Vol.2, No.2, 196-204 (2012) Open Journal of Preventive Medicine
http://dx.doi.org/10.4236/ojpm.2012.22029
The community capacity building for sustainable
dengue problem solution (CCB-SDPS) model: The
results from studies in community, southern region,
Thailand
*
Charuai Suwanbamrung
School of Nursing, Walailak University, Nakhorn Si Thammarat Province, Thailand; Scharuai@wu.ac.th
Received 6 January 2012; revised 8 February 2012; accepted 11 March 2012
ABSTRACT
This paper provides an approach for sustainable
dengue problem solution by the community ca-
pacity building model and the results of two
studies from implementation the model in South-
ern region, Thailand. The conceptual framework
of the CCB-SDPS model consisted of three di-
mensions; 1) community-based (leader and non-
leader in community), 2) community capacity
building process, and 3) sustainable dengue
problem solution (outcomes). The outcomes of
studies focused on the capacity level by the
DCCAT (14 domains of leader group, and 11
domains of non-leader group), dengue entomol-
ogy (Larval) index, and epidemiological (mor-
bidity and mortality) rate. The two studies were
pilot study in high risk dengue areas. These
studies were application of CCB-SDPS model.
First study was the process of using the tool for
testing the DCCAT in two communities. The re-
sults showed only three steps of using assess-
ment tool; community preparation, assessment,
and community hearing. The second study was
the fully testing model in three communities.
Participatory action research and mix methods;
quantitative and qualitative collecting data were
preparation community-based, building capacity
process (assessment, plan, implement, and re-
assessment), and outcomes monitoring. The
results of second study showed three models of
the CCB-SDPS. The two studies confirmed the
sustainable in after intervention of community
capacity building such as increased capacity
level of leader and non-leader group, deceased
entomological indices (HI, BI, and CI), and non
presentation of morbidity and mortality rate in
during study period. These results showed the
model conducing on contexts of each commu-
nity such the three dimensions of the concep-
tual framework of the model, community-based,
building capacity process, and measurement of
outcomes of sustainable dengue problem solu-
tion. These experiences in Southern Thailand
demonstrated the main keys to the approach of
CCB-SDPS were in the use of strategies plan-
ning to initiate community capacity building
towards sustained dengue problem solution.
Keywords: Community Capacity Building;
Sustainable Dengue Problem Solution; Dengue
Community-Based; DCCAT; CCB-SDPS
1. INTRODUCTION
Dengue is a public problem requiring the community’s
involvement in its solution. Sustainability is a major is-
sue of community-based dengue prevention and control,
defined according to the characteristics of each specific
setting [1,2]. In this study, sustainability is identified as a
necessary part of successful community-based dengue
programs. Sustainability must be evaluated by ongoing
activities of leaders and non-leaders in the community, as
well as at the outcome of a program [3-5].
To achieve sustainability, community capacity build-
ing is one of the instrumental factors; it contributes to the
process of enhancing a community’s abilities to define,
evaluate, analyze and act on the dengue problem [6-9].
Capacity building is a “concept both of the means and
the end” [10] and, as a dynamic process, it must be part
of the strategy for sustainability of the intervention from
the beginning to the end [11]. With a means or standard
for its measurement, community health interventions
would result in increased sustainability and capacity for
*
Conflict of Interest: The author(s) declare that they have no competing
interests.
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