Exploring knowledge, attitudes, and preventive practices related to dengue fever control: a cross-sectional study of 1,016 individuals

Prevention practices and the factors that influence them are essential for controlling the spread of dengue hemorrhagic fever (DHF) and effective strategic planning. This study aimed to determine the factors associated with the practice of preventing dengue fever in communities in endemic areas of Kubu Raya Regency, West Kalimantan Province, Indonesia. This study was an observational study with a cross-sectional design. The research sample was 379 households in endemic areas using a questionnaire. Collecting data was using a questionnaire with interviews. Bivariate analysis employed Chi-square test, multivariate analysis using logistic regression. Most of the respondents practiced fewer prevention; variables related to dengue fever prevention practices were income, education, knowledge about dengue prevention and health education (mass media). Regression analysis showed that the variables of education, knowledge about dengue prevention, and mass media education were related to the practice of preventing dengue fever. This study indicated that in preventing dengue fever, strategies must be developed to cultivate prevention practices and increase prevention campaigns using mass media and focus on areas with low education and knowledge in dengue prevention.

Dengue fever has become an endemic in the Bandung city and this disease poses a serious public health threat. This study aimed to examine sociodemographic factors, experience of dengue hemorrhagic fever and their relationship with knowledge and practice of prevention dengue fever among the Bandung City community. This research was considered as a cross-sectional and community-based study. Systematic random sampling was performed, where one participant in every third house that researchers passed by was chosen. Participants involved in this study had met the inclusion criteria, namely age (18 years), local residents, and able to understand the questions. Data was collected using a questionnaire. Data analysis was carried out using descriptive statistics, chi-square, and multivariate logistic regression. Multivariate test results showed high knowledge scores in participants aged over 40 years (OR=30.908, 95% CI 16.490-57.930, P=0.000), participants who had an educational degree (OR=4.028, 95% CI 2.226-7.288, P =0.000), worked as private employees and self-employed (OR=0.235, 95% CI 0.098-0.560, P=0.001 and OR= 0.262, 95% CI 0.107-0.638, P=0.003), had an income of more than IDR 4,000,000 (OR=2.275, 95% CI 1.318-3.928, P=0.003), and had experience of dengue hemorrhagic fever (OR=3.140, 95% CI 1.484-6.640, P=0.003). Meanwhile, dengue fever prevention practice scores were higher in participants aged 25-39 years (OR=18.163, 95% CI 16, 8.056-40.947, P=0.000), who had an educational degree (OR=6.217, 95% CI 3.793-10.191, P =0.000), worked as a housewife (OR=0.286, 95% CI 0.129-0.634, P=0.002), had experience of dengue hemorrhagic fever (OR=0.271, 95% CI 0.144-0.510, P=0.023), and had a high knowledge score (OR=4.037, 95% CI 2.201-7.406, P=0.000). Dengue fever prevention practices are closely related to knowledge scores; therefore, dengue fever prevention puts up the focus to increasing knowledge and effective education programs

BackgroundDengue poses a significant global public health challenge, including in Nepal. Understanding community’s knowledge, attitudes, and behaviors concerning dengue fever is imperative to developing effective prevention and control strategies. This study aimed to assess the knowledge, attitude, and practices related to dengue fever among residents of Lalitpur Metropolitan City.MethodsA descriptive cross-sectional household study was conducted using a mixed-method approach, which included quantitatively studying 636 individuals and conducting 20 qualitative interviews. The data was collected between April 2023 and June 2023. The multistage cluster sampling method was applied for household selection during the quantitative study and a purposive judgmental sampling method was used to identify participants for the qualitative interviews. Face-to-face interviews were conducted using a structured questionnaire for the quantitative study and an interview guide for the qualitative study. Quantitative data were analysed using logistic regression in STATA version 13, and thematic analysis was applied to the qualitative data. The findings were validated through triangulation of results from both the qualitative and quantitative study.ResultsRegarding knowledge, 64.94% (n = 413/636) reported being informed about dengue fever. In terms of attitude, a substantial majority, 91.51% (n = 582/636), expressed a positive attitudes toward dengue fever, indicating a favorable perception and knowledge of its significance. Concerning practice, 49.84% (n = 317/636) of respondents reported actively engaging in dengue fever prevention measures. The variables gender, previous history of dengue fever and residency were the determinants of dengue fever knowledge. Additionally, gender, residency, and attitude were predictors of preventive practices concerning dengue fever.ConclusionOur study revealed that while the community demonstrated good knowledge of dengue fever and positive attitudes toward prevention, their preventive practices were inconsistent, indicating a gap between knowledge and action. A positive attitude was linked to better adherence to preventive measures. To address this gap, it is crucial to promote a positive attitude toward dengue prevention through initiatives like education efforts and social mobilization programs. Implementing Social and Behavior Change Communication (SBCC) programs focused on dengue prevention and control measures can help bridge this knowledge-action gap.

