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The Problem
Introduction
2
more than 50,000 adult volunteers were vaccinated regardless of seronegative.
This is also alarming because some died because of dengvaxia. Many people
were angry with the Philippine Government because they say that it was a
neglect of their duty.
3
The Theoretical Framework of the Study
This study was anchored on the reviews of Van Benthem (2002) which
claimed that “people with higher knowledge on dengue reported a significantly
higher use of prevention measure than people with low knowledge” and of
Chusongsang (2005) which reported that “household leaders with a high level
of knowledge had better dengue prevention practices.”
Infection with a dengue virus serotype can also produce a more complex
and severe form of clinical manifestation like bleeding and shock. The first
confirmed epidemic of dengue fever was recorded in the Philippines in 1953-
1954.
The World Health Organization and Centers for Disease Control and
Prevention (CDCP) recommends extensive community education campaigns
that emphasize reducing vector breeding sites as an effective way of dengue
prevention. This recommendation is supported by various researches showing
community education can be more effective in reducing dengue vector
breeding sites than chemicals alone.
4
use mosquito nets if you are in a mosquito-infested area, making sure the
windows, doors are close to prevent mosquitos and avoid areas with standing
water, especially at times of high mosquito activity like dawn and dusk.
5
Van Benthem Chusongsang
(2002) (2005)
Dengue
Awareness
Community
Barangay - level of
health-based awareness Household
education
6
Statement of the Problem
Null Hypothesis
The null hypothesis was advanced for testing used the 0.01 level of
significance. There was no significant difference in the respondents’ responses
to the variables indicated in the study.
7
Respondents. This study will help the participants to know those
practices that are more relevant to their everyday living to especially on those
individuals living in the seaside area.
Definition of Terms
The following terms were defined for cleared understanding in the study
are interpreted according to the meaning given in the section. The following
words were operationally defined.
8
Community Level of Awareness. It refers to the awareness of the
respondents or household members of the community when it comes to
environmental-related activities such as cleanup drive and promotion on
community-free diseases.
9
CHAPTER 2
Review of the Related Literature and Related Studies
This chapter presents the related literature and related studies of the
previous research. This is consisting of information about the different possible
factors of environments towards the conditional cash transfer program from
various authors who contributed to give enough proof that may strengthen the
result of the research.
A. Related Literature
Policymakers’ views on dengue fever that the four Southeast Asian
countries must practice the dengue vaccines. They also conducted a survey in
other influential professionals in four southeast Asian countries this country
including Cambodia, Indonesia, Philippines, and Vietnam, to determine
policymakers’ views on the public health importance of dengue fever. They
think that the need for full implementation of dengue vaccines will be the
solution for the epidemic cause of dengue in the said country. The Philippines
practice dengue vaccines but unfortunately there’s a lot of negative feedback,
many are not satisfied with the results especially for those family have losses
the life of their loved ones after injecting the dengue vaccines.
The Philippine Government have another solution, they conducted
dengue campaign in every municipalities from the basic political unit of society
(Barangay). Through the help of Department of health (DOH) after the
declaration of national dengue alert with the slogan “Aksyon Barangay Kontra
Dengue PAGTIBAYIN!” in this campaign the barangay officials and the
barangay health worker disseminate the 4s Method. Stands for Search and
destroy breeding places, secure self-protection measures, Seek early
consultations, and Support fogging/Spraying to prevent impending outbreak.
10
consider a year-round disease is an acute viral infection that affects mostly
young children and infants cases recorded since January up to July 20 this year
146,062 a total of 98% higher than the same period in 2018 there were 622
deaths. Dengue is a mosquito-borne viral infection. Dengue virus is transmitted
by female mosquitos mainly of the species Aedes aegypti and, to a lesser
extent, Ac. Albopictus. Dengue is widespread throughout the tropics, with local
variations in risk influenced by rainfall, temperature and unplanned rapid
urbanization symptoms are headache, fever, nausea and vomiting, skin rash,
and fatigue.
The control of Aedes aegypti mosquito larvae is essential for the control
of dengue fever (DF) and dengue hemorrhagic fever (DHF). The need to know
the perceptions of key informants is necessary to better address the dengue-
related control issues in a specific area or community. Schools are potential
mosquito breeding sites. Also, primary, secondary, and tertiary school-age
11
students are principal targets of the Aedes mosquitoes. Dengue has become a
steadily increasing health problem in the Philippines.
