The The development of health literacy and preventive behaviors for streptococcus suis among the population of Sub Si Thong sub-district, Mueang Chaiyaphum district, Chaiyaphum province

Abstract

            Streptococcus suis infection is a significant public health issue due to its severity and the resulting fatalities. This study aimed to improve the health literacy and preventive behaviors regarding swine Streptococcus suis infection among the people of Sap Si Thong sub-district, Mueang district, Chaiyaphum province. A mixed-methods action research approach was used, following a five-step process: 1) planning, 2) baseline data collection, 3) strategy design, 4) implementation, and 5) evaluation.

            The death of an 82-year-old patient within five days of eating cooked pork, combined with baseline data surveys, led to the development of the "5 Links to Disease Prevention" strategy. This strategy integrated local, administrative, educational, religious, and public health sectors. It was combined with resource management, risk communication, the use of communication technology, and community collaboration. After implementing the strategy, there was a 100% success rate in stopping the consumption of raw pork. The hygiene of food establishments improved by 12.3-12.8%, and the knowledge (Mean diff. = 1.39; 95% CI: 0.47, 2.31) and attitudes (Mean diff. = 2.13; 95% CI: 0.27, 3.99) of business operators significantly increased. However, no behavioral changes were observed.

            This study shows that an integrated strategy emphasizing community participation can be an effective model for preventing emerging diseases at the community level. However, achieving sustainable behavioral changes requires continuous monitoring and reinforcement.