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KAP study on Dengue in Ramnathapuram, Pondicherry

Date: 1. PHC… Name of interviewer: 2. Name of village………………………………..

Socioeconomic particulars
3. Name of respondent……………………………4. Age….. 5. Gender: M/F 6. Religion:………………….. 7. Level of education (a) NFE (b) primary (c) secondary (d) High school (e) Graduate (f) Technical (g) Professional (h) Others (specify) 8. Occupation: ............................. 9. Type of house: K/ SP / P 10. Annual income of the respondent……… 11. Annual income of the household…………. 12. Assets if any: TV/Radio/Cycle/scooter/Others. 13. Water supply source: . . . . . . . . . . . . 14. Frequency of supply: 15. Storage mechanisms (Type of storage):

Knowledge
1. What are the major health problems in your village? 2. Do you have mosquito menance in your locality? A) Extreme b) Medium c) Low 3. Can you mention some of the diseases transmitted by mosquitoes? a) Fever b) Malaria c) Dengue d) chikungunya e) Filariasis f) Others 4. Have you heard about dengue? 5. Can you tell how dengue is transmitted? 6. What are the breeding habitats of dengue mosquitoes? 7. Do you know about the time of biting of dengue mosquitoes? 8. Had anyone affected by dengue in your family/village? 9. Are you aware of the symptoms of dengue? 10. Can you tell how mosquitoes transmitting dengue can be controlled? 11. Do you know about the treatment of dengue, Vaccination and where you will go for it? 12. Is dengue fatal? 13. Are you aware of preventive activities of dengue by govt?

ATTITUDE
1. What is your opinion towards mosquito-borne diseases in general with particular reference to dengue? 2. Do you feel you are susceptible to dengue? 3. What do you feel about the severity of dengue? 4. Do you think it is preventable? YES / NO 5. If ‘Yes” How? 6. Do you think it is curable? 7. What is your opinion about the treatment and facilities available for treatment at present? 8. What in your opinion is the best method to control dengue transmitting mosquitoes? 9. Does preventing mosquito breeding prevents dengue transmission? 10. How do you feel about government activities to prevent dengue? 11. What is your opinion about the IEC activities by government with regard to dengue 12. Whom do you think is responsible for controlling/preventing dengue (community or government)

PRACTICE 1. Do you have mosquito breeding sources in your premises? 2. Do you follow any steps to control breeding of mosquitoes? 3. Are you using any personal protection measures against bite of mosquito? 4. What do you do with the waste water from your home? 5. How often do you clean your surroundings 6. Any suggestions to control dengue. 7. Where do you go if you have any illness or symptoms? 8. Storage waters are covered properly or not?