title: Population-Based Intervention for Liver Fluke Prevention and Control in Meuang Yang District, Nakhon Ratchasima Province, Thailand.
abstract: Opisthorchiasis is still a major health problem in rural communities of Thailand. Infection is associated with cholangiocarcinoma (CCA), which is found frequently in Thailand, particularly in the northeastern. Therefore, this study aimed to evaluate the effectiveness of health intervention in the population at risk for opisthorchiasis and CCA. A quasi-experimental study was conducted in Meuang Yang district, Nakhon Ratchasima province, northeastern Thailand, between June and October 2015. Participants were completed health intervention comprising 4 stations; 1, VDO clip of moving adult worm of liver fluke; 2, poster of life cycle of liver fluke; 3, microscopy with adult and egg liver fluke; and 4, brochure with the knowledge of liver fluke containing infection, signs, symptoms, related disease, diagnosis, treatment, prevention, and control. Pre-and-post-test questionnaires were utilized to collect data from all participants. Students paired t-tests were used to analyze differences between before and after participation in the health intervention. Knowledge (mean difference=-7.48, t=-51.241, 95% CI, -7.77, -7.19, p-value =0.001), attitude (mean difference=-9.07, t=-9.818, 95% CI=-10.9, -7.24, p-value=0.001), and practice (mean difference=-2.04, t=-2.688, 95% CI=-3.55, -0.53, p-value=0.008), changed between before and after time points with statistical significance. Community rules were concluded regarding: (1) cooked cyprinoid fish consumption; (2) stop under cooked cyprinoid fish by household cooker; (3) cooked food consumption; (4) hygienic defecation; (5) corrected knowledge campaign close to each household; (6) organizing a village food safety club; (7) and annual health check including stool examination featuring monitoring by village health volunteers and local public health officers. The results indicates that the present health intervention program was effective and easy to understand, with low cost and taking only a short time. Therefore, this program may useful for further work at community and provincial levels for liver fluke prevention and control.
authors.affiliation: Master of Public Health, Vongchavalitkul University, Bangkok, Thailand E-mail : natthawut.k@hotmail.com.
authors.forename: Pontip
authors.initials: P
authors.lastname: Kompor
authors.forename: Rattikarn
authors.initials: R
authors.lastname: Muang Karn
authors.forename: Jun
authors.initials: J
authors.lastname: Norkaew
authors.forename: Jirawoot
authors.initials: J
authors.lastname: Kujapun
authors.forename: Mali
authors.initials: M
authors.lastname: Photipim
authors.forename: Sukanya
authors.initials: S
authors.lastname: Ponphimai
authors.forename: Wasugree
authors.initials: W
authors.lastname: Chavengkun
authors.forename: Somkiat
authors.initials: S
authors.lastname: Phong Paew
authors.forename: Soraya
authors.initials: S
authors.lastname: Kaewpitoon
authors.forename: Ratana
authors.initials: R
authors.lastname: Rujirakul
authors.forename: Parichart
authors.initials: P
authors.lastname: Wakhuwathapong
authors.forename: Tanida
authors.initials: T
authors.lastname: Phatisena
authors.forename: Thawatchai
authors.initials: T
authors.lastname: Eaksanti
authors.forename: Apinya
authors.initials: A
authors.lastname: Joosiri
authors.forename: Poowadol
authors.initials: P
authors.lastname: Polsripradistdist
authors.forename: Natnapa
authors.initials: N
authors.lastname: Padchasuwan
authors.forename: Natthawut
authors.initials: N
authors.lastname: Kaewpitoon
mesh_terms: D000328:Adult; D000368:Aged; D000818:Animals; D001650:Bile Duct Neoplasms / Q000453:epidemiology / Q000469:parasitology / Q000517:prevention & control*; D001653:Bile Ducts, Intrahepatic / Q000469:parasitology / Q000473:pathology*; D018281:Cholangiocarcinoma / Q000453:epidemiology / Q000469:parasitology / Q000517:prevention & control*; D061345:Early Medical Intervention; D005210:Fasciola hepatica / Q000302:isolation & purification / Q000472:pathogenicity*; D005211:Fascioliasis / Q000453:epidemiology / Q000469:parasitology / Q000517:prevention & control*; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D065228:Non-Randomized Controlled Trials as Topic; D009889:Opisthorchiasis / Q000453:epidemiology / Q000469:parasitology / Q000517:prevention & control*; D009891:Opisthorchis / Q000302:isolation & purification; D015995:Prevalence; D011379:Prognosis; D011795:Surveys and Questionnaires; D013785:Thailand / Q000453:epidemiology