Awareness and Preventive Measure on Dengue Fever among Community People in Kathmandu

Jamuna Adhikari, Sita Oli, A. Pandey, B. K. Dangol
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Abstract

Introduction: More than one-third of the worldwide populations are affected by dengue fever. It is a public health problem.  The objective of this study is to find out the awareness and preventive measure on dengue fever. Method: A Descriptive Cross-sectional research design was adopted to collect the data from 346 people by non-probability purposive sampling technique. A semi-structured questioner was developed based on intensive literature reviewed. The investigator herself after the approval of the IRC (Institutional review committee) TUIOM collected data. Before data collection, formal permission was obtained from the ward office of Chandragiri municipality-5. Written consent was obtained from each individual sampling unit before interview and observation. The findings were described in descriptive statistics. Result: All most all (95.4%) respondents were heard about dengue fever. All respondents answered dengue can be prevention, but 40.17% respondents were known it is viral infection, 29.19% belief it is communicable diseases transmitted by mosquito (48%), but the specific types of mosquito (Aedes aegypti), known only 36.7% of respondents. Majority of respondents (84.39%) known it is transmitted by mosquito to human being and below half (47.68%) of respondents known this type of mosquito is breeding in clean stagnation water and bite in day and dusk 67.63%. All most all respondents known about signs and symptoms of the dengue high fever (98.84%), headache (74.85), body ache (62.71%), retro orbital pain (36%), easily bleeding (32.26%) flushing (26.58%), sore throat (23.12 %), skin erythema (16.18%), and photophobia (15.89%), are early signs of dengue infection. Sixty-three percent respondents know the vomiting is late signs of dengue infection, lethargy (43.35 %), blood disorder (35.54%), weakness (30.92%), shock (22.54 %), and bleeding (21.38%), are late signs of dengue infection. Only 46.82% respondents know management of dengue infection, Below half (44.8%) respondents’ answered its prognosis is good, majority of respondents known about complication of dengue is bleeding and shock and 19% respondents known vaccine is not availed of dengue infection till date. In mosquito controls measures, highest number of respondents (66.5%) were aware on environment sanitation can control the mosquito; all most all respondents were aware on mosquito control is the only one solution of the dengue control. Conclusion: The awareness regarding dengue in the study participants are not sufficient and preventive practices are not satisfactory. Improvement of prevention practices for dengue transmission must be emphasized.
加德满都社区居民对登革热的认识及预防措施
导言:全世界超过三分之一的人口受到登革热的影响。这是一个公共卫生问题。本研究的目的在于了解市民对登革热的认识及预防措施。方法:采用描述性横断面研究设计,采用非概率目的抽样技术对346人进行数据采集。在大量文献回顾的基础上,开发了半结构化的提问器。研究者本人经IRC(机构审查委员会)批准后在TUIOM收集资料。在收集数据之前,获得了Chandragiri市政府的正式许可-5。在访谈和观察前获得每个抽样单位的书面同意。这些发现是用描述性统计来描述的。结果:95.4%的被调查者听说过登革热。所有被调查者都回答登革热是可以预防的,但40.17%的被调查者知道它是病毒感染,29.19%的被调查者认为是蚊虫传播的传染病(48%),但对具体的蚊子类型(埃及伊蚊),只有36.7%的被调查者知道。大多数应答者(84.39%)知道其通过蚊虫传播给人,不到一半(47.68%)的应答者知道其孳生在干净的滞滞水中,并在白天和黄昏叮咬67.63%。绝大多数应答者都知道登革高热(98.84%)、头痛(74.85)、身体疼痛(62.71%)、眼眶复古痛(36%)、易出血(32.26%)、潮红(26.58%)、喉咙痛(23.12%)、皮肤红斑(16.18%)和畏光(15.89%)是登革感染的早期体征。63%的应答者知道呕吐是登革热感染的晚期体征,嗜睡(43.35%)、血液紊乱(35.54%)、虚弱(30.92%)、休克(22.54%)和出血(21.38%)是登革热感染的晚期体征。只有46.82%的受访者知道登革热感染的管理,不到一半(44.8%)的受访者回答其预后良好,大多数受访者知道登革热的并发症是出血和休克,19%的受访者知道迄今为止没有登革热感染疫苗。在防蚊措施方面,认识到环境卫生可以防蚊的受访者最多(66.5%);大多数应答者都意识到蚊虫控制是控制登革热的唯一方法。结论:研究对象对登革热的认识不充分,预防措施不理想。必须强调改进登革热传播的预防措施。
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