title: Effect of community participation on household environment to mitigate dengue transmission in Thailand.
abstract: Due to the absence of dengue vaccination, vector control is the only measure to prevent dengue outbreaks. The key element of dengue prevention is to eliminate vector habitats. Clean household environment, preventive behaviors of household members and community participation in dengue prevention and control are key successful elements. This study aimed to investigate the associations between environmental factors, dengue knowledge, perception and preventive behaviors of household and collaboration of community members and household risk of dengue by using mixed methods. One dengue epidemic province was selected from each region of Thailand including Bangkok. Two districts, one from the highest and another from the lowest dengue incidence areas, were selected from those provinces. The household leaders, community members, and local authorities in highest dengue incidence areas were interviewed by using questionnaire and through group interviews. The environment of each selected household was observed. Of 4,561 households, 194 were reported having dengue case(s) in the past year and that outdoor solid waste disposal significantly influenced household risk of dengue (OR=1.62; 95% CI=1.16-2.29). In contrast, having gardening areas reduced dengue risk at household level by 32%. High level of community participation in dengue prevention and control in uninfected areas and the information from local authorities and community members reconfirmed that community participation was the key factor against dengue outbreaks. Sustainable process of encouraging community members to eliminate vector breeding sites such as outdoor solid waste disposal is likely to lead to an achievement in dengue prevention and control.
authors.affiliation: Department of Public Health Administration, Faculty of Public Health, Mahidol University, 420/1 Rajavithi Road, Rajthewee, Bangkok 10400 Thailand.
authors.forename: N
authors.initials: N
authors.lastname: Suwannapong
authors.affiliation: Department of Epidemiology, Faculty of Public Health, Mahidol University, 420/1 Rajavithi Road, Rajthewee, Bangkok 10400 Thailand.
authors.forename: M
authors.initials: M
authors.lastname: Tipayamongkholgul
authors.affiliation: Department of Entomology and Parasitology, Faculty of Public Health, Mahidol University, 420/1 Rajavithi Road, Rajthewee, Bangkok 10400 Thailand.
authors.forename: A
authors.initials: A
authors.lastname: Bhumiratana
authors.affiliation: Department of Biostatistics, Faculty of Public Health, Mahidol University, 420/1 Rajavithi Road, Rajthewee, Bangkok 10400 Thailand.
authors.forename: C
authors.initials: C
authors.lastname: Boonshuyar
authors.affiliation: Department of Epidemiology, Faculty of Public Health, Mahidol University, 420/1 Rajavithi Road, Rajthewee, Bangkok 10400 Thailand.
authors.forename: N
authors.initials: N
authors.lastname: Howteerakul
authors.affiliation: Bureau of Vector Borne Disease, Department of Disease Control, Ministry of Public Health, Tiwanon Road, Nontaburi 10100 Thailand.
authors.forename: S
authors.initials: S
authors.lastname: Poolthin
mesh_terms: D000330:Aedes / Q000821:virology*; D000818:Animals; D003256:Community Participation; D003715:Dengue / Q000453:epidemiology / Q000517:prevention & control* / Q000635:transmission / Q000821:virology; D004777:Environment; D005260:Female; D005735:Garbage; D005843:Geography; D006266:Health Education; D006801:Humans; D007303:Insect Vectors / Q000821:virology*; D008297:Male; D009032:Mosquito Control / Q000379:methods*; D012307:Risk Factors; D011795:Surveys and Questionnaires; D013785:Thailand / Q000453:epidemiology; D018505:Waste Management