2001~2003年台灣南部地區登革熱/登革出血熱的流行病學探討

In May 2024, Bandung City recorded a triple Dengue Fever incidence rate compared to the 17th week of the same period in 2023. 3,468 cases of Dengue Fever occurred in Bandung, making it the city with the highest dengue fever incidence in Indonesia. Hence, dengue Fever prevention is mandatory, including in the elementary school environment. The high increase in the Dengue Fever incidence in school-age children is a sign that the elementary school environment is a potentially good place for Aedes aegypti to breed and rest. In this case, transmission also potentially occurs considering that Aedes aegypti bites at the same time as students study at school. The purpose of this study was to determine the dominant variables in dengue prevention in elementary schools in Bandung City. This quantitative study with a cross-sectional design approach had a research population of 476 elementary schools in Bandung City. The minimum sample was further taken using the Slovin formula, obtaining 59 elementary schools. In this case, primary data were collected through questionnaires, represented by 4 primary school components consisting of the principal, class teacher, school health officer, and janitor. Furthermore, data analysis used a Chi-square test with a significance level of 5%. The results showed that knowledge (p-value: 0.016), attitude (p-value: 0.036), motivation (p-value: 0.050), experience (p-value: 0.013), school condition (p-value: 0.020), perception (p-value: 0.040), and information exposure (p-value: 0.176) about Dengue Fever were associated with Dengue Fever prevention. The most dominant variable in this study was motivation with OR 95% CI = 7.576 (1.106-51.906). Hence, motivation needs to be formed through the right stimulus. Health education to increase knowledge as a stimulus also needs to be pursued to create agents of change for dengue fever prevention in the school environment from an early age.

BackgroundSince 2006, Nepal has experienced frequent Dengue fever (DF) outbreaks. Up to now, there have been no knowledge, attitude and practice (KAP) studies carried out on DF in Nepal that have included qualitative in-depth and quantitative data. Thus, we aimed to explore and compare the KAP of people residing in the lowland (< 1500 m) and highland (> 1500 m) areas of Nepal.MethodsA cross-sectional mixed-method study was conducted in six districts of central Nepal in September–October 2018 including both quantitative (660 household surveys) and qualitative data (12 focus group discussions and 27 in-depth interviews). The KAP assessment was executed using a scoring system and defined as high or low based on 80% cut-off point. Logistic regression was used to investigate the associated factors, in quantitative analysis. The deductive followed by inductive approach was adopted to identify the themes in the qualitative data.ResultsThe study revealed that both the awareness about DF and prevention measures were low. Among the surveyed participants, 40.6% had previously heard about DF with a significantly higher number in the lowland areas. Similarly, IDI and FGD participants from the lowland areas were aware about DF, and it’s associated symptoms, hence they were adopting better preventive practices against DF. The findings of both the qualitative and quantitative data indicate that people residing in the lowland areas had better knowledge on DF compared to people in highland areas. All IDI participants perceived a higher chance of increasing future dengue outbreaks due to increasing temperature and the mobility of infected people from endemic to non-endemic areas. The most quoted sources of information were the television (71.8%) and radio (51.5%). Overall, only 2.3% of the HHS participants obtained high knowledge scores, 74.1% obtained high attitude scores and 21.2% obtained high preventive practice scores on DF. Among the socio-demographic variables, the area of residence, educational level, age, monthly income, SES and occupation were independent predictors of knowledge level, while the education level of the participants was an independent predictor of the attitude level.ConclusionsOur study found a very low level of knowledge and insufficient preventive practices. This highlights an urgent need for extensive dengue prevention programs in both highland and lowland communities of Nepal.

