Community Perception and Risk Reduction Practices toward Malaria and Dengue: A Mixed-Method Study in Slums of Chetla, Kolkata
Community Perception and Risk Reduction Practices toward Malaria and Dengue: A Mixed-Method Study in Slums of Chetla, Kolkata
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DOI：
10.4103/ijph.ijph_321_19
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发表时间：
2019-07-01
影响因子：
1.7
通讯作者：
Roy, Soumit
中科院分区：
文献类型：
--
作者：
Podder, Debayan;Paul, Bobby;Roy, Soumit
背景：在全球范围内，媒介传播疾病占传染病负担的17%。在印度，尽管加快了努力，但疟疾和登革热仍是主要的公共卫生问题。了解当地社区的观点对加强正在进行的方案活动至关重要。目的：该研究旨在评估南加尔各答切特拉贫民窟对疟疾和登革热预防和控制的社区看法和降低风险做法，并探讨当地相关利益相关者在这方面的观点。方法：这项混合方法设计的横断面研究于2018年6月至9月进行。通过对288个样本家庭的面对面访谈和环境检查表收集定量数据，并通过对5个关键知情人的访谈进行定性探索。采用SPSS 16软件进行定量分析。定性资料采用“切割和分类”处理技术进行主题分析。结果如下：在入户调查中，绝大多数居民对疾病预防/控制的知识（68.4%）、态度（64.2%）和行为（62.8%）不满意，定性调查结果进一步证实了这一点。使用电风扇（79.5%）和驱蚊剂（53.8%）是主要的做法，但只有少数人经常使用蚊帐（26.0%）。据报道，“热”和“通风不良”是不愿使用蚊帐的主要原因。多元回归分析显示，年龄的增加，接近附近的运河，和不满意的知识显着预测不利的态度，而受访者的性别和不利的态度显着预测不良的做法。结论：加强与社区积极参与的社会行为改变沟通是预防疟疾和登革热发生和未来爆发的必要条件。
Background: Globally, vector-borne diseases account for 17% of infectious disease burden. In India, despite accelerated efforts, both malaria and dengue are major public health concern. Understanding local community perspectives is essential to strengthen ongoing program activities. Objectives: The study aimed to assess the community perceptions and risk reduction practices toward prevention and control of malaria and dengue at slums of Chetla in South Kolkata and to explore the perspectives of relevant local stakeholders in this regard. Methods: This cross-sectional study with mixed-method design was conducted from June to September 2018. Quantitative data were collected in 288 sampled households through face-to-face interview of respondents and environmental checklist, whereas, qualitative exploration was done with five key informant interviews. Quantitative data were analyzed using SPSS version 16 Software. Qualitative data were analyzed thematically using "cut and sort" processing technique. Results: In household survey, majority had unsatisfactory knowledge (68.4%), attitude (64.2%), and practices (62.8%) regarding diseases prevention/control, which was further substantiated by qualitative findings. The use of electric fans (79.5%), mosquito repellents (53.8%) were predominant practices; however, only a few used bed nets regularly (26.0%). Reportedly, "heat" and "poor ventilation" were key reasons behind reluctance to use bed nets. Multivariable regression analysis revealed that increasing age, proximity to a nearby canal, and unsatisfactory knowledge significantly predicted unfavorable attitude, whereas, respondents' gender and unfavorable attitude significantly predicted poor practices. Conclusions: Intensified social behavior change communication with active community participation is the need of the hour to prevent malaria and dengue occurrence and future outbreaks.