Educational and Ecological Assessment of Factors Influencing Dengue Prevention in the Bahodopi Primary Health Center Working Area, Indonesia

Document Type : Original Article

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Abstract
Aims: This study aimed to analyse the predisposing, enabling, and reinforcing factors influencing dengue fever (DF) prevention among communities within the Bahodopi Primary Health Centre catchment area, Morowali Regency, Indonesia.
Participants and Methods: A qualitative study using a phenomenological design was conducted in June 2026. Participants were purposively selected until data saturation was achieved and included healthcare professionals and community members involved in dengue prevention. Data were collected through in-depth interviews, field observations, and document reviews, then analysed thematically based on the Educational and Ecological Assessment component of the PRECEDE–PROCEED Model.
Findings: Three categories of determinants influencing dengue prevention were identified: predisposing, enabling, and reinforcing factors. Predisposing factors showed that participants generally had adequate knowledge and positive attitudes towards dengue prevention, although preventive practices were not consistently implemented. Enabling factors included limited human resources, the absence of community-based Jumantik (larvae monitoring volunteer) cadres, and inadequate facilities and programme funding. Reinforcing factors comprised support from healthcare professionals, local government, community leaders, and multisectoral stakeholders, which strengthened larval surveillance, mosquito breeding site elimination, health education, and timely responses to dengue cases.
Conclusion: Dengue prevention within the Bahodopi Primary Health Centre catchment area is influenced by the interaction of predisposing, enabling, and reinforcing factors. Strengthening behaviour change communication, establishing Jumantik cadres, increasing resource support, and enhancing multisectoral collaboration are essential to improve the effectiveness and sustainability of dengue prevention programmes at the primary healthcare level.

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