Cases of dengue fever in Indonesia will increase to 143,000 by the end of 2022. The aim of the research is to examine the impact of environmental and behavioral factors on the incidence of dengue hemorrhagic fever in Indonesia. This research uses the Meta-Analysis Method with PICOS technology. Some sources of information used include Google Scholar, Research Gate, and Plos ONE, with the help of keywords such as "Environmental factors" and "Behavior." 193 articles were obtained, 151 articles came from Google Scholar, 37 articles from Research Gate, and 5 articles from Plos ONE. The articles obtained were filtered using inclusion criteria such as articles that had a 2x2 table, and discussed dengue fever and behavior with the number of selected articles being 21. At the screening stage, researchers used a cross-sectional research design. JASP application version 0.16.3.0 was used to process meta-analysis data. The key findings show that the habit of hanging clothes has a 2.386 higher risk as a cause of dengue hemorrhagic fever, with the pooled OR value as follows e0.87 = 2.386 (CI 95% 0.17-1.57). The presence of larvae has a risk of 2.075 for dengue fever with the following pooled value e0.73 = 2.075 (CI 95% 0.12-1.33). Meanwhile, the 3 M movement has a risk of 0.406 for the incidence of dengue fever with the following pooled value e-0.90 = 0.406 (CI 95% -1.66-0.15). the conclusion is There is an influence of the habit of hanging clothes, the presence of larvae and the 3M movement on the incidence of dengue hemorrhagic fever.

Environmental condition is very important for the Dengue Fever Prevention. People in this area lacked the knowledge, awareness of an environmental condition. To achieve sustainable control of the occurrence of dengue fever, therefore, this mixed methodology research was performed: 1) to gather general information related to the community environment for dengue fever prevention, 2) to develop a paradigm for dengue fever prevention, and 3) to compare the levels of knowledge, attitude, and community participation after attending a training course on dengue fever prevention. The gathering general information related to the community environment for dengue fever prevention was performed by survey method, 341 participants were recruited by using the Taro Yamane formula and stratified random sampling, subsequently, the model was developed for training. After that, the training and evaluation were implemented. Thirty-two volunteers participated in the training on dengue fever prevention. The testing instruments consisted of Knowledge Test Form, Attitude Test Form, and Dengue Prevention Participatory Test Form. The results indicated that the dengue fever prevention paradigm was supported by the following six factors: 1) having reliable data, 2) providing training on disease prevention, 3) having competent agents, 4) presenting the dengue prevention system to the community, 5) having people participation, and 6) having environmental management. Concerning the training on dengue fever prevention, the villagers’ post-test scores on knowledge, attitude, and participation in dengue fever prevention were significantly higher than their pre-test scores. This research increased the knowledge, attitude and participation of people after training on dengue fever prevention in their community.

Objective To understand the current situation of dengue fever prevention and control knowledge in medical staff in Zhoushan city and provide the basis for carrying out targeted training. Methods In May 2018, the medical staff from 7 county and district hospitals and 12 community health service centers in Zhoushan city were selected. The knowledge of dengue fever prevention and control was cross-sectional investigated by anonymous self-administered questionnaire. Logistic regression analysis was used to find the factors that influenced the awareness scores. Results In this survey, a total of 216 questionnaires were obtained, of which 65.28% had the awareness score ≥6. The awareness rate of medical staff on dengue fever prevention and control was not high, and the awareness rate of several questions, such as fever patients were asked about the travel history (48.15%) , legal reporting time of dengue fever (33.64%) , incubation period of dengue fever (39.81%) and blood routine test results of dengue fever patients (33.33%) , was relatively low. Factors influencing the awareness rate of dengue fever prevention and treatment among medical staff in Zhoushan city were as follows: hospitals above the county level[OR (95%CI) =1.63 (1.42-1.82) ], doctors[OR (95%CI) =0.72 (0.68-0.92) ], nurses[OR (95%CI) =0.64 (0.54-0.82) ] and training[OR (95%CI) =1.27 (1.12-1.43) ]. Conclusions Medical staff in Zhoushan city have low knowledge level of dengue prevention and control, especially those in primary medical institutions. In the future, the training of dengue related knowledge in these medical staff should be strengthened. Key words: Dengue; Medical staff; Prevention knowledge; Awareness rate

