title: Building and analyzing an innovative community-centered dengue-ecosystem management intervention in Yogyakarta, Indonesia.
abstract: OBJECTIVE
  Dengue is an important public health problem in Yogyakarta city, Indonesia. The aim of this study was to build an innovative community-centered dengue-ecosystem management intervention in the city and to assess the process and results.
  
  
  METHODS
  For describing the baseline situation, entomological surveys and household surveys were carried out in six randomly selected neighborhoods in Yogyakarta city, documents were analyzed and different stakeholders involved in dengue control and environmental management were interviewed. Then a  community-centered dengue-ecosystem management intervention was built up in two of the neighborhoods (Demangan and Giwangan) whereas two neighborhoods served as controls with no intervention (Tahunan and Bener). Six months after the intervention follow up surveys (household interviews and  entomological) were conducted as well as focus group discussions and key informant interviews. FIindings: The intervention results included: better community knowledge, attitude and practices in dengue prevention; increased household and community participation; improved partnership  including a variety of stakeholders with prospects for sustainability; vector control efforts refocused on environmental and health issues; increased community ownership of dengue vector management including broader community development activities such as solid waste management and recycling.
  
  
  CONCLUSIONS
  The community-centred approach needs a lot of effort at the beginning but has better prospects for sustainability than the vertical "top-down" approach.
authors: Center for Health Policy and Social Change, Sleman, Daerah Istimewa Yogyakarta, Indonesia. tanasusilowati@ gmail.com
authors: Susilowati
authors: S
authors: Tana
authors: SittiRahmah
authors: S
authors: Umniyati
authors: Max
authors: M
authors: Petzold
authors: Axel
authors: A
authors: Kroeger
authors: Johannes
authors: J
authors: Sommerfeld
mesh_terms: D000330:Aedes; D000818:Animals; D003153:Community Health Services / Q000379:methods / Q000458:organization & administration*; D003715:Dengue / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology / Q000635:transmission; D004197:Disease Reservoirs / Q000821:virology; D017753:Ecosystem; D004772:Entomology / Q000379:methods; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007214:Indonesia / Q000453:epidemiology; D007303:Insect Vectors; D009032:Mosquito Control / Q000379:methods / Q000458:organization & administration; D011209:Power, Psychological; D011891:Rain; D012621:Seasons; D014504:Urban Health / Q000706:statistics & numerical data; D014871:Water Microbiology; D014881:Water Supply