The rapid growth of the population is one of the bases why a lot of
diseases, especially in Asian country like the Philippines we cannot deny the
fact that a lot of Filipinos are not educated on how to dispose of their waste.
Even though the government already has the ecological solid waste
management Act No. 9003 of 2000. An Act providing for an Ecological Solid
Waste Management Program. This act was mandated by all local chief
executives to implement this in their different communities. The proper
dissemination of information through the community is one of the keys to
success. If the community is more aware, they have the big chance to prevent
this disease.
B. Related Studies
12
unplanned urbanization, increased mobility, growth in Aedes breeding habitats,
climate change, lack of effective mosquito control, and deterioration of public
health infrastructure (Gubler & Clark, 1995). These factors might have played
a role in the conflagrating scenario in Chennai city also. All four dengue
serotypes (DEN-1, DEN-2, DEN-3, and DEN4) had been reported in Chennai
(World Health Organization, 1997; Kabilan et al., 2003). In the absence of a
dengue vaccine, vector control (VC) is the only way to control DF. But even VC
is often constrained due to operational bottlenecks in the want of community
support. So, it is inevitably essential to ensure community involvement in
dengue vector control programs. Before starting any community-based VC
programs, it is necessary to assess the knowledge and perception of the
community about dengue as well as vector control practices. Prevention
programs could be effective only if expertise as well as vector control practices
of people are comprehended and put into the mainstream of intervention
activity (Llyod et al., 1992; Swaddiwudhipong et al., 1992; Leontsini et al.,
1993). Therefore, a KAP survey was conducted to assess the community
knowledge on DF, the p practices of vector control and preventive measures
implemented to control the DF in Chennai city, following outbreaks in 2001.
13
Karachi has adequate knowledge related to the virus ‘dengue’ on isolated
aspects, but the overall prevalence of ‘sufficient knowledge’ based on our
criteria is poor. We demonstrated the adequate prevalence of preventive
practices against the disease. Further studies correlating the association
between knowledge and its effectiveness against dengue will be helpful in
explaining the implications of awareness campaigns.
14
acquiring the proper disposal of waste and responsible in such other ways that
their family and community will benefit. The level of awareness must be in a
different areas to prevent this kind of disease.
Dengue is the most rapidly spreading mosquito-borne viral disease in
the world. In the last 50 years, the incidence has increased 30-fold with
increasing geographic expansion to new countries and, in the present decade,
from urban to rural settings. An estimated 50 million dengue infections occur
annually, and approximately 2.5 billion people live in dengue-endemic
countries. The 2002 World Health Assembly resolution WHA. Urged
commitment to dengue by WHO and its Member States. Of particular
significance is the 2005 World Health Assembly resolution WHA58.3 on the
revision of the International Health Regulations (IHR), which includes dengue
as an example of a disease that may constitute a public health emergency of
international concern with implications for health security due to disruption and
rapid epidemic spread beyond national borders.
Some 1.8 billion (more than 70%) of the population at risk for dengue worldwide
live in member states of the WHO South-East Asia Region and Western Pacific
Region, which bear nearly 75% of the current global disease burden due to
dengue. The Asia Pacific Dengue Strategic Plan for both regions (2008--2015)
has been prepared in consultation with member countries and development
partners in response to the increasing threat from dengue, which is spreading
to new geographical areas and causing high mortality during the early phase
of outbreaks. The strategic plan aims to aid countries to reverse the rising trend
of dengue by enhancing their preparedness to detect, characterize and contain
outbreaks rapidly and to stop Since 2000, epidemic dengue has spread to new
areas and has increased. In 2003, eight countries -- Bangladesh, India,
Indonesia, Maldives, Myanmar, Sri Lanka, Thailand and Timor-Leste --
reported dengue cases. In 2004, Bhutan reported the country’s first dengue
outbreak. In 2005, WHO’s Global Outbreak Alert and Response Network
(GOARN) responded to an outbreak with a high case-fatality rate (3.55%) in
15
Timor-Leste. In November 2006, Nepal reported indigenous dengue cases for
the first time. The Democratic Peoples’ Republic of Korea is the only country of
the South-East Region that has no reports of indigenous dengue. The spread
to new areas.
