Assessing the acceptability of the health education program in Dengue prevention and control in Buon Ma Thuot city in Dak Lak province, Vietnam

Giang Huong Pham(1*)

(1) Universitas Gadjah Mada
(*) Corresponding Author


Dengue fever is a serious human arboviral infection that globally spreads and is a top concern amongst health care professionals and governments including Vietnam. The best measure to prevent and control dengue is vector control which is supported by social mobilization and health education. This study assessed the acceptability of health education programs in dengue fever prevention and control for the first time in Dak Lak Province, which is located in the endemic area of dengue fever in Vietnam. This study was an implementation research with qualitative methods. Nine in-depth interviews and six focus group discussions involving thirty-four informants were conducted at province, district, and ward levels. The acceptability was analyzed based on the seven components of the Theoretical Framework of Acceptability. Thirty-four informants ranging from ages 26 to 54 years participated. All belonged to the delivering or receiving groups of the health education program. The years of experience of the delivering group were at least two years with the health education program in dengue prevention and control and all individuals in the receiving group participated in the program. Six components, namely affective attitude, perceived effectiveness, intervention coherence, ethicality, and self-efficacy, were coded in all transcripts. Meanwhile, none of the interviews mentioned the opportunity cost. Overall, the acceptability of the health education program in dengue fever prevention and control was considered to be positive. However, the transformation from education to behavior requires time for acceptance and the persistence of the education program. Besides, the major burden of the program was the limited budget that could lead to inadequate facilities for indirect communication and low human resources.


Acceptability, Dak Lak, Dengue fever, Dengue prevention and control, Vietnam

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1. WHO Centre for Health Development Kobe, Japan. A glossary of terms for community health care and services for older persons. Kobe, Japan: WHO Centre for Health Development; 2004. p. WHO/WKC/Tech.Ser./04.2. (WHO Kobe Centre Ageing and Health Technical Report; v. 5).

2. MOH Vietnam. Decision 3711/National Guideline on Dengue Surveillance, Prevention and Control. 2014.

3. Nguyen-Tien T, Lundkvist Å, Lindahl J. Urban transmission of mosquito-borne flaviviruses - a review of the risk for humans in Vietnam. Infect Ecol Epidemiol. 2019;9(1):1660129.

4. Le Van T, Van Tuyet NT, Quan NH, Duoc PT. Filogenia del virus del Dengue tipo2 identificado en el Altiplano Central de Vietnam. Rev Biol Trop. 2017;65(2):819–26.

5. Dak Lak Provincial Center for Disease Control. Surveillance data of dengue situation in Dak Lak 1998-2019. 2019;

6. Murphy AL, Gardner DM. Pilot testing the Theoretical Framework of Acceptability in a process evaluation of a community pharmacy– based men’s mental health promotion program. Sage Open. 2019 Jul;9(4):215824401988512.

7. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005 Nov 1;15(9):1277–88.

8. Grant M, Wilford A, Haskins L, Phakathi S, Mntambo N, Horwood CM. Trust of community health workers influences the acceptance of community-based maternal and child health services. Afr J Prim Health Care Fam Med. 2017 May 29;9(1):e1–8.

9. Driedger M, Mayhew A, Welch V, et al. Accessibility and Acceptability of Infectious Disease Interventions Among Migrants in the EU/EEA: A CERQual Systematic Review. Int J Environ Res Public Health. 2018;15(11):2329.

10. Yenus M, Berhe M, Brhane M, Kiflemariam A, Sereke K. Assessment the effectiveness of community based dengue and chikungunya intervention: Keren, Anseba zone Eritrea (2020). Int J Mosq Res. 2021;8(2):107–15.

11. Nguyen-Tien T, Probandari A, Ahmad RA. Barriers to engaging communities in a dengue vector control program: an implementation research in an urban area in Hanoi city, Vietnam. American Journal of Tropical Medicine and Hygiene. 2019;100(4):964–73.