Dengue Hemorrhagic Fever (DHF) is a disease caused by the bite of the Aedes Aegypti mosquito infected with one of the four types of dengue virus with clinical manifestations of fever, muscle aches, and/or joint pain accompanied by leukopenia, rash, lymphadenopathy, thrombocytopenia and hemorrhagic diathesis. In dengue hemorrhagic fever, plasma leakage occurs which is characterized by hemoconcentration (increased hematocrit) or fluid accumulation in body cavities (World Health Organization). Dengue Hemorrhagic Fever Penyakit (DHF) is still one of the main public health problems in Indonesia. The number of sufferers and the area of ​​spread of DHF is increasing along with the increase in mobility and population density, especially in tropical and sub-tropical areas (Kemenkes RI, 2010). At the beginning of 2019, Dengue Hemorrhagic Fever (DHF) again increased in several areas, even becoming an Extraordinary Event (KLB) status. In January 2019 there were 15,132 DHF sufferers with 145 people dying in 34 provinces. This figure is twice as high as the figure at the end of January 2018 which recorded 6,167 DHF sufferers with 43 people dying. To find out the behavioral factors of DHF disease in the community in the Pondok Petir sub-district area in 2020. Research Setting: According to data in 2019, Dengue Hemorrhagic Fever (DHF) has increased again in several areas, even becoming an Extraordinary Event (KLB) status. In January 2019 there were 15,132 DHF sufferers with 145 people dying in 34 provinces. This figure is twice as high as the figure at the end of January 2018 which recorded 6,167 DHF sufferers with 43 people dying. East Java, West Java, and DKI Jakarta are the three provinces that experienced an increase in the number of dengue cases compared to the previous year. This research uses the Simple Random Sampling technique. This study studied the incidence of dengue in children to adults (dependent variable), with respondent characteristics (age, history of dengue disease), counseling (knowledge), attitudes (family attitudes), and behavioral patterns (behavior of health workers, rarely monitoring larvae). mosquitoes, distribution of abate powder, fogging activities), and increasing community participation in dengue prevention (independent variable). To obtain the data, an in-depth interview and document review approach was conducted with the community at Pondok Petir. This research was conducted at Pondok Petir, South Tangerang in June 2021. The sub-categories in this study were DHF, Age, History of DHF, Knowledge, Family Attitude, Behavioral Patterns, Behavioral Patterns of Health Workers, Rarely Monitoring Mosquito Larvae, Distribution of Abate Powder, Fogging Activities, Facilities, Facilities, Increased Participation Society in Dengue Prevention. It takes a lot of education to the people of Pondok Petir to make people aware of the importance of knowing about DHF. The most effective and efficient prevention of dengue fever to date is the Mosquito Nest Eradication (PSN) activity using 3M Plus, namely: 1) Draining, is cleaning places that are often used as water reservoirs such as bathtubs, water buckets, water reservoirs drinking water, water reservoirs, refrigerators, etc. 2) Closing, namely closing water reservoirs such as drums, jugs, water towers, and so on; and 3) Reusing or recycling used goods that have the potential to become breeding grounds for dengue-transmitting mosquitoes.

The general objective of this research is to identify the factors that influence the behavior of the community in prevention efforts dengue fever Dengue in the region Seek the Pearl Regency Range town of Kisaran Sub of the year 2018. This research population is dengue dengue fever patients in the Asahan Regency Mutiraa health centers totaled 40 people.The sample of this research is all the patient sufferer DBD treatment and coming Health Clinics saw a Pearl in June to December 2017, as many as 40 people, with a total of sampling that is the total population of 40 people become As for the results of the study sample was Contained prevention efforts based on the respondent's Knowledge then the DBD respondents have a good Community Behaviour in dengue fever prevention efforts in the area of Asahan Regency. Pearls of clinics of 153.20% There are DBD prevention efforts, based on the attitude of the respondent the respondent then has a good Community Behaviour in dengue fever prevention efforts in the area of Asahan Regency. Pearls of clinics of 913.30%., there are DBD prevention efforts based on family support then the respondents have a good Community Behaviour in dengue fever prevention efforts in the area of Asahan Regency. Pearls of clinics of 420.80%, there is DBD prevention efforts based on the health facilities then the respondent has a good chance of Community Behaviour in dengue fever prevention efforts in the area of Asahan Regency. Pearls of clinics of 365.70% and there is DBD prevention efforts based on Education then the respondent has a good chance of Community Behaviour in dengue fever prevention efforts in the area of Asahan Regency Pearls Clinics 242.00%, there are prevention efforts based on the work of the DBD then respondents had Community Behavior good in Dengue prevention efforts in the area of public health District of Asahan. Pearl 156.00%.