Indonesia, where more than 35% of the country’s population lives in urban
areas, 150 000 cases were reported in 2007 (the highest on record) with over
25 000 cases reported from both Jakarta and West Java. The case-fatality rate
was approximately 1%.In Myanmar in 2007 the states/divisions that reported
the highest number of cases were Ayayarwaddy, Kayin, Magway, Mandalay,
Mon, Rakhine, Sagaing, Tanintharyi, and Yangon. From January to September
2007, Myanmar reported 9578 cases. The reported case-fatality rate in
Myanmar is slightly above 1%. Thailand, dengue is reported from all four
regions: Northern, Central, North-Eastern ,and Southern. In June 2007,
outbreaks was reported from Trat province, Bangkok, Chiangrai, Phetchabun,
Phitsanulok, Khamkaeng Phet, Nakhon Sawan, and Phit Chit. A total of 58 836
cases was reported from January to November 2007. The case-fatality rate in
Thailand is below 0.2%.
Dengue prevention and control was implemented through the Bi-regional
Dengue Strategy (2008--2015) of the WHO South-East Asia and Western
Pacific regions. These consists of six elements: dengue surveillance, case
management, outbreak response, integrated vector management, social
mobilization and communication for dengue and dengue research (a
combination of both formative and operational research). The strategy was
endorsed by resolution SEA/RC61/R5 of the WHO Regional Committee for
South-East Asia in 2008. Dengue has emerged as a public health problem in
the Western Pacific Region Since the last major pandemic in 1998, epidemics
have recurred in much of the area. Lack of reporting remains one of the most
challenges in dengue prevention and control. Between 2001 and 2008, 1 020
333 cases was reported in Cambodia, Malaysia, Philippines, and Vietnam --
the four countries in the Western Pacific Region with the highest numbers of
cases and deaths. The combined death toll for these four countries was 4798
16
(official country reports). Compared with other countries in the same region, the
number of cases and deaths remained highest in Cambodia and the Philippines
in 2008. Overall, case management has improved in the Western Pacific
Region, leading to a decrease in case fatality rates. Dengue has also spread
throughout the Pacific Islands countries and areas.
Between 2001 and 2008, the six most affected Pacific island countries
and areas were French Polynesia (35 869 cases), New Caledonia (6836
cases), Cook Islands (3735 cases), American Samoa (1816 cases), Palau
(1108 cases), and the Federal States of Micronesia (664 cases). The total
number of deaths for the six island countries was 34 (official country reports).
Although no official have been submitted to WHO by Kiribati, did experience a
dengue outbreak in 2008, reporting a total of 837 cases and causing great
concern among the national authorities and some of the other countries in the
region.
Historically, dengue has been reported predominantly among urban
and peri-urban populations where high population density facilitates
transmission. However, evidence from recent outbreaks, as seen in Cambodia
in 2007, suggested that they are now occurring in rural areas.
17
CHAPTER 3
Research Design and Methodology
Research Design
This study utilized the descriptive survey method. It aims to determine
the respondent's knowledge level of dengue awareness and prevention
practices among the respondents of barangay Alindahaw in Tukuran,
Zamboanga Del Sur. This method was employed because this study concerns
not only to determine the level of responses among the respondent’s variables
and independent variables, as well as the approach aims to obtain complete
and accurate information in using a researcher-made questionnaire.
Research Locale
This study was conducted at barangay Alindahaw, Tukuran Zamboanga
del Sur. The barangay was chosen considering its geographical location, and
there were reported cases of dengue disease among the 25 barangays of
Tukuran.
Research Participants
The Barangay Health-Based Leaders, Purok Leaders, and Household
Leaders in Barangay Alindahaw, Tukuran, Zamboanga Del Sur were the
participants of this study. A total of 97 participants were chosen as a
representative from the barangay. They were asked to answer the survey
questionnaires for the three variables. They were through random sampling.
