Abstract

BackgroundDengue is the most rapidly spreading mosquito-borne viral disease of humans worldwide, including southeast Asia region. This review provides a comprehensive overview of questionnaire-related dengue studies conducted in the Philippines and evaluates their reliability and validity in these surveys.MethodsA review protocol constructed by a panel of experienced academic reviewers was used to formulate the methodology, research design, search strategy and selection criteria. An extensive literature search was conducted between March–June 2020 in various major electronic biomedical databases including PubMed, EMBASE, MEDLINE and ScienceDirect. A systematic review and meta-analysis (PRISMA) were selected as the preferred item reporting method.ResultsOut of a total of 34 peer-reviewed dengue-related KAP studies that were identified, 15 published from 2000 to April 2020 met the inclusion criteria. Based on the meta-analysis, a poor mean score was obtained for each of knowledge (68.89), attitude (49.86) and preventive practice (64.69). Most respondents were equipped with a good knowledge of the major clinical signs of dengue. Worryingly, 95% of respondents showed several negative attitudes towards dengue prevention, claiming that this was not possible and that enacting preventive practices was not their responsibility. Interestingly, television or radio was claimed as the main source of gaining dengue information (range 50–95%). Lastly, only five articles (33.3%) piloted or pretested their questionnaire before surveying, of which three reported Cronbach’s alpha coefficient (range 0.70 to 0.90).ConclusionThis review indicates that to combat the growing public health threat of dengue to the Philippines, we need the active participation of resident communities, full engagement of healthcare personnel, promotion of awareness campaigns, and access to safe complementary and alternative medicines. Importantly, the psychometric properties of each questionnaire should be assessed rigorously.

Highlights

  • Mosquito-borne pathogens, such as the causative agents of malaria, chikungunya, Zika and dengue, are major contributors to the global burden of human infectious disease [1]

  • This review indicates that to combat the growing public health threat of dengue to the Philippines, we need the active participation of resident communities, full engagement of healthcare personnel, promotion of awareness campaigns, and access to safe complementary and alternative medicines

  • The geographical distribution of dengue virus has increased alarmingly in recent decades to become a worldwide public health concern [2]. This flavivirus is reported in around 130 countries, with up to 400 million new cases of clinical infection recorded annually [3]. It is hyperendemic in southeast Asian countries, including Cambodia [4], Malaysia [5], Thailand [6], Bhutan [7], Brunei [8], Indonesia [9], Myanmar [10], Vietnam [11] and the Philippines [2,12]

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Summary

Introduction

Mosquito-borne pathogens, such as the causative agents of malaria, chikungunya, Zika and dengue, are major contributors to the global burden of human infectious disease [1]. The geographical distribution of dengue virus has increased alarmingly in recent decades to become a worldwide public health concern [2]. This flavivirus is reported in around 130 countries, with up to 400 million new cases of clinical infection recorded annually [3]. It is hyperendemic in southeast Asian countries, including Cambodia [4], Malaysia [5], Thailand [6], Bhutan [7], Brunei [8], Indonesia [9], Myanmar [10], Vietnam [11] and the Philippines [2,12]. This review provides a comprehensive overview of questionnaire-related dengue studies conducted in the Philippines and evaluates their reliability and validity in these surveys

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