VILLAGE HEALTH VOLUNTEERS’ WINNING AWARD WORK IN
COMMUNITY HEALTH MANAGEMENT



TITLE : Monitoring, Controlling and Preventing of Dengue Hemorrhagic Fever at Baan Nong Bor, Yasothorn Province

CATEGORIES : Monitoring, Controlling and Preventing of Transmitted Diseases
YEAR : 2014

AUTHOR(S) : MR.PRAMOTE TAOKAEW

ADDRESS : Bann Nong Bor, Moo 4, Tambon Nong Hin, Muang Yasothorn, Yasothorn Province

SUMMARY

Objectives of this operation project were to 1) set up an operation plan to monitor, control and prevent dengue hemorrhagic fever and other transmitted diseases at Moo 4, Baan Nong Bor, Tambon Nong Hin, Muang Yasothorn, Yasothorn province, 2) to manage sanitation and environment status of the community and 3) to develop folk innovations for mosquito control. Activities were processed to handle by SRRT team (VHVs) with villagers’ participation. It was observed that no mosquito larva was found at 160 households (prevalence of 21.3 % in 2011), and any containers (prevalence of 9.6 % in 2011). No new case of dengue hemorrhagic fever, tuberculosis, influenza and leptospirosis, was found. Mosquito driving out innovations from lemon grass leaves, were invented as hats and mats with active usage extended for longer than 6 months. Sprayer invented from lemon grass and hairy basil juice (2-hr active for each spray), and lemon grass club, were also created and shared among 60 households. This is an example of successive operation projects to monitor, control and prevent dengue hemorrhagic fever and other transmitted disease.

SITUATION AND SIGNIFICANCE OF THE PROBLEM

Dengue hemorrhagic fever, has been insisted as one of harmfully transmitted diseases in Muang Yasothorn, Yasothorn province, between 2002-2013, with average epidemiological rate of 4.08 cases/100,000 population/year. It should be noted that the rate raised up to be 185.29 cases/100,000 population in 2013. Incidences reported between 2002-2003, 3 cases occurred at Baan Nong Bor, Moo 4, Tambon Nong Hin, Muang Yasothorn, Yasothorn Province, in which one of these severe cases, was an author’s lovely nephew. This lead to inspire to find some effective methods/ways to control or eliminate dengue out of the village. Before 2013, most villagers of Baan Nong Bor were lack of spirit, cooperation, knowledge and khow-how to handle the dengue, as well as other transmitted diseases, e.g. diarrhea, leptospirosis, influenza, tuberculosis, etc. Sanitation and environment here, were in underdeveloped status. Prevalence of Aedes Aegypti larva had been still to be higher than accepted values with no sign and notification to fix the problem.

FRAMEWORK(S) /SCOPE

The operation project was processed in the area of Baan Nong Bor, Moo 4, Tambon Nong Hin, Muang Yasothorn, Yasothorn Province, year 2013

OBJECTIVE(S)

To set up an operation plan to monitor, control and prevent dengue hemorrhagic fever and other transmitted diseases at Baan Nong Bor, Tambon Nong Hin, Muang Yasothorn, Yasothorn province, and to develop folk innovations for mosquito control.

PROCEDURE

Operation Plan and SRRT Teams (VHVs) ; Representatives from sub-district administrative organization, village headmen, school and child development center, abbot, and village health volunteer (as secretary), were invited to form “operation plan”. VHVs had been assigned their function as operating workers, SRRT teams. The SRRT teams had monitored dengue risked cases following operation guidelines.

Fast Reporter Team was formed under a concept of “Sooner Known, Faster Report, Effective Control”. If dengue hemorrhagic fever’s patients would be found, it should be processed following “Yasothorn 3-3-1 Operation Plan”. Environmental management had been proceeded following pre-disease management, cleanness award competition, and informational promotion center.

Mosquito Driving Out Innovations Local herbs with anti-mosquito property, e.g. lemon grass and hairy basil, were processed to produce different innovating forms (e.g. hats, mats, clubs, sprayer, etc.), which then, VHVs and SRRT teams announced and persuaded people around the community to try out.

ASSESSMENT

Assessment Criteria Activities to control mosquito larva, and activities to monitor, control and prevent dengue hemorrhagic fever and other transmitted disease, and results after using mosquito driving out innovations, were included in the assessment.

Out-Puts No mosquito larva found in 160 households of the community, and no new case of dengue hemorrhagic fever, tuberculosis, influenza and leptospirosis incidence was found. Mosquito driving out innovations, e.g. hats and mats invented from lemon grass leaves (active using period extended for longer than 6 months), and sprayers invented from lemon grass and hairy basil juice (2-hr active for each spraying) were performed and shared among 60 households of the community.

Out-Comes This operation work on the monitoring, controlling and preventing dengue hemorrhagic fever and other transmitted diseases at Baan Nong Bor, Tambon Nong Hin, Muang Yasothorn, Yasothorn province, was successful. Villagers learnt and knew how to protect themselves from these diseases. Mosquito driving out innovations are good examples to use folk know-how in the application against invasive agents.

FACTORS EFFECTING ITS SUCCESSFULNESS

Author MR. PRAMOTE TAOKAEW, as a leader in several local authorities of Nong Hin community and suffered from his lovely nephew illness with dengue hemorrhagic fever, which then inspired him to become village health volunteer, and intended to eliminate the dengue out of his community.

Mentor team Academic and health service support from Tambon health promoting hospital and sub-district administrative office.

Working team Active and strengthened VHVs, and SRRT teams.

AUTHOR’S RESUME

MR. PRAMOTE TAOKAEW ; Age : 52 years, Occupation : farmer, Education : B.Sc, Duration of deserved as VHV : 10 years