Research Instrument
18
such as books, Internet websites, approved thesis, and other related topics
constructing a reliable and valid instrument. The validity diagram, as shown in
figure 2, shows how researchers tested the validity of these self-made survey-
questionnaires. First, the researchers formulated the survey questionnaire, and
it was submitted to the adviser for correction. After a revision, it was sent again
to the adviser for checking and was tested through a pre-test to the other
respondents, and the result undergone the last revision for administration.
Submission to the
Final revision of Pre-testing of the adviser for
the questionnaire corrected corrections
questionnaire
19
Statistical Treatment of Data
Responses from the collected data were statistically analyzed and
interpreted by the statistician using a descriptive statistic to assess the reaction
level of the correlated results. To determine the significant difference of the
respondent’s reaction level along with the three variables, a t-test will be employed.
The following treatments of data were used:
1. Weighted Mean. This was obtained by getting the summation of the
product of the frequency and the assigned weight divided by the total number of
participants.
2. T-test. This was used to test a significant difference between the
responses of the participants along with the variables on dengue awareness.
20
CHAPTER 4
Presentation, Analysis, and Interpretation of Data
According to Van Benthem (2002) which claimed that “people with higher
knowledge on dengue reported significantly higher use of prevention measure
than people with low knowledge” and of Chusongsang (2005), which reported that
“household leaders with a high level of knowledge had better dengue prevention
practices.”
22
The reaction level of the participants on Community Level of Awareness
Table 2.
The reaction level of the participant’s on Community Level of Awareness
Item WP WM AE
1. The community members participate
30 3.75 Always
in the monthly clean-up activity.
2. The purok leaders ensure active
participation among the neighboring 32 4.00 Always
barangays in the clean-up.
3. Cleaning the drainage becomes the
32 4.00 Always
hotspot focus of the activity.
4. The purok leaders prioritize local
31 3.88 Always
fogging.
5. Search and destroy mosquito
breeding sites are part of the dengue 31 3.88 Always
campaign activity.
6. The purok leaders establish the
mechanism, such as seek initial
30 3.75 Always
consultation for early warnings of
dengue.
7. Advocacy on keeping the
environment clean and green become a 32 4.00 Always
routinary priority in the barangay.
8. Throwing proper garbage helps
community members prevent the 32 4.00 Always
spread of dengue.
9. Drain stagnant water remains a risk
32 4.00 Always
in the community.
10. Support the barangay officials for
the implementation of the clean 32 4.00 Always
environment.
Average Mean 314 3.926 Always
Hypothetical Mean Range: Legend:
4 – ( 3.51-4.40) – Always WP – Weighted Point
3 – ( 2.51-3.50) – Often WM – Weighted Mean
2 – ( 1.51-2.50) – Seldom AE – Adjectival Equivalent
1 – ( 1.00-1.50) – Never
Table 4.
Test of significant difference in increasing dengue awareness among the
households of Barangay Alindahaw
Level of Inter-
Dependent Tabular Compu-
Independent Variable Signi- df pre- Decision
Variable Value ted Value
ficance tation
25
CHAPTER 5
Summary
Findings
26
4. There is a significant difference between the participant's responses in
increasing dengue awareness among the households of barangay
Alindahaw in Tukuran, Zamboanga del Sur towards prevention and
control.
5. Majority of the participants agreed that adopting the 4s remains the
frontline solution in fighting dengue.
Conclusion
Based on the above findings, this study concludes that the participant’s level
of dengue awareness is different from each other depending on how they practice
the awareness in their respective jurisdiction as far as the three factors were
considered. However, the government's focus is to strengthen the implementation
of dengue prevention and control measures applying the 4s in fighting dengue,
search and destroy, self-protection measures, seek early consultation, and say no
indiscriminate fogging. This implies that health-based education factors,
community factors, and households are considered factors in increasing dengue
awareness.
Recommendations
28
REFERENCES
Agrupis KA, Ylade M, Aldaba J, Lopez AL, Deen J (2019) Trends in dengue
research in the Philippines: A systematic review. PLoS Negl Trop Dis
13(4): e0007280. https://doi.org/10.1371/journal.pntd.0007280
Bhatt S, Gething PW, Brady OJ, Messina JP, Farlow AW, Moyes CL, Drake JM,
Brownstein JS, Hoen AG, Sankoh O, Myers MF, George DB, Jaenisch T,
Wint GRW, Simmons CP, Scott TW, Farrar JJ, Hay SI. The global
distribution and burden of dengue. Nature. 2013;496:504– 507.
