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Barriers to Engaging Communities in a Dengue Vector Control Program: An Implementation Research in an Urban Area in Hanoi City, Vietnam

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  • 1 Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada Indonesia, Yogyakarta, Indonesia;
  • | 2 Department of Public Health, Faculty of Medicine, Universitas Sebelas Maret Indonesia, Surakarta, Indonesia;
  • | 3 Department of Biostatistics, Epidemiology and Population Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada Indonesia, Yogyakarta, Indonesia;
  • | 4 Center for Tropical Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada Indonesia, Yogyakarta, Indonesia
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The dengue situation in the urban setting of Hanoi city, Vietnam, is emerging, focusing on inner districts. Previous studies showed that a dengue vector control program in Hanoi was not effective because of the lack of adequate engagement of the local government authorities, health sector, and community. This implementation research aimed to explore barriers to implementing community engagement in a dengue vector control program in an urban district of Hanoi city. Ten in-depth interviews and 14 focus group discussions were conducted at Lang Thuong, Khuong Thuong, Tho Quan, and Kim Lien wards in Dong Da district, Hanoi city. Data collection was implemented from April to June 2017. All discussions were recorded and transcribed verbatim. Data were analyzed using the content analysis approach. Secondary data from the dengue vector control program reports were used to support the qualitative evidence. We found that the barriers to implementing effective community engagement were as follows: 1) lack of interest and an attitude of dependency on action from the health sector of local people’s committee, 2) lack of enthusiasm of mass organizations and community leaders, 3) overburdened workloads and lack of communication skills from health sector, 4) low awareness and readiness from community, 5) lack of detailed policy guidelines and low enforcement of related policy, and 6) limited budget. Recommended actions should be made to improve the community engagement in the current resource-limited context of Vietnam by both top-down and bottom-up approaches.

Author Notes

Address correspondence to Thang Nguyen-Tien, Master Program on Public Health, Faculty of Medicine, Universitas Gadjah Mada Indonesia, Yogyakarta, Indonesia. E-mail: thangk5hsph@gmail.com

Financial support: This work was funded by WHO-TDR Post Graduate fellowship hosted by Universitas Gadjah Mada, and the funding donor had not been involved in the research process.

Ethics approval and consent to participate: Ethical approval for this research project was obtained from the Ethical Committee of Universitas Gadjah Mada with the reference number of KE/FK/0360/EC/2017. Written voluntary informed consent was given by all participants before conducting the interviews.

Authors’ addresses: Nguyen Tien Thang, Gadjah Mada University, Yogyakarta, Indonesia, Hanoi, Vietnam, E-mail: thangk5hsph@gmail.com. Ari Probandari, Universitas Sebelas Maret, Department of Public Health, Faculty of Medicine, Surakarta, Indonesia, E-mail: ari.probandari@staff.uns.ac.id. Riris Andono Ahmad, Faculty of Medicine, Gadjah Mada University, Yogyakarta, Indonesia, E-mail: risandono.ahmad@gmail.com.

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