Document Type : Original Article

Authors

Abstract

BACKGROUND: Dengue is the most common life‑threatening arboviral infection contributing to
92 million infections worldwide. India alone contributes for 34% of the global burden. Success of
dengue control depends largely on adequate knowledge and good practices of preventive measures.
However, there is a need to find the existing awareness among the general population, especially
in rural areas. Thus, our present study was done to determine the awareness, attitude, and practice
measures regarding dengue fever in rural Tamil Nadu.
MATERIALS AND METHODS: A community‑based cross‑sectional survey was done among 303
individuals belonging to the selected village in rural Tamil Nadu during November 2016. Information
regarding sociodemographic details and awareness, attitude, and practice toward dengue were
collected using a semi‑structured questionnaire. Adequacy of knowledge and attitude was summarized
as proportion with 95% confidence interval.
RESULTS: Among 303 participants, 204 (67.3%) were above 30 years of age; 196 (64.6%) were
females; 255 (84.1%) were ever married; 149 (49.1%) were employed and most of them 93 (30.6%)
were educated up to secondary level; 103 (33.9%) belonged to the Class 4 socioeconomic status.
About 33.3% (95% confidence interval [CI]: 28.2–38.8) of the study participants had adequate
knowledge and 56.1% (95% CI: 50.5–61.6) had positive attitude toward dengue prevention. About
57.7% (95% CI: 52.1–63.2) were practicing preventive measures.
CONCLUSION: The current study found that only one‑third of the participants had adequate
knowledge regarding dengue but more than half of them had positive attitude toward dengue
prevention and practicing mosquito control measures. Hence, large‑scale information, education,
and communication campaigns need to done at frequent intervals for rural population.

Keywords

1. World Health Organization. Dengue. SEARO. Available from:
http://www.searo.who.int/vector_borne_tropical_diseases/
data/data_factsheet/en/. [Last accessed on 2018 Apr 29].
2. 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.
3. NVBDCP. Status Note on Dengue fever/Dengue Haemorrhagic
Fever. Available from: http://www.nvbdcp.gov.in/Doc/
DenStatusNote. [Last accessed on 2018 Apr 29].
4. Singru S, Debnath D, Bhosale SB, Pandve H, Fernandez K. Study of
knowledge, attitude and practices regarding dengue in the urban
and rural field practice area of a tertiary care teaching hospital in
Pune, India. Med J DY Patil Vidyapeeth 2013;6:374.
5. Stanaway JD, Shepard DS, Undurraga EA, HalasaYA, Coffeng LE,
Brady OJ, et al. The global burden of dengue: An analysis from
the global burden of disease study 2013. Lancet Infect Dis
2016;16:712‑23.
6. Mutheneni SR, Morse AP, Caminade C, Upadhyayula SM.
Dengue burden in India: Recent trends and importance of climatic
parameters. Emerg Microbes Infect 2017;6:e70.
7. Sanofi Awaits Government Approval to Launch Dengue Vaccine
in India. The New Indian Express. Available from: http://www.
newindianexpress.com/nation/2016/oct/06/sanofi-awaits-govtapproval-to-launch-dengue-vaccine-in-india-1525666.html. [Last
accessed on 2018 Feb 15].
8. Alyousefi TA, Abdul‑Ghani R, Mahdy MA, Al‑Eryani SM,
Al‑Mekhlafi AM, Raja YA, et al. A household‑based survey of
knowledge, attitudes and practices towards dengue fever among
local urban communities in Taiz Governorate, Yemen. BMC Infect
Dis 2016;16:543.
9. Dhimal M, Aryal KK, Dhimal ML, Gautam I, Singh SP, Bhusal CL,
et al. Knowledge, attitude and practice regarding dengue
fever among the healthy population of highland and lowland
communities in central Nepal. PLoS One 2014;9:e102028.
10. Chellaiyan VG, Manoharan A, Ramachandran M. Knowledge
and awareness towards dengue infection and its prevention:
A cross sectional study from rural area of Tamil Nadu, India. Int
J Community Med Public Health 2017;4:494‑9.
11. Malhotra G, Yadav A, Dudeja P. Knowledge, awareness and
practices regarding dengue among rural and slum communities in
North Indian city, India. Int J Med Sci Public Health 2014;3:295‑9.
12. Leong TK. Knowledge, attitude and practice on dengue among
rural communities in Rembau and Bukit Pelanduk, Negeri
Sembilan, Malaysia. Int J Trop Med Health 2014;4:841‑8.
13. Sayavong C, Chompikul J, Wongsawass S, Rattanapan C.
Knowledge, attitudes and preventive behaviors related to dengue
vector breeding control measures among adults in communities
of Vientiane, capital of the Lao PDR. J Infect Public Health
2015;8:466‑73.
14. Mohapatra S, Aslami AN. Knowledge, attitude and practice
regarding dengue fever among general patients of a rural
tertiary‑care hospital in Sasaram, Bihar. Int J Community Med
Public Health 2017;3:586‑91.
15. Diaz‑Quijano FA, Martínez‑Vega RA, Rodriguez‑Morales AJ,
Rojas‑Calero RA, Luna‑González ML, Díaz‑Quijano RG, et al.
Association between the level of education and knowledge,
attitudes and practices regarding dengue in the Caribbean region
of Colombia. BMC Public Health 2018;18:143.
16. Itrat A, Khan A, Javaid S, Kamal M, Khan H, Javed S, et al.
Knowledge, awareness and practices regarding dengue fever
among the adult population of dengue hit cosmopolitan. PLoS
One 2008;3:e2620.
17. Chandren JR, Wong LP, AbuBakar S. Practices of dengue fever
prevention and the associated factors among the Orang Asli in
Peninsular Malaysia. PLoS Negl Trop Dis 2015;9:e0003954.