title: Impact of health education based intervention on community's awareness of dengue and its prevention in Delhi, India.
abstract: Dengue is endemic in India. The capital, Delhi, continues to witness a higher number of cases due to urbanization-related factors. This study is intended to implement health education towards prevention of dengue, and to assess its impact on people's knowledge and practices related to causes and prevention of dengue among urban poor in Delhi. Pre- ( n = 484) and post- ( n = 496) intervention surveys from 15 sub-clusters from five slums/slum-like settlements in Delhi were carried out. Health education based intervention was carried out through partnership with the municipal bodies and non-governmental organizations. Socio-demographic characteristics of participants were similar in both surveys. Intervention resulted in significant increase in knowledge on cause, symptom perception and mosquito behaviour in terms of breeding and biting habits. Practice of personal protection measures increased significantly. The participation of people increased during intervention compared to the routine programme. Health education based interventions are instrumental in improving people's knowledge and behaviour. Hence, routine health educational activities as a supportive strategy in the health system need to be strengthened. New integrated approaches such as eco-bio-social approaches with community participation are to be developed and tested in endemic settings like Delhi.
authors.affiliation: 1 Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Yadlapalli S
authors.initials: YS
authors.lastname: Kusuma
authors.affiliation: 1 Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Deepa
authors.initials: D
authors.lastname: Burman
authors.affiliation: 1 Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Rita
authors.initials: R
authors.lastname: Kumari
authors.affiliation: 1 Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Anjana S
authors.initials: AS
authors.lastname: Lamkang
authors.affiliation: 2 Health Systems Research Division, Indian Council of Medical Research, New Delhi, India.
authors.forename: Bontha V
authors.initials: BV
authors.lastname: Babu
mesh_terms: D000328:Adult; D003256:Community Participation; D003715:Dengue / Q000453:epidemiology / Q000517:prevention & control*; D005260:Female; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009032:Mosquito Control / Q000379:methods; D014507:Urbanization; D055815:Young Adult
keywords: communicable diseases; community based research; health education; inclusive partnership