Evaluation of Prevention Operations for the Control of Dengue Fever, Bang Bo District, Samut Prakan Province

Abstract

This research is mixed methods research. The objective was to study evaluation of prevention operations controlling dengue fever in Bang Bo District, Samut Prakan Province and factors that could predict operations to prevent and control dengue fever. Sample group in quantitative study was the responsible persons for disease control work at Bang Bo hospital, district public health office, subdistrict health promoting hospital and local government organizations, Bang Bo district, Samut Prakan province, totaling 98 people. The sample group in this qualitative study consisted of executives: deputy director of Bang Bo hospital (disease control work) Bang Bo district public health office and the director of the subdistrict health promoting hospitals in Bang Bo district, totaling 15 people. Quantitative data were analyzed using Pearson’s correlation coefficient and stepwise multiple regression analysis. Qualitative data were analyzed using content analysis. Data collection using questionnaires and interviews. It was found that the overall picture of prevention operations control of dengue fever was at a high level, 60.2 percent. Factors that could predict preventive operations control of dengue fever with statistical significance (p<0.05) included age and training, which could predict preventive actions for the control of dengue fever by 42.7 percent. The results of the qualitative study found that context of the area with hidden population foreign population who were foreign workers. There was constant movement of workers in and out, resulting in the easy and quick spread of contagious diseases. Urban areas had many risk factors, such as garbage problems and environmental problems. Traditional control of dengue fever by eliminating breeding grounds for Aedes mosquitoes had not been successful. Resource limitations included people, budgets, materials, equipment, and tools for protection had resulted in insufficient disease control. There were problems with delayed return of patient information from some private hospitals and the problem on the linkage of information for relevant agencies to use in a timely manner. For the recommendations, the creation of new knowledge should be promoted including innovation and local wisdom leading to the development of protection models for the control dengue fever using public participation. In summary, the evaluation of prevention operations control of such dengue fever could be further developed as a guideline for creating and developing protection models to control infectious diseases in the context of Bang Bo District.