IMPACT OF EDUCATION ON KNOWLEDGE, AGRICULTURAL PRACTICES, AND COMMUNITY ACTIONS FOR MOSQUITO CONTROL AND MOSQUITO-BORNE DISEASE PREVENTION IN RICE ECOSYSTEMS IN SRI LANKA

JUNKO YASUOKA Department of Population and International Health, Department of Biostatistics, and Department of Immunology and Infectious Diseases, Harvard School of Public Health, Boston, Massachusetts

Search for other papers by JUNKO YASUOKA in
Current site
Google Scholar
PubMed
Close
,
THOMAS W. MANGIONE Department of Population and International Health, Department of Biostatistics, and Department of Immunology and Infectious Diseases, Harvard School of Public Health, Boston, Massachusetts

Search for other papers by THOMAS W. MANGIONE in
Current site
Google Scholar
PubMed
Close
,
ANDREW SPIELMAN Department of Population and International Health, Department of Biostatistics, and Department of Immunology and Infectious Diseases, Harvard School of Public Health, Boston, Massachusetts

Search for other papers by ANDREW SPIELMAN in
Current site
Google Scholar
PubMed
Close
, and
RICHARD LEVINS Department of Population and International Health, Department of Biostatistics, and Department of Immunology and Infectious Diseases, Harvard School of Public Health, Boston, Massachusetts

Search for other papers by RICHARD LEVINS in
Current site
Google Scholar
PubMed
Close
Restricted access

Mosquito-borne diseases are a major public health threat in Sri Lanka. A 20-week pilot education program to improve community knowledge and mosquito control with participatory and non-chemical approaches was developed, implemented, and evaluated using pre-educational and post-educational surveys in two intervention and two comparison villages. Correlates of baseline knowledge were sex, number of family members, ratio of family members with malaria history, school education level, and availability of electricity at the residence. Participation in the educational program led to improved knowledge of mosquito ecology and disease epidemiology, changes in agricultural practices, and an increase in environmentally sound measures for mosquito control and disease prevention. The variety of actions at the post-educational stage were determined by improved knowledge, but not by sociodemographic characteristics. Such community-based educational interventions are effective in increasing understanding and active involvement in mosquito control and disease prevention in rice ecosystems regardless of sociodemographic characteristics.

Author Notes

Reprint requests: Junko Yasuoka, Department of Population and International Health, Harvard School of Public Health, 665 Huntington Avenue, Boston, MA 02115.
  • 1

    Ramasamy MS, Kulasekera R, Srikrishnaraj KA, Ramasamy R, 1994. Population dynamics of anthropophilic mosquitoes during the northeast monsoon season in the malaria epidemic zone of Sri Lanka. Med Vet Entomol 8 :265–274.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2

    Sandosham AA, Thomas V, 1983. Malariology with Special Reference to Malaya. Singapore: Singapore University Press.

    • PubMed
    • Export Citation
  • 3

    Klinkenberg E, van der Hoek W, Amerasinghe FP, 2004. A malaria risk analysis in an irrigated area in Sri Lanka. Acta Trop 89 :215–225.

  • 4

    Amerasinghe PH, Amerasinghe FP, Konradsen F, Fonseka KT, Wirtz RA, 1999. Malaria vectors in a traditional dry zone village in Sri Lanka. Am J Trop Med Hyg 60 :421–429.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5

    Konradsen F, van der Hoek W, Amerasinghe PH, Amerasinghe FP, 1997. Measuring the economic cost of malaria to households in Sri Lanka. Am J Trop Med Hyg 56 :656–660.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6

    Fernando SD, Gunawardena DM, Bandara MR, De Silva D, Carter R, Mendis KN, Wickremasinghe AR, 2003. The impact of repeated malaria attacks on the school performance of children. Am J Trop Med Hyg 69 :582–588.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7

    Konradsen F, Amerasinghe FP, van der Hoek W, Amerasinghe PH, 2000. Malaria in Sri Lanka, Current Knowledge on Transmission and Control. Battaramulla, Sri Lanka: International Water Management Institute.

    • PubMed
    • Export Citation
  • 8

    Silva KT, 1997. “Public health” for whose benefit? Multiple discourses on malaria in Sri Lanka. Med Anthropol 17 :195–214.

  • 9

    Goonasakere KGA, Amerasinghe FP, 1988. Planning, design, and operation of rice irrigation schemes - the impact on mosquito-borne diseases. Vector-Borne Disease Control in Humans through Rice Agroecosystem Management. Manila: International Rice Research Institute, 41–50.

    • PubMed
    • Export Citation
  • 10

    Gunawardena DM, Wickremasinghe AR, Muthuwatta L, Weerasingha S, Rajakaruna J, Senanayaka T, Kotta PK, Attanyaka N, Carter R, Mendis KN, 1998. Malaria risk factors in an endemic region of Sri Lanka, and the impact and cost implications of risk-factor based interventions. Am J Trop Med Hyg 58 :533–542.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11

    Lacey LA, Lacey CM, 1990. The medical importance of riceland mosquitoes and their control using alternatives to chemical insecticides. J Am Mosq Control Assoc 6 :1–93.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12

    Agyepong IA, 1992. Malaria: Ethnomedical perceptions and practice in an Adange farming community and implications for control. Soc Sci Med 35 :131–137.

  • 13

    Nuwaha F, 2002. People’s perception of malaria in Mbarara, Uganda. Trop Med Int Health 7 :462–470.

  • 14

    Jayawardene R, 1993. Illness behavior and preventive behavior of the people and malaria transmission in Sri Lanka. Mosquito-Borne Dis Bull 10 :12–20.

  • 15

    Konradsen F, van der Hoek W, Amerasinghe PH, Amerasinghe FP, Fonseka KT, 1997. Household responses to malaria and their costs: a study from rural Sri Lanka. Trans R Soc Trop Med Hyg 91 :127–130.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16

    Yasuoka J, Levins R, Mangione TW, Spielman A, 2006. Community-based rice ecosystem management for suppressing vector anophelines in Sri Lanka. Trans R Soc Trop Med Hyg 100 : (in press).

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17

    Cronbach LJ, 1951. Coefficient alpha and the internal structure of tests. Psychometrika 16 :297–334.

  • 18

    Rosenbaum J, Nathan MB, Ragoonanansingh R, Rawlins S, Gayle C, Chadee DD, Lloyd LS, 1995. Community participation in dengue prevention and control: a survey of knowledge, attitudes, and practice in Trinidad and Tobago. Am J Trop Med Hyg 53 :111–117.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19

    Winch PJ, Leontsini E, Rigau-Perez JG, Ruiz-Perez M, Clark GG, Gubler DJ, 2002. Community-based dengue prevention programs in Puerto Rico: impact on knowledge, behavior, and residential mosquito infestation. Am J Trop Med Hyg 67 :363–370.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20

    Konradsen F, Amerasinghe PH, Perera D, Van der Hoek W, Amerasinghe FP, 2000. A village treatment center for malaria: community response in Sri Lanka. Soc Sci Med 50 :879–889.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21

    United Nations Development Programme, 2004. Human Development Report 2004. Cultural Liberty in Today’s Diverse World. New York: United Nations Development Programme.

    • PubMed
    • Export Citation
Past two years Past Year Past 30 Days
Abstract Views 377 288 20
Full Text Views 355 10 0
PDF Downloads 167 7 0
 

 

 

 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save