Knowledge, attitudes, and practices about dengue among pupils from rural schools in an endemic area in Colombia
Abstract
Introduction: Dengue is a public health problem in tropical and subtropical regions of the world. Studies on dengue in rural areas are scarce since the disease is considered mainly urban.
Objective: To determine the knowledge (K), attitudes (A) and practices (P) of dengue in an endemic area in Colombia.
Materials and methods: We conducted a cross-sectional study with 515 pupils (7-16 years old) in 34 rural schools in Anapoima and La Mesa municipalities during 2011. Each KAP category was evaluated independently by a scoring system and then categorized into high, medium or low.
Results: Pupils recognized knowledge variables such as the symptoms (fever, bone pain), transmission route (mosquito bites), and mosquito breeding sites (uncovered water tanks, solid waste). Average scores on attitude were high in both municipalities indicating a well-developed perception of disease severity. Seeking treatment in medical centers and self-medication for fever management and the use of mosquito net and space-spraying of insecticides were the most frequently identified practices.
Discussion: This is the first KAP dengue study performed in a rural area in Colombia and as such it contributes to the understanding of dengue perceptions by the inhabitants of these areas. It showed a medium level of knowledge about dengue and a lower level of preventive practices in pupils from rural schools. It also showed that pupils considered space-spraying as crucial for vector control. The presence of the vector in rural areas of the country underlines the need to improve surveillance and education to more effectively control the vector and promote prevention methods including community participation.
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References
World Health Organization. Dengue and severe dengue. Geneva: World Health Organization; 2016. Accessed on: May 27, 2016. Available at: http://www.who.int/mediacentre/factsheets/fs117/en/
Brady OJ, Gething PW, Bhatt S, Messina JP, Brownstein JS, Hoen AG, et al. Refining the global spatial limits of dengue virus transmission by evidence-based consensus. PLoS Negl Trop Dis. 2012;6:e1760. https://doi.org/10.1371/journal.pntd.0001760
Bhatt S, Gething PW, Brady OJ, Messina JP, Farlow AW, Moyes CL, et al. The global distribution and burden of dengue. Nature. 2013;496:504-7. https://doi.org/10.1038/nature12060
Padilla J, Rojas D, Sáenz-Gómez R. Dengue en Colombia: epidemiología de la reemergencia a la hiperendemia. Bogotá: Guías de impresión; 2012.
Pérez-Castro R, Castellanos JE, Olano VA, Matiz MI, Jaramillo JF, Vargas SL, et al. Detection of all four dengue serotypes in Aedes aegypti female mosquitoes collected in a rural area in Colombia. Mem Inst Oswaldo Cruz. 2016;111:233-40. https://doi.org/10.1590/0074-02760150363
Christofferson RC. Zika virus emergence and expansion: Lessons learned from dengue and chikungunya may not provide all the answers. Am J Trop Med Hyg 2016;95:15-8. https://doi.org/10.4269/ajtmh.15-0866
World Health Organization. Dengue vaccine: WHO position paper – September 2018. Weekly Epidemiol Record. 2018;36:457-76.
Elder J, Lloyd L. Achieving behaviour changes for dengue control: Methods scaling-up and sustainability. Report of the Scientific Working Group on Dengue. Geneva: World Health Organization; 2006.
Heintze C, Garrido MV, Kroeger A. What do community-based dengue control programmes achieve? A systematic review of published evaluations. Trans R Soc Trop Med Hyg. 2007;101:317-25. https://doi.org/10.1016/j.trstmh.2006.08.007
Organización Mundial de la Salud, Organización Panamericana de la Salud. Dengue: Guías para el diagnóstico, tratamiento, prevención y control. Primera edición. La Paz: OPS/OMS; 2009.
Claro LB, Kawa H, Cavalini LT, Rosa ML. Community participation in dengue control in Brazil. Dengue Bulletin. 2006;30:214-22.
Suárez R, Olarte S MF, Ana MF, González C. Is what I have just a cold or is it dengue? Addressing the gap between the politics of dengue control and daily life in Villavicencio-Colombia. Soc Sci Med. 2005;61:495-502. https://doi.org/10.1016/j.socscimed.2004.11.069
Madeira NG, Macharelli CA, Pedras JF, Delfino MC. Educação de escolares de primeiro grau como estratégia no controle do dengue. Rev Soc Bras Med Trop. 2002;35:221-6. https://doi.org/10.1590/S0037-86822002000300004
Soto-Hernández RJ, Fernández-Cerna EA, Ávila-Montes GA. Evaluación de un programa educativo sobre dengue y Aedes aegypti focalizado en niños de escuela primaria. Revista Médica Hondureña. 1995;63:12-8.
Restrepo BN, Pineda J, Parra-Henao GJ. Aplicación y evaluación de materiales educativos para la prevención del dengue en una institución educativa de Medellín, Colombia. Revista CES Medicina. 2011;25:31-41.
Ávila Montes GA, Martínez M, Sherman C, Fernández-Cerna E. Evaluación de un módulo escolar sobre dengue y Aedes aegypti dirigido a escolares en Honduras. Rev Panam Salud Pública. 2004;16:84-94.
