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Journal of Infectious Diseases and Therapy ISSN: 2332-0877 | Volume: 6
Infectious Diseases
4th Annual Congress on
Neglected Tropical & Infectious Diseases
5th International Conference on
August 29-30, 2018 | Boston, USA
&
Mobile SMS effectively improves dengue prevention practices in community: An implementation study in
Nepal
Ashmin Hari Bhattarai
University/Institute/Compan, Nepal
Dengue is an emerging public health problem in Nepal that pose threat with frequent outbreaks. Dengue control activities are
mostly outbreak driven, still, lack systematic interventions and people have poor knowledge and practices. This study aimed
to explore the acceptability, appropriateness, and effectiveness of mobile SMS intervention in improving dengue control practices.
This is an implementation research that used mixed-methods design with intervention. A total of 300 households were divided
into three groups, i.e. one control group, one dengue prevention leaflet (DPL) only intervention group and DPL with mobile SMS
intervention group (DPL+SMS). We used a structured questionnaire to collect information regarding the knowledge and practice
of dengue prevention, and in-depth interviews to measure the acceptability and appropriateness of intervention. Mean difference,
one way ANOVA, paired t-test and regression analyses were used to assess the effectiveness of the interventions. Thematic analysis
was used to assess acceptability, appropriateness and barriers and enablers of the intervention. DPL+SMS intervention produced
significantly higher mean knowledge difference (32.68±13.68 SD vs 13.32±8.79 SD) and mean practice difference (27.94±11.44 SD
vs 4.88±5.42 SD) compared to DPL only group (p=0.000). Multivariate analysis showed that DPL+SMS intervention was effective
to increase knowledge by 28.62 points and practice by 24.06 points compared to the control group. The intervention was perceived
as acceptable and appropriate by the study participants and key stakeholders. Mobile SMS is an effective, acceptable and appropriate
health intervention to improve dengue prevention practices. This intervention can be adopted as a promising tool for health education
against dengue and other diseases.
J Infect Dis Ther 2018, Volume 6
DOI: 10.4172/2332-0877-C3-045