12. Dang T. Communication as an effective strategy to combat COVID-19: the case of Vietnam [Internet]. International Network for Government Science Advice. 2020 [cited 2021 Jul 28]. Available from: covidtag/COVID-19-commentary/toan-vietnam/

13. Lin H, Liu T, Song T, Lin L, Xiao J, Lin J, et al. Community involvement in dengue outbreak control: an integrated rigorous intervention strategy. PLoS Negl Trop Dis. 2016;10(8):1–10.

14. Nam VS, Kay B, Thi Yen N, Ryan P, Bektas A. Community mobilization, behaviour change and biological control in the prevention and control of dengue fever in Viet Nam. Dengue Bulletin. 2004 Dec; 28: 57-61 suppl.

15. Badurdeen S, Valladares DB, Farrar J, Gozzer E, Kroeger A, Kuswara N, et al. Sharing experiences: towards an evidence based model 166 Volume 5(3) December 2022, Journal of Community Empowerment for Health Giang, et al. Dengue prevention and control in Buon Ma Thuot of dengue surveillance and outbreak response in Latin America and Asia. BMC Public Health. 2013;13(1):607.

16. Hai N van. Performance evaluation of collaborators in dengue prevention and control program of Ly Thai To ward, Hoan Kiem district in the first 6 months in 2009 [MPH]. Hanoi University of Public Health; 2009.

17. Thuy NT. Performance evaluation of collaborators in dengue prevention and control program of Phuong Liet ward, Thanh Xuan District, Hanoi in 2010. Hanoi University of Public Health; 2010.

18. Kay BH, Nam VS, Tien TV, et al. Control of aedes vectors of dengue in three provinces of Vietnam by use of Mesocyclops (Copepoda) and community-based methods validated by entomologic, clinical, and serological surveillance. Am J Trop Med Hyg. 2002;66(1):40- 48.

19. Kumar V, Rathi A, Lal P, Goel S. Malaria and dengue: Knowledge, attitude, practice, and effect of sensitization workshop among school teachers as health educators. J Family Med Prim Care. 2018;7(6):1368.

20. Shuaib F, Todd D, Campbell-Stennett D, Ehiri J, Jolly PE. Knowledge, attitudes and practices regarding dengue infection in Westmoreland, Jamaica. West Indian Med J. 2010;59(2):139–46.

21. Sreedevi A, Burru R, Rao G, Yalamanchili P, Subhaprada C, Kumari V, et al. Study on awareness about vector borne diseases and education about preventive measures in rural field practice areas of Kurnool Medical College, Kurnool. Int J Med Sci Public Health. 2016;5(9):1803.

22. Van NTH. Situation of dengue fever and evaluating the effectiveness of community-based intervention model in the Central Highlands (2005-2014) (in Vietnamese). Vietnam Military Medical University; 2018.

23. Marha DA, Fatah MZ, Winarko W. The role of health workers and community leaders to prevent dengue hemorrhagic fever in Magetan, East Java. Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education. 2020; 8(2).

24. 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 Jul 9;3(7): e2620.

25. Hairi F, Ong CHS, Suhaimi A, Tsung TW, bin Anis Ahmad MA, Sundaraj C, et al. A knowledge, attitude and practices (KAP) study on dengue among selected rural communities in the Kuala Kangsar district. Asia Pac J Public Health. 2003;15(1):37–43.

26. Tran VH. Knowledge, Attitude, and Practice in dengue prevention of the community in Binh Thanh commune, Thanh Binh district, Dong Thap in 2006 (in Vietnamese). Hanoi University of Public Health; 2006.

27. Dang TKH. The current situation and associated factors to dengue population in Thinh Liet and Tran Phu wards, Hoang Mai districts, Hanoi in 2007 (in Vietnamese). Hanoi University of Public Health; 2007.

28. Yboa BC, Labrague LJ. Dengue knowledge and preventive practices among rural residents in Samar Province, Philippines. Am J Public Health Res. 2013 Sep 10;1(2):47–52.


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