Building and analyzing an innovative community-centered dengue-ecosystem management intervention in Yogyakarta, Indonesia
Date
2012
Journal Title
Journal ISSN
Volume Title
Publisher
Maney Publishing
Abstract
Background and Objectives: Dengue is an important public health problem in Yogyakarta city, Indonesia.
The aim of this study was to build an innovative community-centered dengue-ecosystem management
intervention in the city and to assess the process and results.
Methods: For describing the baseline situation, entomological surveys and household surveys were carried
out in six randomly selected neighborhoods in Yogyakarta city, documents were analyzed and different
stakeholders involved in dengue control and environmental management were interviewed. Then a
community-centered dengue-ecosystem management intervention was built up in two of the neighborhoods
(Demangan and Giwangan) whereas two neighborhoods served as controls with no intervention
(Tahunan and Bener). Six months after the intervention follow up surveys (household interviews and
entomological) were conducted as well as focus group discussions and key informant interviews.
FIindings: The intervention results included: better community knowledge, attitude and practices in dengue
prevention; increased household and community participation; improved partnership including a variety of
stakeholders with prospects for sustainability; vector control efforts refocused on environmental and health
issues; increased community ownership of dengue vector management including broader community
development activities such as solid waste management and recycling.
Conclusion: The community-centred approach needs a lot of effort at the beginning but has better
prospects for sustainability than the vertical ‘‘top-down’’ approach.
Description
item.page.type
Journal Article (peer-reviewed)
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Text
Keywords
DENGUE, COMMUNITY PARTICIPATION, EMPOWERMENT, WASTE MANAGEMENT, HEALTH INTERVENTION, DISEASE CONTROL
Citation
Tana, S., Umniyati, S., Petzold, M., Kroeger, A., & Sommerfeld, J. (2012). Building and analyzing an innovative community-centered dengue-ecosystem management intervention in Yogyakarta, Indonesia. Pathogens and Global Health, 106, 469-478.doi:10.1179/2047773212Y.0000000062