Community perception and risk reduction practices toward malaria and dengue: A mixed-method study in slums of Chetla, Kolkata.
Adolescent
Adult
Age Factors
Aged
Communicable Disease Control
/ methods
Community Participation
Cross-Sectional Studies
Dengue
/ prevention & control
Environment
Female
Health Knowledge, Attitudes, Practice
Humans
India
Insect Repellents
/ administration & dosage
Insecticide-Treated Bednets
/ statistics & numerical data
Malaria
/ prevention & control
Male
Middle Aged
Mosquito Control
/ methods
Poverty Areas
Regression Analysis
Risk Reduction Behavior
Sex Factors
Water Supply
Young Adult
Community
dengue
malaria
mixed methods
vector-borne disease
Journal
Indian journal of public health
ISSN: 0019-557X
Titre abrégé: Indian J Public Health
Pays: India
ID NLM: 0400673
Informations de publication
Date de publication:
Historique:
entrez:
26
9
2019
pubmed:
26
9
2019
medline:
3
3
2020
Statut:
ppublish
Résumé
Globally, vector-borne diseases account for 17% of infectious disease burden. In India, despite accelerated efforts, both malaria and dengue are major public health concern. Understanding local community perspectives is essential to strengthen ongoing program activities. The study aimed to assess the community perceptions and risk reduction practices toward prevention and control of malaria and dengue at slums of Chetla in South Kolkata and to explore the perspectives of relevant local stakeholders in this regard. This cross-sectional study with mixed-method design was conducted from June to September 2018. Quantitative data were collected in 288 sampled households through face-to-face interview of respondents and environmental checklist, whereas, qualitative exploration was done with five key informant interviews. Quantitative data were analyzed using SPSS version 16 Software. Qualitative data were analyzed thematically using "cut and sort" processing technique. In household survey, majority had unsatisfactory knowledge (68.4%), attitude (64.2%), and practices (62.8%) regarding diseases prevention/control, which was further substantiated by qualitative findings. The use of electric fans (79.5%), mosquito repellents (53.8%) were predominant practices; however, only a few used bed nets regularly (26.0%). Reportedly, "heat" and "poor ventilation" were key reasons behind reluctance to use bed nets. Multivariable regression analysis revealed that increasing age, proximity to a nearby canal, and unsatisfactory knowledge significantly predicted unfavorable attitude, whereas, respondents' gender and unfavorable attitude significantly predicted poor practices. Intensified social behavior change communication with active community participation is the need of the hour to prevent malaria and dengue occurrence and future outbreaks.
Sections du résumé
BACKGROUND
BACKGROUND
Globally, vector-borne diseases account for 17% of infectious disease burden. In India, despite accelerated efforts, both malaria and dengue are major public health concern. Understanding local community perspectives is essential to strengthen ongoing program activities.
OBJECTIVES
OBJECTIVE
The study aimed to assess the community perceptions and risk reduction practices toward prevention and control of malaria and dengue at slums of Chetla in South Kolkata and to explore the perspectives of relevant local stakeholders in this regard.
METHODS
METHODS
This cross-sectional study with mixed-method design was conducted from June to September 2018. Quantitative data were collected in 288 sampled households through face-to-face interview of respondents and environmental checklist, whereas, qualitative exploration was done with five key informant interviews. Quantitative data were analyzed using SPSS version 16 Software. Qualitative data were analyzed thematically using "cut and sort" processing technique.
RESULTS
RESULTS
In household survey, majority had unsatisfactory knowledge (68.4%), attitude (64.2%), and practices (62.8%) regarding diseases prevention/control, which was further substantiated by qualitative findings. The use of electric fans (79.5%), mosquito repellents (53.8%) were predominant practices; however, only a few used bed nets regularly (26.0%). Reportedly, "heat" and "poor ventilation" were key reasons behind reluctance to use bed nets. Multivariable regression analysis revealed that increasing age, proximity to a nearby canal, and unsatisfactory knowledge significantly predicted unfavorable attitude, whereas, respondents' gender and unfavorable attitude significantly predicted poor practices.
CONCLUSIONS
CONCLUSIONS
Intensified social behavior change communication with active community participation is the need of the hour to prevent malaria and dengue occurrence and future outbreaks.
Identifiants
pubmed: 31552845
pii: IndianJPublicHealth_2019_63_3_178_267217
doi: 10.4103/ijph.IJPH_321_19
doi:
Substances chimiques
Insect Repellents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
178-185Déclaration de conflit d'intérêts
None