The community capacity building for sustainable dengue problem solution (CCB-SDPS) model: The results from studies in community, southern region, Thailand

Charuai Suwanbamrung

doi:10.4236/ojpm.2012.22029

Abstract

This paper provides an approach for sustainable dengue problem solution by the community capacity building model and the results of two studies from implementation the model in Southern region, Thailand. The conceptual framework of the CCB-SDPS model consisted of three dimensions; 1) community-based (leader and non-leader in community), 2) community capacity building process, and 3) sustainable dengue problem solution (outcomes). The outcomes of studies focused on the capacity level by the DCCAT (14 domains of leader group, and 11 domains of non-leader group), dengue entomology (Larval) index, and epidemiological (morbidity and mortality) rate. The two studies were pilot study in high risk dengue areas. These studies were application of CCB-SDPS model. First study was the process of using the tool for testing the DCCAT in two communities. The results showed only three steps of using assessment tool; community preparation, assessment, and community hearing. The second study was the fully testing model in three communities. Participatory action research and mix methods; quantitative and qualitative collecting data were preparation community-based, building capacity process (assessment, plan, implement, and reassessment), and outcomes monitoring. The results of second study showed three models of the CCB-SDPS. The two studies confirmed the sustainable in after intervention of community capacity building such as increased capacity level of leader and non-leader group, deceased entomological indices (HI, BI, and CI), and non presentation of morbidity and mortality rate in during study period. These results showed the model conducing on contexts of each community such the three dimensions of the conceptual framework of the model, community-based, building capacity process, and measurement of outcomes of sustainable dengue problem solution. These experiences in Southern Thailand demonstrated the main keys to the approach of CCB-SDPS were in the use of strategies planning to initiate community capacity building towards sustained dengue problem solution.

Highlights

IntroductionSustainability is a major issue of community-based dengue prevention and control, defined according to the characteristics of each specific setting [1,2]
Dengue is a public problem requiring the community’s involvement in its solution
Participants were selected by the dengue leader group (DLG) based on their communities’ dengue risk: in the low-dengue incidence (LDI) community (Ban Pakpayin community), thirty-two leaders and 177 non-leaders were selected, whereas thirty-one leaders and 199 non-leaders were chosen from the high-dengue incidence (HDI) community (Ban Pakpoon community)

Summary

Introduction

Sustainability is a major issue of community-based dengue prevention and control, defined according to the characteristics of each specific setting [1,2]. Sustainability is identified as a necessary part of successful community-based dengue programs. Community capacity building is one of the instrumental factors; it contributes to the process of enhancing a community’s abilities to define, evaluate, analyze and act on the dengue problem [6,7,8,9]. Capacity building is a “concept both of the means and the end” [10] and, as a dynamic process, it must be part of the strategy for sustainability of the intervention from the beginning to the end [11]. With a means or standard for its measurement, community health interventions would result in increased sustainability and capacity for OPEN ACCESS

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