayachari P. Community-centred approach for the control of Aedes spp. in a peri-urban zone in the Andaman and Nicobar islands using temephos. Nat Med J India. 2009;22:116-20.
Arunachalam N, Tyagi BK, Samuel M, Krishnamoorthi R, Manavalan R, Tewari SC, et al. Community-based control of Aedes aegypti by adoption of eco-health methods in Chennai City, India. Path Glob Health. 2012;106(8):488-96.
Fernández EA, Leontsini E, Sherman C, Chan AS, Reyes CE, Lozano RC, et al. Trial of a community-based intervention to decrease infestation of Aedes aegypti mosquitoes in cement washbasins in El Progreso, Honduras. Acta Trop. 1998;70(2):171-83.
Heintze C, Velasco Garrido M, Kroeger A. What do community-based dengue control programmes achieve? A systematic review of published evaluations. Trans R Soc Trop Med Hyg. 2007;101(4):317-25.
Espinoza-Gómez F, Hernández-Suárez CM, Coll-Cárdenas R. Educational campaign versus malathion spraying for the control of Aedes aegypti in Colima, Mexico. J Epidemiol Community Health. 2002;56(2):148-52.
Katyal R, Kumar K, Gill KS, Sharma RS. Impact of intervention measures on DF/DHF cases and Aedes aegypti indices in Delhi, India: An update, 2001. Dengue Bull. 2003;27:163-7.
Singh RK, Mittal PK, Yadav NK, Gehlot OP, Dhiman RC. Aedes aegypti indices and KAP study in Sangam Vihar, south Delhi, during the XIX Commonwealth Games, New Delhi, 2010.
Anand T, Kumar R, Saini V, Meena G, Ingle G. Knowledge and use of personal protective measures against mosquito borne diseases in a resettlement colony of Delhi. Ann Med Health Sci Res. 2014;4(2):227-32.
Jeelani S, Sabesan S, Subramanian S. Community knowledge, awareness and preventive practices regarding dengue fever in Puducherry- South India. Public Health. 2015;129(6):790-6.
Acharya A, Goswami K, Srinath S, Goswami A. Awareness about dengue syndrome and related preventive practices amongst residents of an urban resettlement colony of south Delhi. J Vector Borne Dis. 2005;42(3):122-7.
Khan W, Rahman A, Zaman S, Kabir M, Khan R, Ali W, et al. Knowledge, attitude and practices regarding dengue and its vector among medical practitioners in Malakand region, Pakistan. Braz J Biol. 2023;83:e244966.
Horstick O, Runge-Ranzinger S, Nathan MB, Kroeger A. Dengue vector-control services: how do they work? A systematic literature review and country case studies. Trans R Soc Trop Med Hyg. 2010;104(6):379-86.
Mitchell-Foster K, Ayala EB, Breilh J, Spiegel J, Wilches AA, Leon TO, et al. Integrating participatory community mobilization processes to improve dengue prevention: an eco-bio-social scaling up of local success in Machala, Ecuador. Trans R Soc Trop Med Hyg. 2015;109(2):126-33.
Raju AK. Community mobilization in Aedes aegypti control programme by source reduction in peri-urban district of Lautoka, Viti Levu, Fiji Islands. 2003.
Ghani NA, Shohaimi S, Hee AKW, Chee HY, Emmanuel O, Alaba Ajibola LS. Comparison of knowledge, attitude, and practice among communities living in hotspot and non-hotspot areas of dengue in Selangor, Malaysia. Trop Med Infect Dis. 2019;4(1):E37.