Background:The aim of this study was to determine the role of community participation in prevention of dengue fever in The Swat district located in the Northern area of Khyber Pakhtunkhwa, Pakistan, which experienced a dengue fever outbreak in August, 2013. A total number of 8,963 dengue cases with 0.4% case fatality ratio were registered during the outbreak.Methods:A sample size of 354 respondents were proportionally allocated to each residential colony and then randomly selected. The association of independent variable (Community participation) and dependent variable (practices for control) were tested by using Chi Square test.Results:Results regarding perception of practices for dengue control with community participation showed that: practices for control had significant association with organization of people to eradicate dengue mosquitoes (p=0.00), community leaders (p=0.04), community efforts (p≤0.01), use of insecticides by community people (p=0.00) and involvement of community people in awareness campaign (p=0.00). Similarly, significant associations were found between practices for control and community shared information during dengue outbreak (p=0.00), community link with health department, NGO, Other agencies (p=0.02).Conclusion and Global Health Implications:We conclude that the spread of dengue epidemic was aided by the ignorance, laziness of the community people and government agencies. However, the people, religious scholars, leaders and government agencies were not organized to participate in dengue prevention and eradication, hence, the chances of dengue infection increased in community. The study recommends mobilizing local communities and activating local leadership with active participation of Government and non-government organizations for initiation of preventive strategies.

The main aim of this study was to find out the barriers in dengue prevention in the Swat District of Khyber Pkhtunkhwa Province, Pakistan. A sample size of 354 respondents were proportionally allocated to each Mahallah or street (Tahir Abad, Angaro Dheri, Usman Abad and Banr) and then randomly selected. The association of the independent variable (barriers to prevention) and dependent variables (practices for control) were tested by using a Chi Square test. The perception about barriers in dengue prevention shows that a highly significant association was found between practices for control and access to medical facilities (p=0.034), government agencies to eradicate dengue breeding sites (p=0.005), dengue insecticides available in market (p= 0.028), use of bed nets (p=0.000), government/NGO instruction (p=0.008) and inconvenient sleep in bed nets (p=0.000). The barriers which enhanced the susceptibility of dengue epidemic were high population density, sufficient breeding sites in residential areas, and lack of coordination of government agencies with citizens to give instruction and advices about dengue prevention and treatment. Rather than the government, most of the infected persons were advised and treated by private health clinics. The study recommends controlling dengue fever and its vectors in the most vulnerable areas by providing emergency facilities, medicines, preventive chemicals and mosquito nets free of cost or with price controls.

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