Community participatory approaches to dengue prevention in Sarawak, Malaysia

This paper covers preliminary findings from a participatory action research (PAR) project into dengue prevention in Sarawak, Malaysia, which formed one part of a national, multisite study. The objectives of the project in Sarawak were to reduce a high Aedes mosquito index and associated risk of dengue in two coastal Malay villages, using behavior modification strategies through a community participatory approach. The approach has achieved a reduced Aedes index as well as both material and nontangible benefits for the communities under study. These benefits may be calculated in terms of reduction of identified health risks and physical well-being of the community as well as in terms of more effective networking and self-advocacy with government agencies and the wider community.