BackgroundThe Indonesian region of Aceh was the area most severely affected by the earthquake and tsunami of 26 December 2004. Department of Health data reveal an upward trend of dengue cases in Aceh since the events of the tsunami. Despite the increasing incidence of dengue in the region, there is limited understanding of dengue among the general population of Aceh. The aim of this study was to assess the knowledge, attitude, and practice (KAP) regarding dengue among the people of Aceh, Indonesia in order to design intervention strategies for an effective dengue prevention program.MethodsA community-based cross-sectional study was conducted in Aceh between November 2014 and March 2015 with a total of 609 participants living in seven regencies and two municipalities. Information on the socio-demographic characteristics of participants and their KAP regarding dengue was collected using a pre-tested structured questionnaire. The KAP status (good vs. poor) of participants with different socio-demographic characteristics was compared using Chi Square-test, ANOVA or Fisher’s exact test as appropriate. Logistic regression analysis was used to determine the predictors of each KAP domain.ResultsWe found that 45% of participants had good knowledge regarding dengue and only 32% had good attitudes and good dengue preventive practices. There was a significant positive correlation between knowledge and attitudes, knowledge and practice, and attitudes and practice. In addition, people who had good knowledge were 2.7 times more likely to have good attitudes, and people who had good attitudes were 2.2 times more likely to have good practices regarding dengue. The level of education, occupation, marital status, monthly income, socioeconomic status (SES) and living in the city were associated with the knowledge level. Occupation, SES, and having experienced dengue fever were associated with attitudes. Education, occupation, SES and type of residence were associated with preventive practices.ConclusionOur study suggests that dengue prevention programs are required to increase KAP levels regarding dengue in the communities of Aceh.Electronic supplementary materialThe online version of this article (10.1186/s12879-018-3006-z) contains supplementary material, which is available to authorized users.
This study reveals that low KAP regarding dengue fever, low education level and low socioeconomic status are associated with a poor attitude towards dengue vaccination. Therefore, inhabitants of suburbs who are working as farmers or traditional market traders with low socioeconomic status are the most appropriate target group for a dengue vaccine introduction program.
BackgroundDengue virus infection is the most rapidly spreading vector-borne disease in the world. Essential research on dengue virus transmission and its prevention requires community participation. Therefore, it is crucial to understand the factors that are associated with the willingness of communities in high prevalence areas to participate in dengue research. The aim of this study was to explore factors associated with the willingness of healthy community members in Aceh province, Indonesia, to participate in dengue research that would require phlebotomy.Methodology/Principal FindingsA community-based cross-sectional study was carried out in nine regencies and municipalities of Aceh from November 2014 to March 2015. Interviews using a set of validated questionnaires were conducted to collect data on demography, history of dengue infection, socioeconomic status, and knowledge, attitude and practice regarding dengue fever. Two-step logistic regression and Spearman’s rank correlation (rs) analysis were used to assess the influence of independent variables on dependent variables. Among 535 participants, less than 20% had a good willingness to participate in the dengue study. The factors associated with good willingness to participate were being female, working as a civil servant, private employee or entrepreneur, having a high socioeconomic status and good knowledge, attitude and practice regarding dengue. Good knowledge and attitude regarding dengue were positive independent predictors of willingness to participate (OR: 2.30 [95% CI: 1.36–3.90] and 3.73 [95% CI: 2.24–6.21], respectively).Conclusion/SignificanceThe willingness to participate in dengue research is very low among community members in Aceh, and the two most important associated factors are knowledge and attitude regarding dengue. To increase participation rate, efforts to improve the knowledge and attitude of community members regarding dengue fever and dengue-related research is required before such studies are launched.
Masa bayi merupakan masa pertama dalam fase kehidupan seseorang, dimana pada masa ini memerlukan adaptasi terhadap lingkungan. Bayi Berat Lahir Rendah adalah bayi baru lahir yang memiliki berat saat lahir kurang dari 2500 gram. Prevalensi BBLR diperkirakan 15% dari seluruh kelahiran di dunia dan lebih sering terjadi di negara berkembang atau dengan sosio ekonomi rendah. Angka kematian BBLR 35x lebih tinggi di banding pada bayi dengan berat lahir lebih dari 2500 gram. untuk mensistensis penelitian-penelitian secara empiris sehingga dapat mengidentifikasi perawatan dengan metode kangaroo mother care pada BBLR. Sistematik review ini dilakukan melaui tahapan : membuat pertanyaan penelitian, mencari sumber data dan ektraksi serta seleksi artikel. Pencarian artikel menggunakan database elektronik yaitu google scholar, Pub Med, SINTA, Kandaga, Nejm, Science Direct dengan kata kunci yang digunakan dalam bahasa Indonesia dan bahasa inggris adalah “BBLR” atau “Low birth weight”, “Kangaroo Mother Care (KMC)”. Kriteria inklusi artikel yang diambil yaitu yang diplubikasikan full text, dalam rentang waktu 2014-2018, jenis penelitian kuantitatif, kriteria peneliti minimal S1 Keperawatan, artikel yang memiliki konten utama intervensi Kangaroo Mother Care untuk perawatan BBLR. Hasil pencarian ditemukan 1.625 artikel pada Google Scholar 201 artikel, NEJM 12 artikel, Pub Med 633 Artikel, dan Science Direct 779 artikel. Setelah disesuaikan dengan kriteria inklusi maka artikel yang tersisa sebanyak 8 artikel. KMC dalam perawatan BBLR berpengaruh signifikan terhadap peningkatan respon fisiologis BBLR. Disarankan KMC sebagai terapi untuk perawatan BBLR yang dapat dilakukan oleh ibu secara langsung, tanpa biaya dengan pemberian pendidikan kesehatan oleh tenaga kesehatan terlebih dahulu.
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