The Effect of Community-Based Intervention on Dengue Awareness and Prevention Among Poor Urban Communities in Delhi, India

IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of research in health sciences Pub Date : 2023-12-29 DOI:10.34172/jrhs.2023.131
A. Lachyan, R. Zaki, Bratati Banerjee, N. Aghamohammadi
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Abstract

Background: This study aimed to assess the efficacy of a dengue intervention program in economically deprived urban regions of India, with a particular emphasis on housing conditions and community involvement. Given the global significance of dengue fever as a vector-borne disease, successful vector management requires effective community engagement. Study Design: A quasi-experimental study. Methods: This study was conducted with 314 participants from Delhi’s Sanjay Colony, divided into control and intervention groups. The study spanned 14 months (August 2020 to September 2021). The intervention program comprised two educational sessions held one month apart, covering dengue awareness, health self-care, and environmental maintenance. Data were collected at baseline, after each intervention session, and during a final follow-up assessment three months later. Results: The primary outcome, the house index (HI), revealed statistically significant differences (P<0.001) favoring the intervention group. The total score (TS) for mosquito-borne disease, TS of knowledge, TS of attitude, and TS of practices all exhibited significant improvements in the intervention group. Participants showed an enhanced understanding of dengue causes, symptoms, and mosquito behavior related to breeding and biting. The HI in the intervention group decreased significantly from 21.65% to 4.45% (P<0.05). Conclusion: This study, grounded in the health belief model (HBM), demonstrated the effectiveness of the intervention program in reducing HI and improving knowledge and preventive practices regarding dengue fever in impoverished urban neighborhoods of Delhi. The intervention program may be beneficial in such a poor urban community.
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基于社区的干预措施对印度德里城市贫困社区登革热认识和预防的影响
背景:本研究旨在评估在印度经济贫困的城市地区开展的登革热干预计划的效果,特别强调住房条件和社区参与。鉴于登革热作为一种病媒传播疾病在全球的重要性,成功的病媒管理需要有效的社区参与。研究设计:准实验研究。研究方法这项研究有 314 名参与者参加,他们来自德里的 Sanjay 聚居区,分为对照组和干预组。研究为期 14 个月(2020 年 8 月至 2021 年 9 月)。干预计划包括两次教育课程,每次间隔一个月,内容包括登革热认知、健康自我保健和环境维护。在基线、每次干预课程后以及三个月后的最终跟踪评估中收集数据。结果主要结果--房屋指数(HI)--显示出统计学上的显著差异(P<0.001),干预组更胜一筹。干预组的蚊媒疾病总分(TS)、知识总分、态度总分和实践总分均有显著提高。参与者对登革热的病因、症状以及蚊子的繁殖和叮咬行为有了更深入的了解。干预组的登革热感染率从 21.65% 显著下降到 4.45%(P<0.05)。结论这项以健康信念模式(HBM)为基础的研究表明,在德里贫困的城市社区,干预计划在降低登革热感染率、提高登革热相关知识和预防措施方面非常有效。该干预计划可能对这样一个贫困的城市社区有益。
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来源期刊
Journal of research in health sciences
Journal of research in health sciences PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.30
自引率
13.30%
发文量
7
期刊介绍: The Journal of Research in Health Sciences (JRHS) is the official journal of the School of Public Health; Hamadan University of Medical Sciences, which is published quarterly. Since 2017, JRHS is published electronically. JRHS is a peer-reviewed, scientific publication which is produced quarterly and is a multidisciplinary journal in the field of public health, publishing contributions from Epidemiology, Biostatistics, Public Health, Occupational Health, Environmental Health, Health Education, and Preventive and Social Medicine. We do not publish clinical trials, nursing studies, animal studies, qualitative studies, nutritional studies, health insurance, and hospital management. In addition, we do not publish the results of laboratory and chemical studies in the field of ergonomics, occupational health, and environmental health
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