Participation in Chikungunya Disease Prevention in Thakhuen sub-district, Tha-Sala District, Nakhon Si Thammarat Province - การมีส่วนร่วมในการพัฒนาแนวทางการป้องกันและควบคุม โรคชิคุนกุนยา อำเภอท่าศาลา จังหวัดนครศรีธรรมราช

Abstract

This participatory action research was to develop a Chikungunya disease prevention model in accordance with
actual circumstances and causes in area of Moo 8 (Ban-Nhabpaw) and Moo 9 (Ban-Praduhorm) in Thakheun subdistrict,
Tha Sala District, Nakhon Si Thammarat Province. The method included observation, in-depth interview, focus
group discussions and evaluation of mosquito larvae index. The 76 people from the two villages were selected to
participate in workshops, training, brainstorming, group discussions, and case study. The process was conducted in four
phases. The phase 1 – preparation of research assistants, selected the study sites, local agencies in the communities, and
investigation of the local context by a process of community diagnosis in 14 communities. The phase 2 –community
context and situation: two communities consisting of Moo 8 and 9 were selected to be targeted communities because of
the high level of Chikungunya disease; (3) phase 3 – implementation process: applying Appreciation Influence Control
(AIC) technique approach to develop knowledge on Chikungunya Disease prevention and control for all participants.
The process investigated participants’ potential in implementation by focus group discussion on situation in community
and presenting projects to committee to analyze possibility of project. 4) Fourth phase (process of project evaluation),
the two projects implanting in two communities were evaluated by comparing the output and different strategies to
identify the proper model to prevent and control Chikungunya Disease. This result reveled the two communities produced
2 projects for Chikungunya disease prevention and when compared the results of implementation found that the found
that the both villages had House Index (HI) after intervention program were not different. Thus, these research activities
could lead to potential development of community, community leaders, health care providers and stakeholders. It was
also found that this model was effective to empower people to plan solutions to community problems collectively.
Keywords: community participation, prevention and disease control, Chikungunya disease