Purpose Chiang Rai is the northernmost province of Thailand. Municipal solid wastes (MSWs) was generated 430,828.2 ton/y in this area; however, only 24 percent of waste was properly disposed, and 43 percent of waste was properly managed. The purpose of this paper is to explore knowledge, attitudes and practices (KAP) of highland residents in order to provide a basis for the development of waste management in the study area. Design/methodology/approach A cross-sectional study was conducted in Mae Fah Luang district, Thailand, from November 2016 to January 2017. A random sample of 451 respondents constituted the study population. Data were gathered using a structured questionnaire. Pearson Correlation and χ2 were applied to identify the association among variables. Findings Overall, 73 percent of respondents had high level of knowledge; 85 percent of respondents showed neutral attitude; and 59 percent of respondents performed moderate practice on MSW management. The results highlighted that age and education levels were statistically significant associated with KAP levels on MSW management at (p=0.05). Originality/value The respondents who have good knowledge also have a good level of practice; and those who have good attitude also have a good level of practice. Socio-demographic factors and suitable way to promote an effective MSW management should be considered.
This study investigated municipal solid waste generation rate and its compositionincluding the level of knowledge, attitude and practice on municipal solid waste (MSW) management of highland rural tourist area in Chiang Rai Province, Mae Salong Nok Sub-district, Thailand in order to propose the guidelines for effective MSW in rural tourist areas. Samples of MSW were collected during weekdays and several weekends, and separated into 4 categories: general,recyclable, organic and hazardous waste. About 40 % of the MSW consisted of organic waste; plastic bags were widely present, comprising more than 60 % of the mass of the general waste group. Level of knowledge, attitude and practice(KAP) on MSW was evaluated using questionnaires. While respondents scored 80 % and 76 %, respectively, on their level of knowledge of, and attitude to MSW, practice fell far short at only 37 %. The results led to a recommendation to strengthen waste separation at source, implement waste reduction and recycling concepts to reduce the volume of plastic bags, and introduce composting of food waste. The study also highlights economic and financial benefits of waste recycling. Additional value-added could be derived from the organic waste recycling program by promoting production of bioextracts and compost at household level, in order to reduce the amount of organic wastes and carbon emissions. The general and recyclable wastes could also be converted to energy as refuse-derived fuel 2 (RDF-2); the estimated average heating value of this RDF-2 was 23.56 MJ kg-1. To sustain MSW management in tourist areas, environmental education and environmental awareness campaigns are needed, using the appropriate local languages for communication, and introduction of a fairer system based on the polluter-pays principle for the business sector.
Background The major population vulnerable to hand, foot and mouth disease (HFMD) is children aged less than 5 years, particularly those who are cared for at day care centers (DCCs). This study aimed to assess the associations of environmental and sanitation factors with high HFMD occurrence rates in DCCs of northern Thailand. Methods A case-control study was used to gather information from caregivers and local government administrative officers. DCCs in areas with high and low HFMD occurrence rates were the settings for this study. A validated questionnaire was used to collect environmental and sanitation information from the DCCs. In-depth interviews were used to collect information from selected participants who were working at DCCs and from local government administrative officers on the HFMD capacity and prevention and control strategies in DCCs. Logistic regression analysis was used to determine the associations between many environmental factors and HFMD at the α = 0.05 significance level while the content analysis was used to extract information from the interviews. Results Two variables were found to be associated with a high rate of HFMD occurrence: the number of sinks available in restrooms and the DCC size. Children attending DCCs that did not meet the standard in terms of the number of sinks in restrooms had a greater chance of contracting HFMD than children who were attending DCCs that met the standard (AOR = 4.21; 95% CI = 1.13–15.04). Children who were attending a large-sized DCC had a greater chance of contracting HFMD than those attending a small-sized DCC (AOR = 3.28; 95% CI = 1.21–5.18). The yearly budget allocation and the strategies for HFMD control and prevention, including collaborations among stakeholders for HFMD control and prevention in DCCs, were associated with the effectiveness of HFMD control and prevention. Conclusions The number of sinks in restrooms and DCC size are major concerns for HFMD outbreaks. Sufficient budget allocation and good collaboration contribute to effective strategies for preventing and controlling HFMD in DCCs.
Purpose-Hand foot mouth disease (HFMD) is an emerging disease caused by Enterovirus. HFMD usually occurs in SouthEast Asian countries including Thailand. Thailand has been indicated as one of the countries having high epidemic rate in children less than five years of age, particularly in the northern regions. The paper aims to discuss this issue. Design/methodology/approach-A qualitative method was used to extract information from 48 informants from two different areas; high and low epidemic areas of HFMD. Question guidelines were developed from literature review and viewed by three external experts in the field before use. Interviews took place in a private and confidential room. Each interview lasted approximately 50 minutes. Findings-There are no policies regarding HFMD control in both high and low epidemic areas of HFMD. The staff at sub-district local government level did not have the necessary qualifications for HFMD control. Additionally, staff were not stable, and there was a lack of a disease control team. Antiseptics for cleaning day care centers (DCC) were not effective for disease control; most DCC use Dettol®, soap, dishwashing liquid, detergent and water for cleaning the environment. These antiseptics do not include chlorine making it ineffective in destroying the virus.
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