Socio-ecological framework on risk of prolonged dengue outbreak in Seremban district: a qualitative study

A prolonged duration of a dengue outbreak in a locality poses a detrimental risk to the susceptible population. There have been limited studies looking into the socio-ecological factors that can be modified to break the chain of transmission. Therefore, this study aimed to explore and identify the s...

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Main Authors: Mohd ‘Ammar Ihsan Ahmad Zamzuri, Fateen Nadhira Ismail, Mohd Nazrin Jamhari, Muhamad Hazizi Muhamad Hasani, Noor Khalili Mohd Ali, Rozita Hod, Rahmat Dapari, Mohd Rohaizat Hassan
Format: Article
Language:en
Published: Universiti Kebangsaan Malaysia 2025
Online Access:http://journalarticle.ukm.my/26381/1/vol%2B15%2Bno%2B2%2B2025_270%20-.pdf
http://journalarticle.ukm.my/26381/
http://spaj.ukm.my/ijphr/index.php/ijphr
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Summary:A prolonged duration of a dengue outbreak in a locality poses a detrimental risk to the susceptible population. There have been limited studies looking into the socio-ecological factors that can be modified to break the chain of transmission. Therefore, this study aimed to explore and identify the socio-ecological attributes experienced by the health authority in the Seremban district. A qualitative study was performed using an in-depth interview (IDI) technique based on semi-structured questionnaires. Results were thematically analysed when theoretical saturation was achieved. A total of 12 respondents participated in this study, representing various backgrounds and involved in dengue control activities. There were nine modifiable socio-ecological themes generated, namely (1) illegal dumpsite, (2) illegal gardens, (3) illegal man-made structures, (4) old unused items, (5) idle damaged vehicles, (6) construction site, (7) drainage system, (8) physical structure, and (9) lack of community engagement. A model framework was conceptualised from the analysis. The health authority identified that these issues require urgent attention and collaborative action by various stakeholders. The identified socio-ecological factors have been a challenge for the health authority. Nevertheless, identifying these attributes signifies the key to tackling the prolonged duration of the dengue outbreak. Ultimately, a multi-agency approach and community participation are vital to ensure a sustainable vector control program.