Addressing knowledge, attitude and practice gaps for effective dengue management strategies in Indonesia

BackgroundDengue is a significant public health issue in Indonesia, facing a substantial year-round disease burden and rising incidence. However, comprehensive assessments of Knowledge, Attitudes, and Practices (KAP) regarding dengue in the Indonesian adult population are limited. This study provide...

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Main Authors: Ari Prayitno, Mei Neni Sitaresmi, Bachti Alisjahbana, Carolina Halim, Fauchil Wardati, Mentari Yudiansyach, Sri Rezeki Hadinegoro
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1540121/full
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author Ari Prayitno
Mei Neni Sitaresmi
Bachti Alisjahbana
Bachti Alisjahbana
Carolina Halim
Fauchil Wardati
Mentari Yudiansyach
Sri Rezeki Hadinegoro
author_facet Ari Prayitno
Mei Neni Sitaresmi
Bachti Alisjahbana
Bachti Alisjahbana
Carolina Halim
Fauchil Wardati
Mentari Yudiansyach
Sri Rezeki Hadinegoro
author_sort Ari Prayitno
collection DOAJ
description BackgroundDengue is a significant public health issue in Indonesia, facing a substantial year-round disease burden and rising incidence. However, comprehensive assessments of Knowledge, Attitudes, and Practices (KAP) regarding dengue in the Indonesian adult population are limited. This study provides one of the first comprehensive evaluations of KAP in Indonesia, aiming to inform integrated dengue management programs.MethodsThis study utilized data from the larger GEMKAP study, which covered seven countries, including Indonesia. The GEMKAP study was a cross-sectional electronic survey conducted in September and October 2022, targeting adults aged 21 to 60, recruited through email invitations from an existing web-based panel. The survey, consisting of 35 questions, was developed based on existing dengue KAP studies and was translated into Bahasa Indonesia.ResultsAnalysis of 600 Indonesian responses revealed higher levels of Attitudes (65%) and Practices (56%) compared to Knowledge (46%). Most respondents correctly identified dengue transmission through Aedes mosquitoes (85%) and mosquito breeding grounds (98%); however, awareness of dengue serotypes (48%) and multiple infection risks (50%) was lower. Out of the dengue prevention methods practiced, draining and covering water containers was rated the safest and most effective (8.4 and 8.1, respectively, on a scale from 0 to 10). In comparison, dengue vaccination was perceived as generally safe and effective (7.6 and 7.7, respectively, on a scale from 0 to 10). Willingness to receive dengue vaccines was moderate (51%), with 60% unaware of vaccine availability. Fear of side effects (18%) was the most common reason for moderate willingness to vaccinate. Respondents preferred search engines (88%) and social media (85%) as sources to search health information, with doctors being the most trusted stakeholder to receive health information from (94%). The most favored dengue management strategy was combining vaccination with education and vector control (42%).ConclusionThe KAP assessment identified strengths and gaps in dengue awareness and practices among Indonesians. The gaps identified from the KAP results underscore the need for an integrated approach combining vector control, vaccination, and education. As the most trusted stakeholders, HCPs can play a key role in supporting the effective implementation of dengue management strategies.
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spelling doaj-art-0bc3d3b3b919477c9e64d32facd55a6a2025-08-20T01:53:27ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-05-011310.3389/fpubh.2025.15401211540121Addressing knowledge, attitude and practice gaps for effective dengue management strategies in IndonesiaAri Prayitno0Mei Neni Sitaresmi1Bachti Alisjahbana2Bachti Alisjahbana3Carolina Halim4Fauchil Wardati5Mentari Yudiansyach6Sri Rezeki Hadinegoro7Faculty of Medicine, Universitas Indonesia, Jakarta, IndonesiaFaculty of Medicine, Universitas Gadjah Mada, Yogyakarta, IndonesiaDepartment of Internal Medicine, Hasan Sadikin General Hospital, Bandung, IndonesiaResearch Center for Care and Control of Infectious Diseases, Universitas Padjadjaran, Bandung, IndonesiaMedical Affairs, PT Takeda Innovative Medicines, Jakarta, IndonesiaMedical Affairs, PT Takeda Innovative Medicines, Jakarta, IndonesiaMedical Affairs, PT Takeda Innovative Medicines, Jakarta, IndonesiaFaculty of Medicine, Universitas Indonesia, Jakarta, IndonesiaBackgroundDengue is a significant public health issue in Indonesia, facing a substantial year-round disease burden and rising incidence. However, comprehensive assessments of Knowledge, Attitudes, and Practices (KAP) regarding dengue in the Indonesian adult population are limited. This study provides one of the first comprehensive evaluations of KAP in Indonesia, aiming to inform integrated dengue management programs.MethodsThis study utilized data from the larger GEMKAP study, which covered seven countries, including Indonesia. The GEMKAP study was a cross-sectional electronic survey conducted in September and October 2022, targeting adults aged 21 to 60, recruited through email invitations from an existing web-based panel. The survey, consisting of 35 questions, was developed based on existing dengue KAP studies and was translated into Bahasa Indonesia.ResultsAnalysis of 600 Indonesian responses revealed higher levels of Attitudes (65%) and Practices (56%) compared to Knowledge (46%). Most respondents correctly identified dengue transmission through Aedes mosquitoes (85%) and mosquito breeding grounds (98%); however, awareness of dengue serotypes (48%) and multiple infection risks (50%) was lower. Out of the dengue prevention methods practiced, draining and covering water containers was rated the safest and most effective (8.4 and 8.1, respectively, on a scale from 0 to 10). In comparison, dengue vaccination was perceived as generally safe and effective (7.6 and 7.7, respectively, on a scale from 0 to 10). Willingness to receive dengue vaccines was moderate (51%), with 60% unaware of vaccine availability. Fear of side effects (18%) was the most common reason for moderate willingness to vaccinate. Respondents preferred search engines (88%) and social media (85%) as sources to search health information, with doctors being the most trusted stakeholder to receive health information from (94%). The most favored dengue management strategy was combining vaccination with education and vector control (42%).ConclusionThe KAP assessment identified strengths and gaps in dengue awareness and practices among Indonesians. The gaps identified from the KAP results underscore the need for an integrated approach combining vector control, vaccination, and education. As the most trusted stakeholders, HCPs can play a key role in supporting the effective implementation of dengue management strategies.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1540121/fulldenguevaccineknowledgeattitudepracticeIndonesia
spellingShingle Ari Prayitno
Mei Neni Sitaresmi
Bachti Alisjahbana
Bachti Alisjahbana
Carolina Halim
Fauchil Wardati
Mentari Yudiansyach
Sri Rezeki Hadinegoro
Addressing knowledge, attitude and practice gaps for effective dengue management strategies in Indonesia
Frontiers in Public Health
dengue
vaccine
knowledge
attitude
practice
Indonesia
title Addressing knowledge, attitude and practice gaps for effective dengue management strategies in Indonesia
title_full Addressing knowledge, attitude and practice gaps for effective dengue management strategies in Indonesia
title_fullStr Addressing knowledge, attitude and practice gaps for effective dengue management strategies in Indonesia
title_full_unstemmed Addressing knowledge, attitude and practice gaps for effective dengue management strategies in Indonesia
title_short Addressing knowledge, attitude and practice gaps for effective dengue management strategies in Indonesia
title_sort addressing knowledge attitude and practice gaps for effective dengue management strategies in indonesia
topic dengue
vaccine
knowledge
attitude
practice
Indonesia
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1540121/full
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