Abstract
Dengue is one of the public health concerns in developing and developed countries. Since the main control measure for dengue is health prevention and control activities, especially among children, it is essential to assess children's knowledge on dengue prevention activities in preventing the disease. This study aimed to develop an assessment tool (CAB-IHBR-Dengue-C-01) attempting to measure children's knowledge of dengue prevention activities in Malaysia. Twelve (12) pictorials with descriptions were developed to capture children's understanding of the correct method of dengue prevention activities. Cronbach' alpha test was used to assess the internal consistency of the items, and the test and retest reliability method was used to measure the consistency of the questionnaire. For test-retest reliability analysis, tests were conducted twice, with an interval of two (2) weeks from the first test. In total, 58 respondents comprising of Malay, Chinese, and Indian aged between 7 and 12 years old were included in this study. The results showed the intraclass correlation coefficient (ICC) score was 0.640; with moderate reliability; meanwhile, Cronbach's alpha score was 0.606. In conclusion, CAB-IHBR-Dengue-C-01 (Cognitive Affective Behaviour-Institute for Health Behavioural Research-Dengue-Children-Version 01) is reliable to be used.
Highlights
Dengue fever is a major public health concern, especially in tropical and subtropical areas [1, 2]. It was estimated by the World Health Organization (WHO) that around 50–100 million people get infected by dengue every year, globally
The drafted questionnaire was reviewed by subject matter experts from Disease Control Division, Vector-Borne Disease Sector (Dengue Epidemiology Unit) Ministry of Health Malaysia and Health Education Division, and Ministry of Health Malaysia on the technical contents and to ensure the content of the instrument is fitting and in line with dengue prevention activities recommended by the Ministry of Health Malaysia. e items were amended and further refined based on the outcome of the discussion
Kelab Doktor Muda was established by the Ministry of Health Malaysia with the aim to train a group of schoolchildren as peer educators in assisting their peers in adopting healthy practices [26]
Summary
Dengue fever is a major public health concern, especially in tropical and subtropical areas [1, 2] It was estimated by the World Health Organization (WHO) that around 50–100 million people get infected by dengue every year, globally. From this amount, 500,000 cases and 22,000 deaths were reported among children. Dengue fever is endemic in Malaysia, and it has become a major public health concern, with many outbreaks, in urban areas [4]. It is a major health issue for the country and even supersedes other communicable diseases such as tuberculosis, HIV/AIDS, and malaria [5]. The year 2015 recorded the highest number of dengue cases and dengue deaths with 120,836 and 336 cases, respectively [6]
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