Socio-Ecological Framework on Risk of Prolonged Dengue Outbreak in Seremban District: A Qualitative Study

Mohd &lsquo; Ammar Ihsan Ahmad Zamzuri; ateen Nadhira Ismail; Mohd Nazrin Jamhari; Muhamad Hazizi Muhamad Hasani; Noor Khalili Mohd Ali; Rozita Hod; Rahmat Dapari; Mohd Rohaizat Hassan; Mohd Rohaizat Hassan

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Socio-Ecological Framework on Risk of Prolonged Dengue Outbreak in Seremban District: A Qualitative Study

Author: Mohd ‘Ammar Ihsan Ahmad Zamzuri ¹ ; ateen Nadhira Ismail ² ; Mohd Nazrin Jamhari ³ ; Muhamad Hazizi Muhamad Hasani ⁴ ; Noor Khalili Mohd Ali ⁴ ; Rozita Hod ² ; Rahmat Dapari ⁵ ; Mohd Rohaizat Hassan ² ; Mohd Rohaizat Hassan ⁶
Author Information

1. State Health Department of Negeri Sembilan, Jalan Rasah, Bukit Rasah, 70300 Seremban, Negeri Sembilan, Malaysia.
2. Department of Public Health Medicine, Universiti Kebangsaan Malaysia, Cheras, 56000 Kuala Lumpur, Malaysia.
3. Kubang Pasu District Health Office, State Department of Health Kedah, 06000 Jitra, Kedah, Malaysia.
4. Seremban District Health Office, Jalan Lee Sam, Bandar Seremban, 70590 Seremban, Negeri Sembilan, Malaysia.
5. Department of Community Health, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia.
6. University of Cyberjaya, Persiaran Bestari, Cyber 11, 63000 Cyberjaya, Selangor, Malaysia.
Publication Type:Journal Article
Keywords: Dengue; Disease Outbreaks; Community Participation; Socio-ecological factor.
From: International Journal of Public Health Research 2025;15(2):2322-2331
CountryMalaysia
Language:English
Abstract: Socio-Ecological Framework on Risk of Prolonged Dengue Outbreak in Seremban District: A Qualitative Study:IntroductionA 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.MethodsA 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.ResultsA 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.ConclusionThe 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.
Full text:2026061112424761926Socio-Ecological Framework on Risk.pdf