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Building and analyzing an innovative community-centered dengue-ecosystem management intervention in Yogyakarta, Indonesia

Susilowati, Tana, Umniyati, SittiRahmah, Petzold, Max, Kroeger, Axel and Sommerfeld, Johannes (2012) 'Building and analyzing an innovative community-centered dengue-ecosystem management intervention in Yogyakarta, Indonesia'. Pathogens and Global Health, Vol 106, Issue 8, pp. 469-478.

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Abstract

Background and Objectives: Dengue is an important public health problem in Yogyakarta city, Indonesia. The aim of this study was to build an innovative community-centered dengue-ecosystem management intervention in the city and to assess the process and results.
Methods: For describing the baseline situation, entomological surveys and household surveys were carried out in six randomly selected neighborhoods in Yogyakarta city, documents were analyzed and different stakeholders involved in dengue control and environmental management were interviewed. Then a community-centered dengue-ecosystem management intervention was built up in two of the neighborhoods (Demangan and Giwangan) whereas two neighborhoods served as controls with no intervention (Tahunan and Bener). Six months after the intervention follow up surveys (household interviews and entomological) were conducted as well as focus group discussions and key informant interviews.
FIindings: The intervention results included: better community knowledge, attitude and practices in dengue prevention; increased household and community participation; improved partnership including a variety of stakeholders with prospects for sustainability; vector control efforts refocused on environmental and health issues; increased community ownership of dengue vector management including broader community development activities such as solid waste management and recycling.
Conclusion: The community-centred approach needs a lot of effort at the beginning but has better prospects for sustainability than the vertical “top-down” approach.

Item Type: Article
Subjects: QX Parasitology > Insects. Other Parasites > QX 525 Aedes
QX Parasitology > Insects. Other Parasites > QX 600 Insect control. Tick control
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WC Communicable Diseases > Virus Diseases > Infectious Mononucleosis. Arbovirus Infections > WC 528 Dengue
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 765 Prevention and control
Faculty: Department: Groups (2002 - 2012) > International Health Group
Digital Object Identifer (DOI): https://doi.org/10.1179/2047773212Y.0000000062
Depositing User: Rachel Dominguez
Date Deposited: 30 Apr 2013 14:43
Last Modified: 06 Feb 2018 13:05
URI: http://archive.lstmed.ac.uk/id/eprint/3242

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