Health  Vol.3 No.9 , September 2011
A model of community capacity building for sustainable dengue problem solution in Southern Thailand
Abstract: Dengue community capacity (DCC) is important for developing a sustainable approach to over-coming the problem of dengue. The objectives were 1) to develop and 2) evaluate a dengue community capacity building model for the leader and non-leader group in three communities selected by purposive technique. A mixed method research design was used employing both qualitative and quantitative methods with qualitative studies conducted for community capacity building model: assessment, planning, implementation, and evaluation. DCC level was assessed by the Dengue Community Capacity Assessment Tool (DCCAT) including larval indices, and morbidity and mortality rate. To analyze the differences of the leader and non-leader’s DCC levels both pre and post-interventions in each model, the Mann-Whitney and Independent T-test were used and to analyze the difference of the DCC level among the three models (Ban Mon, Ban Nangpraya and Ban Kang), the Kruskal-Wallis Test, ANOVA, and ANCOVA were used. The findings showed that there were some differences among the three models in dengue community capacity building in terms model. The participants consisted of leader (n = 26, 24 and 28) and non-leader groups (n = 200, 215 and 176 respectively). The DCC levels of both leader and non-leader groups increased post-intervention in each model (p < 0.001) and in all three models, showing a statistically significant difference between pre and post-intervention (p < 0.001). Ban Kang model demonstrated the highest DCC levels of leader and non-leader groups, the lowest larval indices (HI, BI, and CI), and no dengue morbidity. In contrast, Ban Mon and Ban Nangpraya model showed low DCC level in both leader and non-leader groups, a high rate of larval indices and high dengue morbidity rate. However, there was no mortality rate in three areas. The conclusion indicates that the model with a high DCC level showed low risk on the dengue index both entomological and epidemiology index. The model of dengue community capacity building for dengue solution was sustainability not only needs to be maintained DCC levels but also increased dependent upon the contexts of each community.
Cite this paper: nullSuwanbamrung, C. , Dumpan, A. , Thammapalo, S. , Sumrongtong, R. and Phedkeang, P. (2011) A model of community capacity building for sustainable dengue problem solution in Southern Thailand. Health, 3, 584-601. doi: 10.4236/health.2011.39100.

[1]   Promprou, S., Jaroensutasinee, M. and Jaroensutasinee, K. (2005) Climatic factors affecting dengue heamorrhagic fever incidence in southern Thailand. Dengue Bulletin, 29, 41-48.

[2]   Lcung, M.W., Yen, I.H. and Minkler, M. (2004) Community-based participatory research: A promising approach for increasing epidemiology's relevance in the 21st century. International Journal of Epidemiology, 33, 499-506. doi:10.1093/ije/dyh010

[3]   Guha-Sapir, D. and Schimmer, B. (2005) Dengue fever: New paradigms for a changing epidemiology. Emerging Themes in Epidemiology, 2, 1. doi:10.1186/1742-7622-2-1

[4]   Heintze, C., Garrido, M.V. and Kroeger, A. (2007) What do community-based dengue control programmes achieve? A systematic review of published evaluations. Transactions of the Royal Society of Tropical Medicine and Hygiene, 101, 317-325. doi:10.1016/j.trstmh.2006.08.007

[5]   Toledo, M.E., Vanlerberghe, V., Perez, D., Lefevre, P., Ceballos, E., Bandera, D., et al. (2007) Achieving sustainability of community-based dengue control in Santiago de Cuba. Social Science & Medicine, 64, 976-988. doi:10.1016/j.socscimed.2006.10.033

[6]   Better Health Center (2001) A framework for building capacity to improve health. Better Health Center-Publi- cations Warehouse, North Ryde.

[7]   Pan American Health Organization (PAHO) (2003) 44th Directing council, 55th session of the regional committee. Washington DC, 22-26 September 2003.

[8]   World Health Organization (1999) Prevention and control of dengue and dengue hemorrhagic fever: Comprehensive guidelines. WHO Regional Publication, New Delhi, SEARO No. 29.