Dengue fever is a serious human arboviral infection that globally spreads and is a top concern amongst health care professionals and governments including Vietnam. The best measure to prevent and control dengue is vector control which is supported by social mobilization and health education. This study assessed the acceptability of health education programs in dengue fever prevention and control for the first time in Dak Lak Province, which is located in the endemic area of dengue fever in Vietnam. This study was an implementation research with qualitative methods. Nine in-depth interviews and six focus group discussions involving thirty-four informants were conducted at province, district, and ward levels. The acceptability was analyzed based on the seven components of the Theoretical Framework of Acceptability. Thirty-four informants ranging from ages 26 to 54 years participated. All belonged to the delivering or receiving groups of the health education program. The years of experience of the delivering group were at least two years with the health education program in dengue prevention and control and all individuals in the receiving group participated in the program. Six components, namely affective attitude, perceived effectiveness, intervention coherence, ethicality, and self-efficacy, were coded in all transcripts. Meanwhile, none of the interviews mentioned the opportunity cost. Overall, the acceptability of the health education program in dengue fever prevention and control was considered to be positive. However, the transformation from education to behavior requires time for acceptance and the persistence of the education program. Besides, the major burden of the program was the limited budget that could lead to inadequate facilities for indirect communication and low human resources.

Dengue hemorrhagic fever - A systemic literature review of current perspectives on pathogenesis, prevention and control.

Background: According to the World Health Organization, annually there are around 50.0-100.0 million cases of dengue fever worldwide, with 0.25-0.50 million of them being cases of dengue hemorrhagic fever (DHF) which causes around 24,000 death. Objective: The study was directed at evaluating the knowledge and attitudes of mothers regarding dengue prevention in Punge Blang Cut, Jaya Baru. Method: A cross-sectional design was used in the study conducted in April 2019. Around 176 heads of families in the village were sampled. Data was collected through a questionnaire with the Chi-Square test at a significance of 0.05. Results: The majority of respondents had sufficient knowledge (46.6%), their mothers had a positive attitude towards dengue prevention (73.3%), and 52.3% of respondents took sufficient preventive measures. Conclusion: The majority of mothers have sufficient knowledge and have a positive attitude towards preventing dengue fever. It is recommended to increase public knowledge and awareness regarding the handling and prevention of dengue fever through appropriate medical and traditional methods.

Background: Dengue fever cases have been increased almost 30-fold over last 50 years and now reaches an estimated 100 million clinically apparent infections annually. This rapid increase in the incidence of dengue fever cases has become a threat not only to public health globally but also economic burden to developing countries like Pakistan and also other countries of South- Asia.&#x0D; Objective: To assess clinical course and outcome in patients with dengue fever, dengue hemorrhagic fever and dengue shock syndrome in patients in a tertiary care hospital.&#x0D; Methods: This cross-sectional study was conducted in the department of Medicine, Fatima Memorial Hospital, Lahore from September to November 2022. Data of all those patients who had dengue fever, dengue hemorrhagic fever and dengue shock syndrome was collected carefully. Laboratory tests were evaluated for the positivity of dengue fever by either NS1 or IgM. All patients who had positive of any of these tests were included in our study. Other laboratory tests (CBC-ESR, serum electrolytes, LFTs, RFTs, Urine analysis, chest x-ray and ultrasound abdomen and chest) were also included to assess the severity of dengue infection. These laboratory tests were repeated at least three times, one day apart to see any improvement or worsening of condition. We divided these patients in three groups according to severity of disease. Data were analyzed by SPSS- version 23. ANOVA was applied for continuous variable and chi-square was applied for categorical variables. &#x0D; Results: The study comprised a total of 207 dengue patients. Distribution of gender, with 58% of the patients were men and 42% were women. The patients were divided into three groups based on their dengue infection severity type: dengue fever, dengue hemorrhagic fever, or dengue shock syndrome. There was no significant difference in blood pressure of dengue fever and dengue hemorrhagic fever, but significant fall of Blood pressure was found in dengue shock syndrome. Similarly respiratory rate change was found in DSS. Temperature changes in these patients were not significant in all types of dengue virus infection. There were significant differences in the oxygen saturation values in dengue fever, dengue hemorrhagic fever and dengue shock syndrome and across the several dengue strains DNV1-4 (p 0.001). The analysis of laboratory data showed that the levels of hemoglobin, hematocrit, platelet count, white blood cell count, alanine transaminase (ALT), and aspartate transaminase (AST) varied considerably across the various dengue severity levels.&#x0D; Conclusion: In our study it was shown that patients had variable level of severity at the time of presentation, and most of patients can be treated but patients who presented late, developed complications and even death in few patients, patients who presented with shock, most of them expired and female to male ratio was different, as most of females expired. There was also significant different oxygen saturation level according to severity of dengue infection. Platelets count was significant but not of predictive value for severity of dengue infection, as patients with very low platelets count recovered.