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Community and School-Based Health Education for Dengue Control in Rural Cambodia: A Process Evaluation

Author

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  • Sokrin Khun
  • Lenore Manderson

Abstract

Dengue fever continues to be a major public health problem in Cambodia, with significant impact on children. Health education is a major means for prevention and control of the National Dengue Control Program (NDCP), and is delivered to communities and in schools. Drawing on data collected in 2003–2004 as part of an ethnographic study conducted in eastern Cambodia, we explore the approaches used in health education and their effectiveness to control dengue. Community health education is provided through health centre outreach activities and campaigns of the NDCP, but is not systematically evaluated, is under-funded and delivered irregularly; school-based education is restricted in terms of time and lacks follow-up in terms of practical activities for prevention and control. As a result, adherence is partial. We suggest the need for sustained routine education for dengue prevention and control, and the need for approaches to ensure the translation of knowledge into practice.Author Summary: Health education is essential for the control of diseases such as dengue, ensuring that community members understand the mechanisms of infection and the key behaviours or activities that need to be addressed to prevent transmission, reduce severe disease and avoid fatalities. In Cambodia, health education for dengue control is provided in primary schools, at village health centres and by the National Dengue Control Program. However, these educational programs are accorded low priority, strategies and materials are not evaluated on a routine basis, messages are sometimes confusing, and health staff and teachers lack the training, time and opportunities to deliver educational messages. Recommendations to villages are not always practical or effective in preventing mosquito bites, and funds are not available to provide new educational materials. While school children and their parents therefore have some familiarity with the behaviour and habitat of the aedes mosquito and the environmental factors that contribute to dengue fever, their knowledge is uneven and knowledge is rarely translated to reduce the risk of infection. Community involvement in the prevention and control of dengue is essential, but will not be effective while health education is poorly resourced and irregular and lessons on prevention do not result in action.

Suggested Citation

  • Sokrin Khun & Lenore Manderson, 2007. "Community and School-Based Health Education for Dengue Control in Rural Cambodia: A Process Evaluation," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 1(3), pages 1-10, December.
  • Handle: RePEc:plo:pntd00:0000143
    DOI: 10.1371/journal.pntd.0000143
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    1. Rhanye Mac Guad & Yuan Seng Wu & Yin Nwe Aung & Shamala Devi Sekaran & André Barretto Bruno Wilke & Wah Yun Low & Maw Shin Sim & Rogie Royce Carandang & Mohammad Saffree Jeffree & Hamed Taherdoost & C, 2021. "Different Domains of Dengue Research in Malaysia: A Systematic Review and Meta-Analysis of Questionnaire-Based Studies," IJERPH, MDPI, vol. 18(9), pages 1-30, April.
    2. Nyangau, Paul & Nzuma, Jonathan & Irungu, Patrick & Kassie, Menale, 2021. "Evaluating Knowledge, Beliefs, and Management of Arboviral Diseases in Kenya: A Multivariate Fractional Probit Approach," 2021 Conference, August 17-31, 2021, Virtual 315269, International Association of Agricultural Economists.
    3. Amel AlAdwani & Anam AlFadley & Maha AlGasab & Ahmad F. Alnwaiem, 2022. "The Effect of Using KWL (Know-Want-Learned) Strategy on Reading Comprehension Of 5th Grade EFL Students in Kuwait," English Language Teaching, Canadian Center of Science and Education, vol. 15(1), pages 1-79, January.
    4. Huong Van Nguyen & Phung Quoc Tat Than & Tu Huu Nguyen & Giang Thu Vu & Chi Linh Hoang & Tung Thanh Tran & Nu Thi Truong & Son Hoang Nguyen & Huyen Phuc Do & Giang Hai Ha & Huong Lan Thi Nguyen & Anh , 2019. "Knowledge, Attitude and Practice about Dengue Fever among Patients Experiencing the 2017 Outbreak in Vietnam," IJERPH, MDPI, vol. 16(6), pages 1-12, March.
    5. Emmanuelle Kumaran & Dyna Doum & Vanney Keo & Ly Sokha & BunLeng Sam & Vibol Chan & Neal Alexander & John Bradley & Marco Liverani & Didot Budi Prasetyo & Agus Rachmat & Sergio Lopes & Jeffrey Hii & L, 2018. "Dengue knowledge, attitudes and practices and their impact on community-based vector control in rural Cambodia," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 12(2), pages 1-16, February.
    6. Sumaira Zafar & Oleg Shipin & Richard E. Paul & Joacim Rocklöv & Ubydul Haque & Md. Siddikur Rahman & Mayfong Mayxay & Chamsai Pientong & Sirinart Aromseree & Petchaboon Poolphol & Tiengkham Pongvongs, 2021. "Development and Comparison of Dengue Vulnerability Indices Using GIS-Based Multi-Criteria Decision Analysis in Lao PDR and Thailand," IJERPH, MDPI, vol. 18(17), pages 1-25, September.
    7. Asim Anwar & Noman Khan & Muhammad Ayub & Faisal Nawaz & Asim Shah & Antoine Flahault, 2019. "Modeling and Predicting Dengue Incidence in Highly Vulnerable Countries using Panel Data Approach," IJERPH, MDPI, vol. 16(13), pages 1-8, June.
    8. Bardosh, Kevin & Inthavong, Phouth & Xayaheuang, Sivilai & Okello, Anna L., 2014. "Controlling parasites, understanding practices: The biosocial complexity of a One Health intervention for neglected zoonotic helminths in northern Lao PDR," Social Science & Medicine, Elsevier, vol. 120(C), pages 215-223.
    9. Jian-Wei Xu & Hui Liu & Didan Ai & Yan Yu & Bian Yu, 2019. "The Shan people’s health beliefs, knowledge and perceptions of dengue in Eastern Shan Special Region IV, Myanmar," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 13(6), pages 1-15, June.

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