[9]   Centers for Disease Control and Prevention (CDC) (2003) Epidemic/Epizootic west Nile virus in the United States: Guidelines for surveillance, prevention, and control. CDC, Colorado.

[10]   Spark, R. (2003) Dengue fever management plan for North Queensland 2000-2005. Queensland government, Queensland.

[11]   Laverack, G. (2001) An identification and interpretation of the organizational aspects of community empowerment. Community Development Journal, 36, 134-145. doi:10.1093/cdj/36.2.134

[12]   Labonte, R. and Laverack, G. (2001) Capacity building in health promotion, part 2; whose use? And with what measurement? Critical Public Health, 11, 129-139. doi:10.1080/09581590110039847

[13]   Laverack, G. (2003) Building capable communities: Experiences in a rural Fijian context. Health Promotion International, 18, 99-106. doi:10.1093/heapro/18.2.99

[14]   Norton, B.L., McKeroy, K.R., Burdine, J.N., Felix, M.R.J. and Dorsey, A.M. (2002) Community capacity: Concept, theory, and methods. Jossey-Bass Wiley, San Francisco.

[15]   Suwanbamrung, C., Nukan, N., Sripon, S., Somrongthong, R. and Singchagchai, P. (2010) Community capacity for sustainable community-based dengue prevention and control: Study of a sub-district in Southern Thailand. Asian Pacific Journal of Tropical Medicine, 3, 1-5.

[16]   Suwanbamrung, C., Somrongthong, R., Singchanchai, P. and Srigernyuang, L. (2008) The development of a tool to assess community capacity of sustainable community- based dengue prevention and control: A study in Southern Thailand. PhD Thesis, Chulalongkorn University, Bangkok.

[17]   Laverack, G. (2006) Evaluating community capacity: Visual representation and interpretation. Community Development Journal, 41, 266-276. doi:10.1093/cdj/bsi047

[18]   Smith, N., Littlejohns, L.B. and Roy, D. (2003) Measurement community capacity: State the field review and recommendations for future research. David Thrompson Health Region, Red Deer.

[19]   Gibbon, M., Labonte, R. and Laverack, G. (2002) Evaluation community capacity. Health and Social Care in the Community, 10, 485-491. doi:10.1046/j.1365-2524.2002.00388.x

[20]   Suwanbamrung, C. (2010) Community capacity for sustainable community-based dengue prevention and control: Domain, assessment tool, capacity building model. Asia Pacific Journal Tropical Medicine, 3, 499-504. doi:10.1016/S1995-7645(10)60121-6

[21]   Nguyen, M.-N., Gauvin, L., Martineau, I. and Grignon, R. (2005) Sustainability of the impact a public health intervention: Lessons learned from the Laval walking clubs experience. Health Promotion Practice, 6, 44-52. doi:10.1177/1524839903260144

[22]   Bopp, M. and Bopp, J. (2002) Welcome to de Swamp: Why assessing community capacity is fundamental to transformational work. In: Smith, N., Littlejohns, L.B. and Roy, D., Ed., Measurement Community Capacity: State the Field Review and Recommendations for Future Research, Community-Level Indicators: Building Community Capacity for Health Conference, David Thrompson Health Region, Red Deer.

[23]   Laverack, G. and Wallerstein, N. (2001) Measuring community empowerment: A fresh look at organizational domains. Health Promotion International, 16, 179-185. doi:10.1093/heapro/16.2.179

[24]   Suwanbamrung, C., Somrongthong, R., Singchagchai, P. and Srigernyaung, L. (2009) Application of a dengue community capacity-assessment tool (Dccat) for sustainable community-based dengue prevention and control. In: Boonmongkon, P. and Samakekarom, R., Eds., The 1st Annual International Graduate Research Conference on Social Sciences and Humanities Theme “Harmony in Diversity” Between April 2-3, 2009, Bangkok, 204.

[25]   Wongkoon, S., Jaroensutasinee, M. and Jaroensutasinee, K. (2005) Larval infestation of Ades aegypti and Ades albopictus in Nakhon Si Thammarat, Thailand. Dengue Bulletin, 29, 169-175.