Hon. Marloe G. Uy
Barangay Captain, Alindahaw
Alindahaw, Tukuran, Zamboanga del Sur
Sir:
In this connection, please allow and assist our students in administering their
research questionnaire to household members of your barangay as participants of the
study.
30
VICIMA M. ABREA, EdD
Program Head
Hon. Marloe G. Uy
Barangay Captain, Alindahaw
Alindahaw, Tukuran, Zamboanga del Sur
Sir:
Ronalyn M. Cubio
Shyla Mae B. Dalogdog
Rovelyn O. Dumaog
Shajada M. Mamasalagat
Milonah L. Quiroga
31
Merry Grace O. Pilones
Noted by:
Dear Participants:
Ronalyn M. Cubio
Shyla Mae B. Dalogdog
Rovelyn O. Dumaog
Shajada M. Mamasalagat
Milonah L. Quiroga
Merry Grace O. Pilones
=========================================================================
General Instructions:
Listed below and on the succeeding pages are statements about the knowledge
level in terms of dengue awareness, prevention and control. Put a check in the
column that best describes your understanding of the factors enumerated below.
Please respond honestly to the questions and use the scoring system given below.
Legend:
4 – Always 2 – Seldom
3 – Often 1 – Never
4 3 2 1
1. Barangay Health-based education (Always (Often) (Seldo (Never
) m) )
The barangay disseminates the DOH nationwide
1. public information campaign to follow the 4S
method.
The barangay conducted health-based
2.
education ones a month.
The barangay health worker disseminates
3. information about dengue awareness in every
purok.
The Barangay Officials monitor the proper
4.
dissemination of dengue awareness.
The barangay conducted fogging only during an
5.
outbreak.
The barangay coordinates with the LGU about
6.
the dengue awareness forum.
7. The RHU personnel visited the dengue victim.
The barangay advocates effective response
8. measures and coordination about dengue
prevention.
The barangay supervises the barangay health
9. workers on conducting advocacy and health
promotion.
The barangay ensures that dengue prevention s
10.
integrated into the barangay health plan.
33
Thank you for your unreserved cooperation.
Dear Participants:
Ronalyn M. Cubio
Shyla Mae B. Dalogdog
Rovelyn O. Dumaog
Shajada M. Mamasalagat
Milonah L. Quiroga
Merry Grace O. Pilones
======================================================================
General Instructions:
Listed below and on the succeeding pages are statements about the knowledge
level in terms of dengue awareness, prevention and control. Put a check in the
column that best describes your understanding of the factors enumerated below.
Please respond honestly to the questions and use the scoring system given below.
Legend:
4 – Always 2 – Seldom
3 – Often 1 – Never
34
1. Number of household members in the family.
Please check that applies. 1-4 members
5-7 members
8-10 members
More than 10 members
2. What are the respondent’s prevention practices in controlling dengue? Please enumerate
and be specific.
35
Thank you for your unreserved cooperation.
Dear Participants:
Ronalyn M. Cubio
Shyla Mae B. Dalogdog
Rovelyn O. Dumaog
Shajada M. Mamasalagat
Milonah L. Quiroga
Merry Grace O. Pilones
========================================================================
General Instructions:
Listed below and on the succeeding pages are statements about the knowledge
level in terms of dengue awareness, prevention and control. Put a check in the
column that best describes your understanding of the factors enumerated below.
Please respond honestly to the questions and use the scoring system given below.
Legend:
4 – Always 2 – Seldom
3 – Often 1 – Never
37
Thank you for your unreserved cooperation.
38
CURRICULUM VITAE
A. Personal Data
B. Family Background
C. Educational Attainment:
39
CURRICULUM VITAE
A. Personal Data
B. Family Background
C. Educational Attainment:
40
CURRICULUM VITAE
A. Personal Data
B. Family Background
C. Educational Attainment:
41
CURRICULUM VITAE
A. Personal Data
B. Family Background
C. Educational Attainment:
42
CURRICULUM VITAE
A. Personal Data
B. Family Background
C. Educational Attainment:
43
CURRICULUM VITAE
A. Personal Data
B. Family Background
C. Educational Attainment:
44