Dengue

Dengue

GROUP-5 -Dr.REENU BAJPAI -Dr.SANJHI SINGH

Introduction • Dengue is a viral disease • It is transmitted by the infective bite of Aedes Aegypti mosquito • Man develops disease after 5-6 days of being bitten by an infective mosquito • It occurs in two forms: Dengue Fever and Dengue Haemorrhagic Fever(DHF) • Dengue Fever is a severe, flu-like illness • Dengue Haemorrhagic Fever (DHF) is a more severe form of disease, which may cause death

Cont…….. SIGNS & SYMPTOMS OF DENGUE FEVER -Abrupt onset of high fever -Severe frontal headache -Pain behind the eyes which worsens with eye movement -Muscle and joint pains -Loss of sense of taste and appetite -Measles-like rash over chest and upper limbs -Nausea and vomiting

Dengue Distribution

Problem statement • According to the Health ministry's latest estimates – 1].

India recorded 5,534 cases and 69 deaths due to dengue in 2007. In 2008, the cases more than doubled with the country recording 12,419 cases and 80 deaths.

2]. Punjab was worst affected and reported 4,349 cases and 21 deaths 3]. This was followed by Delhi, which also reported over 100% increase in dengue infections in 2008 compared to 2007 4]. The maximum number of cases have been reported from Dholpur, Karauli and Sawai Madhopur districts. (Source-IANS Last Updated: Aug 6, 2008 - 11:29:09 PMNews Report Medical News Channel ) 5]. The number of patients with dengue registered a decline in the State with the current year-2008 recording 78 cases against 540 cases in the previous year and 1805 cases in 2006.

(SOURCE-Sunday, Sep 14, 2008-’Rajasthan Government denies high malaria, dengue deaths’‘http://www.hindu.com/2008/09/14/stories/2008091455190900.htm)

BIO-PSYCHOSOCIAL MODEL Name of the disease Dengue fever

Biological causes

Psychosocial Factors

Source of information.

Dengue is spread by the bite of an Aedes mosquito. The mosquito transmits the disease by biting an infected person and then biting someone else

This disease is currently referred to as Neglected Diseases of Neglected Populations. The neglected diseases create social and financial burdens to the individual, the family, the community, and the nation.

Wikipedia encyclopedia

Behaviour

Audience/ segment

Current Behaviour

Unhygienic condition

General people of the area

-Do not use -Awareness

-Improper Storage of water -Do not use bed nets.

bed net. -responden ts slept outdoors

-lack of

knowledge of preventive measures

Expected Behaviour about preventive intervention s -Become more responsible. Like personal care and hygeine.

Communicati on Objective series of successful interventions and developed interventions could be applied in an integrated, multi-disease, interprogrammatic, and/or intersectoral approach for prevention and control of the disease.

CONT…. Current media strategy

Activity/mat erial/trainin g service

Current messages

Barriers

1.Television (dd-1) 2.Radio channels (FM) 3.Newspape rs(patrika)

-Through Preventive -Language advertiseme and curative -Lack of nts only messages. timing -Inadequate supply of electricity (supplied only in evening time) -No involvement of housewives -Less responsibilit y shown by

Benefit

-Educated

persons become more aware

Behavior

Audience/seg ment

-Lack of

General -Become more people of area responsible -Accept new ideas

awareness. -Do not use preventive measure against disease -Do not rely on television campaigns due to lack of basic knowledge. -Lack of responsibility

What Message want behaviour to deliver change is to be brought -how to prevent and how to cure from disease. -bed net is necessary and cheap tool to prevent disease. -read or watch TV or newspaper advertisement seriously.

CONT… Mode/channel

Responsibility

-Personal contact through health worker -TV channels -Local News papers -FM radio -in school children

-Shown by

Place and duration

Village health workers 2-3 months -Shown by individual level.

Indicator

-Awareness About disease -Knowledge about disease -Positive attitude towards disease -New way of media penetration in community.

Communication Need Assessment [CNA Model] • Study to be conducted on population sub groups • village, city, school, college etc.

.

• Health workers of primary health centers and sub-centers Indicators of CNA 1-Awareness • Awareness of malaria/Dengue/Kalazar • Awareness about cause of malaria/Dengue/Kalazar • Awareness about the prevention of malaria/Dengue/Kalazar

Cont… 2-Knowledges • Way to prevent malaria/Dengue/Kala-azar • Sources of knowledge • Control mechanism of malaria/dengue/kala-azar 3-Attitude • towards influencing groups (such as NGOs, health workers, Doctors, Drama Artists, Peers etc.) 4-Media related issues • Media exposure. • Intensity of exposure to each Media channel

Frequency Distribution Total Family covered-11 Total Members interviewed29 FREQUENCY

%

Name Heard

17/29

58%

Know sign and symptom completely

0/29

0%

Causative factor

13

44.8%

Know how to prevent

11

37.93%

Communication method used Frequency

%

TV Channels 7/17

41%

News paper

2/17

11.76%

From school studies

2/17

14.4%

Peer group

3/17

17.6%

Radio (FM)

3/17

17.6%

Health

0/17

0%

Communication Plan Mode of communications present in the village : 1.TV(only DD-1) 2.Newspaper(Only ‘patrika’) 3.Peer group Barrier in communication channels which we have seen there 1.TELEVISION -Language -Advertisements are not frequently telecasted from 7-10pm .(when most of the people tend to watch the tv)

Cont…. 2.NEWS PAPER Uneducated persons are not benefitted by it. Not very catchy and attractive advertisements are published in it. 3.Peer Groups Many misconceptions spread among them like, mosquitos born in between the cloths (in almirah)etc.

What is the suitable communication mode in village? -Peer group education method (MOST EFFECTIVE METHOD ) Like person to person contact done by health worker in schools, in homes. -TV

Channels

Advertisement ,documentaries ,short films should telecast from 7to 11pm Messages should telecast in regional language. -School

education

Slow process