EFFECTIVENESS OF COMMUNITY-BASED HEALTH EDUCATION ON PREPAREDNESS FOR FLOOD-RELATED COMMUNICABLE DISEASES IN KELANTAN
The flood disaster in Kelantan in 2014 had resulted in substantial health implications including increased cases of communicable diseases. There was a lack of community preparedness including customized health educations in the prevention and control of flood-related communicable diseases in the affected areas. The research was aimed to evaluate the effectiveness of community-based health education modules on flood-related communicable diseases among communities in Kelantan. Health education modules focusing on major food-related diseases were developed. A non-randomized community-controlled trial using the modules were conducted. Outcomes were assessed on knowledge, attitude and preventive practice scores to flood-related communicable diseases using a pre-validated questionnaire. Independent t test was used to compare mean scores between the intervention community (Tumpat) and the control community (Bachok) at 1-month post intervention. One-way independent ANOVA test was done to compare score differences at baseline (pre), post 1-month and post 2-month from repeated surveys among random samples within the intervention community. There were significant improvements in all knowledge components from 9.4% to 52.6% with 10% increment in attitude scores toward preventing behaviours on flood-related communicable diseases. When compared against the control community at one-month post-intervention, there were significantly higher knowledge on types of diseases, symptoms and risk factors as well as practice scores of drinking safe water and protective habits. This research demonstrated that community-based health education is effective in improving relevant knowledge, attitude and preventive practices among affected communities as part of their preparedness toward communicable diseases related to flood.
Kondo H, Seo N, Yasuda T, et al. Post-flood--infectious diseases in Mozambique. Prehosp Disaster Med 2002; 17(3): 126-133.
Carrel M, Voss P, Streatfield PK, et al. Protection from annual flooding is correlated with increased cholera prevalence in Bangladesh: a zero-inflated regression analysis. Environ Health 2010; 9: 13.
Harris AM, Chowdhury F, Begum YA, et al. Shifting prevalence of major diarrheal pathogens in patients seeking hospital care during floods in 1998, 2004, and 2007 in Dhaka, Bangladesh. Am J Trop Med Hyg 2008; 79(5): 708-714.
Smith JK, Young MM, Wilson KL, et al. Leptospirosis following a major flood in Central Queensland, Australia. Epidemiol Infect 2013; 141(3): 585-590.
Harrison BA, Whitt PB, Roberts LF, et al. Rapid assessment of mosquitoes and arbovirus activity after floods in southeastern Kansas, 2007. J Am Mosq Control Assoc 2009; 25(3): 265-271.
Wade TJ, Sandhu SK, Levy D, et al. Did a severe flood in the Midwest cause an increase in the incidence of gastrointestinal symptoms? Am J Epidemiol 2004; 159(4): 398-405.
STAR. Floods: Worse in Kelantan, situation improves in Kedah. STAR:The Nation. 2014 Dec 27.
Fauziah MN, Hasniza A, Suhaiza S. Trend of communicable diseases in 2014 flood, Kelantan. 1st National Kelantan Health Conference; Renaissance Hotel, Kota Bharu, Malaysia; 2015.
Piyaphanee W, Olanwijitwong J, Kusolsuk T, et al. Awareness, practices, and health problems of backpackers traveling during flooding in Thailand during 2011. Southeast Asian J Trop Med Public Health 2012; 43(5): 1193-1200.
Mondal NC, Biswas R, Manna A. Risk factors of diarrhoea among flood victims: a controlled epidemiological study. Indian J Public Health 2001; 45(4): 122-127.
Haggerty PA, Muladi K, Kirkwood BR, et al. Community-based hygiene education to reduce diarrhoeal disease in rural Zaire: impact of the intervention on diarrhoeal morbidity. Int J Epidemiol 1994; 23(5): 1050-1059.
McDonald JA, Burnett N, Coronado VG, et al. Questionnaire design. Georgia, USA: CDC 2003.
Rose J. Strategies of prevention: The individual and the population (pp.). . In: Marmot M, Elliott P, editors. Coronary Heart Disease Epidemiology From Aetiology to Public Health. UK: Oxford: Oxford University Press 1992. p. 311-324.
Jenkins CD. Principles of Community Health Intervention. 2003 [Online] [Accessed 10 July 2012], Available from http://www.publications.paho.org/english/Principles_BBH.pdf.
Ho MC, Shaw D, Lin S, et al. How do disaster characteristics influence risk perception? Risk Analysis: An International Journal 2008; 28(3): 635-643.
Rosinger AY. Household water insecurity after a historic flood: Diarrhea and dehydration in the Bolivian Amazon. Social Science & Medicine 2018; 197: 192-202.
Lee W, Stoeckel J, Jintaganont P, et al. The impact of a community based health education program on the incidence of diarrheal disease in southern Thailand. Southeast Asian J Trop Med Public Health 1991; 22(4): 548-556.
Dorasamy M, Raman M, Marimuthu M, et al. Disaster preparedness: an investigation on motivation and barriers. J Emerg Manag 2013; 11(6): 433-446.
Tongtham A, Kerdmongkol P, Amnatsatsue K, et al. Flood preparedness behavior among older people with chronic diseases in a flood prone area of Thailand. E. Asian J Trop Med 2019; 50: 786-792.
Olanrewaju CC, Chitakira M, Olanrewaju OA, et al. Impacts of flood disasters in Nigeria: A critical evaluation of health implications and management. Jàmbá: Journal of Disaster Risk Studies 2019; 11(1): 1-9.
Anthonj C, Diekkrüger B, Borgemeister C, et al. Health risk perceptions and local knowledge of water-related infectious disease exposure among Kenyan wetland communities. International journal of hygiene and environmental health 2019; 222(1): 34-48.
Rafferty A, Walthery P, King-Hele S. Analysing change over time: repeated crosssectional and longitudinal survey data. UK data service, University of Essex and University of Manchester 2015
Okaka Fredrick O, Odhiambo Beneah DO. Households’ perception of flood risk and health impact of exposure to flooding in flood-prone informal settlements in the coastal city of Mombasa. International Journal of Climate Change Strategies and Management 2019; 11(4): 592-606.