Olano VA, Matiz MI, Lenhart A, Cabezas L, Vargas SL, Jaramillo JF, et al. Schools as potential risk sites for vector-borne disease transmission: Mosquito vectors in rural schools in two municipalities in Colombia. J Am Mosq Control Assoc. 2015;31:212-22. https://doi.org/10.2987/moco-31-03-212-222.1
Overgaard HJ, Alexander N, Matiz MI, Jaramillo JF, Olano VA, Vargas S, et al. A cluster randomized controlled trial to reduce diarrheal disease and dengue entomological risk factors in rural primary schools in Colombia. PLoS Negl Trop Dis. 2016;10:e0005106. https://doi.org/10.1371/journal.pntd.0005106
Departamento Administrativo Nacional de Estadística (DANE). Perfil municipal de Anapoima. Censo General, 2005. Accessed on: September 13, 2018. Available at:
https://www.dane.gov.co/files/censo2005/perfiles/cundinamarca/anapoima.pdf
Departamento Administrativo Nacional de Estadística (DANE). Estimación y proyección de población nacional, departamental y municipal por sexo, grupos quinquenales de edad y edades simples de 0 a 26 años 1985-2020. Accessed on: September 13, 2018. Available at: https://www.dane.gov.co/index.php/estadisticas-por-tema/demografia-y-poblacion/proyecciones-de-poblacion
Departamento Administrativo Nacional de Estadística (DANE). Perfil municipal La Mesa. Censo general 2005. Accessed on: September 13, 2018. Available at: https://www.dane.gov.co/files/censo2005/perfiles/cundinamarca/la_mesa.pdf
Ministerio de Salud. Resolución 8430 de 1993. Accessed on: September 13, 2018. Available at: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF
Yboa BC, Labrague LJ. Dengue knowledge and preventive practices among rural residents in Samar province, Philippines. Am J Public Health. 2013;1:47-52. https://doi.org/10.12691/ajphr-1-2-2
Torres-López TM, Guerrero-Cordero JL, Salazar-Estrada JG. Dimensiones culturales del dengue que favorecen o dificultan su prevención en México. Rev Panam Salud Pública. 2012;31:197-203.
LefèvreI AM, RibeiroII AF, Monteiro Marques II GR, SerpaII LL, LefèvreIII F. Representações sobre dengue, seu vetor e ações de controle por moradores do município de São Sebastião, litoral Norte do Estado de São Paulo, Brasil. Cad Saúde Pública. 2007;23:1696-706. https://doi.org/10.1590/S0102-311X2007000700022
Ministerio de la Protección Social, Instituto Nacional de Salud, Organización Panamericana de la Salud. Gestión para la vigilancia entomológica y control de la transmisión de dengue. Bogotá: Ministerio de la Protección Social, Instituto Nacional de Salud, Organización Panamericana de la Salud; 2010.
Instituto Nacional de Salud. Reporte de evento. Comportamiento epidemiológico del dengue en Colombia año 2011. Accessed on: September 11, 2018. Available at: http://portalsivigila.ins.gov.co/rutinaria/historica/rutinaria_2011.xlsx
Universidad El Bosque. Prevención del dengue y control del Aedes aegypti en el área rural del municipio de Anapoima, Cundinamarca. Resultados del diagnóstico. Bogotá: Instituto Salud y Ambiente, Universidad El Bosque; 2011.
Al-Dubai SA, Ganasegeran K, Mohanad Rahman A, Alshagga MA, Saif-Ali R. Factors affecting dengue fever knowledge, attitudes and practices among selected urban, semiurban and rural communities in Malaysia. Southeast Asian J Trop Med Public Health. 2013;44:37-49.
Torres JL, Ordóñez JG, Vázquez-Martínez MG. Dengue-related knowledge, attitudes, and practices in primary schools in Tapachula, Chiapas, México. Rev Panam Salud Pública. 2014;35:214-8.
Alcalá L, Quintero J, González-Uribe C, Brochero H. Productividad de Aedes aegypti (L.) (Diptera: Culicidae) en viviendas y espacios públicos en una ciudad endémica para dengue en Colombia. Biomédica. 2015;35:258-68. https://doi.org/10.7705/biomedica.v35i2.2567
Departamento Administrativo Nacional de Estadística (DANE). Encuesta de Calidad de Vida – ECV 2015. Boletín técnico. Accessed on: September 11, 2018. Available at: https://www.dane.gov.co/files/investigaciones/condiciones_vida/calidad_vida/Boletin_Tecnico_ECV_2016.pdf
Vesga-Gómez C, Cáceres-Manrique FM. Eficacia de la educación lúdica en la prevención del dengue en escolares. Rev Salud Pública. 2010;12:558-69.
Santos SL, Parra-Henao G, Silva MB, Augusto LG. Dengue in Brazil and Colombia: A study of knowledge, attitudes, and practices. Rev Soc Bras Med Trop. 2014;47:783-7. https://doi.org/10.1590/0037-8682-0048-2014
Ministerio de la Protección Social, Instituto Nacional de Salud, Organización Panamericana de la Salud. Protocolo para la vigilancia en salud pública del dengue. Bogotá: Ministerio de la Protección Social, Instituto Nacional de Salud, Organización Panamericana de la Salud; 2010.
Spiegel J, Bennett S, Hattersley L, Hayden MH, Kittayapong P, Nalim S, et al. Barriers and bridges to prevention and control of dengue: The need for a social–ecological approach. EcoHealth. 2005;2:273-90. https://doi.org/10.1007/s10393-005-8388-x
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