Development of Prevention and Control of Dengue Fever by the Process of Five Networks, Five Collaborations, Five Attributions in Muang District, Yasothorn - รูปแบบการป้องกันควบคุมโรคไข้เลือดออก ด้วยกระบวนการห้าเครือข่าย ห้าร่วม ห้าคุณลักษณะ อำเภอเมืองยโสธร

บทคัดย่อ

          The objective of this study was to develop a program for the prevention and control of dengue fever through the process of five networks, five collaborations, five attributions in Muang Yasothorn District. It
was conducted as an action research from October 2012 - December 2013. It was divided into four phases: phase 1 to analyze problems and guidelines for program implementation of the community; phase 2 to develop a model for the prevention and control of dengue fever by the process of five networks
(locality, area, education, religion and public health), five collaborations (brain storming, participation, accountability, joint evaluation and joint development), and five attributions (committee, epidemiological system, planning, funding and results for disease control); phase 3 to evaluate the process and effects of the prevention and control; and phase 4 to reflect the results of operations by organized seminars to learn and compile the lessons. The samples were 526 participants purposively selected from the communities to include community leaders, public health volunteers, local authorities, Buddhist monks, and public health officers. The research instruments were observation and participation, epidemiological reports, process evaluation form, the scores of mosquito-free village contest, the existing tools for the evaluation of health facilities in the prevention and control of dengue fever, and a questionnaire. Analysis was conducted by
using number, percentage, mean and standard deviation for quantitative data, content analysis for qualitative data. The results of the study were as follows: (1) there were 21 villages that actively implementing the program for prevention and control of dengue fever by the process of five networks, five collaborations, and five attributions; and (2) the model was found to be effective in reducing dengue, as observed by the low level of house index (HI) and container index (CI), and there was no dengue case reported in 61.90% of the villages as well as zero case from second generation transmission in all villages.
Key words: dengue fever, disease control and prevention, community participation