Perceived reasons for poor sanitation and suggested solutions to overcome environmental challenges in JE-A qualitative study
Journal Title: National Journal of Research in Community Medicine - Year 2018, Vol 7, Issue 0
Abstract
Background: Increasing trend of Japanese encephalitis in India along with the increase in vector breeding sites of culex mosquito due to unplanned town ships, makes it necessary to create awareness about Japanese encephalitis and measures to control the same. Objectives: To create awareness on Japanese encephalitis through small group discussion. To explore the various perceived reasons on poor environmental sanitation, through free listing and pile sorting exercise. To derive solutions to improve sanitation and to prevent JE, through Focus group discussion Methods: The study was carried out in Thaiyyur village, rural field practice area of a private medical college and hospital, Chennai during Feb 2018. Using Purposive sampling technique, with the help of village leader, 12 participants willing to participate in the study was identified. Awareness on Japanese encephalitis was done by small group discussion. A triangulation of free listing and pile sorting exercises was done to identify the perceived reasons for poor environmental sanitation and their perceived relationship. By semi-structured focus group discussion, solutions to prevent Japanese encephalitis through environmental manipulation was derived. Smiths’S value and cluster analysis was done for analysis. Results: The study participants perceived unavailability of common dustbin, improper drainage system, existing unclean environment, neighbours throwing waste in empty land to be the major reasons for poor environmental sanitations favouring Japanese encephalitis. Major solutions includes, strict laws by government, Provision of proper waste disposal area, awareness of vector borne disease, IEC, Community participation. Conclusion: Hence, in addition to extensive survey on vector borne diseases, survey on vector breeding sites and actions to prevent and control should be done. Behaviour change communication should be encouraged to change the attitude of the people, towards environmental sanitation
Authors and Affiliations
Suganya. E, Roshini S, Balaji Arumugam
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