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Title: Acceptability of impregnated school uniforms for dengue control in Thailand: A mixed methods approach
Authors: Natasha Murray
Suphachai Jansarikij
Phanthip Olanratmanee
Pongsri Maskhao
Aurélia Souares
Annelies Wilder-Smith
Pattamaporn Kittayapong
Valérie R. Louis
Universitat Heidelberg
Mahidol University
Rajabhat Rajanagarindra University
Nanyang Technological University
Umea Universitet
Keywords: Medicine
Issue Date: 1-Jan-2014
Citation: Global Health Action. Vol.7, No.1 (2014)
Abstract: © 2014 Natasha Murray et al. Background: As current dengue control strategies have been shown to be largely ineffective in reducing dengue in school-aged children, novel approaches towards dengue control need to be studied. Insecticideimpregnated school uniforms represent an innovative approach with the theoretical potential to reduce dengue infections in school children. Objectives: This study took place in the context of a randomised control trial (RCT) to test the effectiveness of permethrin-impregnated school uniforms (ISUs) for dengue prevention in Chachoengsao Province, Thailand. The objective was to assess the acceptability of ISUs among parents, teachers, and principals of school children involved in the trial. Methodology: Quantitative and qualitative tools were used in a mixed methods approach. Class-clustered randomised samples of school children enrolled in the RCT were selected and their parents completed 321 self-administered questionnaires. Descriptive statistics and logistic regression were used to analyse the quantitative data. Focus group discussions and individual semi-structured interviews were conducted with parents, teachers, and principals. Qualitative data analysis involved content analysis with coding and thematic development. Results: The knowledge and experience of dengue was substantial. The acceptability of ISUs was high. Parents (87.3%; 95% CI 82.9-90.8) would allow their child to wear an ISU and 59.9% (95% CI 53.7-65.9) of parents would incur additional costs for an ISU over a normal uniform. This was significantly associated with the total monthly income of a household and the educational level of the respondent. Parents (62.5%; 95% CI 56.6-68.1) indicated they would be willing to recommend ISUs to other parents. Conclusions: Acceptability of the novel tool of ISUs was high as defined by the lack of concern along with the willingness to pay and recommend. Considering issues of effectiveness and scalability, assessing acceptability of ISUs over time is recommended.
ISSN: 16549880
Appears in Collections:Scopus 2011-2015

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