{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T22:47:06Z","timestamp":1791758826032,"version":"4.3.4"},"reference-count":51,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2024,12,31]],"date-time":"2024-12-31T00:00:00Z","timestamp":1735603200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010034","name":"Walailak University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100010034","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>One of the consequences of the COVID-19 lockdown is that it hinders school-based dengue management interventions. This is due to the closure of schools and the limited availability of online lessons in certain schools. Conversely, the level of basic understanding that primary school children have about the condition is directly related to their likelihood of getting it and their ability to modify their behaviour to prevent it. Thus, the study aims to assess the understanding and develop a school-based model intervention for dengue solutions and larval indices surveillance systems suitable for primary schools. The study used a purposive and convenience technique to recruit participants in the Keawsan sub-district in Nabon district, Nakhon Si Thammarat province, Thailand. An applied community participatory action research (CPAR) design was used to develop a school-based model intervention. The pre-test result shows that more than 90% and 100% of the students have a poor understanding of dengue solutions (UDS) and larval indices surveillance systems (ULISS), respectively. The students with good scores on UDS increased from 2.9% to 54.6% after the intervention, and there is still a prevalent lack of good understanding among more than 85% of the students on ULISS. Meanwhile, gender, class, and school significantly influence (p &lt;0.05) UDS and ULISS among students in either the pre-test or post-test. Based on the thematic analysis, it was determined that the students had learned about dengue fever transmission, dengue mosquitoes, container index calculation, dengue symptoms, and how to prevent dengue mosquitoes, among other topics. Overall, it was discovered that the trained students could convey their knowledge of the dengue solution and the larval indices surveillance system to other students. We recommend that further ULISS training be provided for schoolchildren in more simple terms that they can understand.<\/jats:p>","DOI":"10.1371\/journal.pone.0313171","type":"journal-article","created":{"date-parts":[[2024,12,31]],"date-time":"2024-12-31T18:38:53Z","timestamp":1735670333000},"page":"e0313171","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":7,"title":["A primary school-based dengue solution model for post-COVID-19 in southern Thailand: Students understanding of the dengue solution and larval indices surveillance system"],"prefix":"10.1371","volume":"19","author":[{"given":"Jiraporn","family":"Jaroenpool","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarunya","family":"Maneerattanasak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Femi","family":"Adesina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8243-7406","authenticated-orcid":true,"given":"Atchara","family":"Phumee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2757-1965","authenticated-orcid":true,"given":"Muhammad Haroon","family":"Stanikzai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chumpon","family":"Ponprasert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingqin","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shamarina","family":"Shohaimi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Truong Thanh","family":"Nam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Temesgen Anjulo","family":"Ageru","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amin Nordin","family":"Syafinaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2318-4570","authenticated-orcid":true,"given":"Charuai","family":"Suwanbamrung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,12,31]]},"reference":[{"issue":"10","key":"pone.0313171.ref001","doi-asserted-by":"crossref","first-page":"e1598","DOI":"10.1002\/hsr2.1598","article-title":"Frequent outbreaks of dengue fever in South Asian countries-A correspondence analyzing causative factors and ways to avert","volume":"6","author":"TJ Urmi","year":"2023","journal-title":"Health Sci Rep"},{"key":"pone.0313171.ref002","unstructured":"World Health Organization. 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Hyg"},{"key":"pone.0313171.ref029","article-title":"Clinical profile of dengue fever in Children: A study from Southern Odisha","author":"S Mishra","year":"2016","journal-title":"India Scientifica"},{"key":"pone.0313171.ref030","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1016\/S0140-6736(18)32560-1","article-title":"Dengue","volume":"393","author":"A Wilder-Smith","year":"2019","journal-title":"Lancet"},{"key":"pone.0313171.ref031","doi-asserted-by":"crossref","first-page":"293","DOI":"10.4103\/jfmpc.jfmpc_770_19","article-title":"Dengue in children and young adults, a cross-sectional study from the western part of Uttar Pradesh.","volume":"9","author":"M Kumar","year":"2020","journal-title":"J. Family Med. Prim. Care"},{"issue":"6","key":"pone.0313171.ref032","doi-asserted-by":"crossref","first-page":"2450","DOI":"10.4269\/ajtmh.20-0885","article-title":"Artificial Light at Night Increases Aedes aegypti Mosquito Biting Behavior with Implications for Arboviral Disease Transmission","volume":"103","author":"SSC Rund","year":"2020","journal-title":"Am J Trop Med Hyg"},{"key":"pone.0313171.ref033","first-page":"522","article-title":"Dengue fever-like illnesses: how different are they from each other? Scand","volume":"44","author":"S Gulati","year":"2012","journal-title":"J. Infect Dis"},{"key":"pone.0313171.ref034","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1186\/1471-2458-13-434","article-title":"Dengue in peri-urban Pak-Ngum district, Vientiane capital of Laos: a community survey on knowledge, attitudes and practices","volume":"13","author":"M Mayxay","year":"2013","journal-title":"BMC Public Health"},{"key":"pone.0313171.ref035","first-page":"e2455","article-title":"Knowledge of Dengue Among Students Exposed to Various Awareness Campaigns in Model Schools of Islamabad: A Cross-Sectional Study","volume":"10","author":"N Javed","year":"2018","journal-title":"Cureus"},{"key":"pone.0313171.ref036","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1016\/S2222-1808(12)60100-5","article-title":"Children\u2019s basic knowledge and activities for dengue problem solution: an islamic religious school, Southern Thailand","volume":"2","author":"C. Suwanbamrung","year":"2012","journal-title":"Asian Pac. J. Trop. Dis"},{"key":"pone.0313171.ref037","doi-asserted-by":"crossref","first-page":"e0201107","DOI":"10.1371\/journal.pone.0201107","article-title":"The use of the \"Lansaka Model\" as the larval indices surveillance system for a sustainable solution to the dengue problem in southern Thailand","volume":"13","author":"C Suwanbamrung","year":"2018","journal-title":"PloS one"},{"key":"pone.0313171.ref038","volume-title":"Comprehensive guidelines for prevention and control of dengue and dengue haemorrhagic fever","author":"WHO Regional Office for South-East Asia","year":"2011"},{"key":"pone.0313171.ref039","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1108\/JHR-11-2018-081","article-title":"Developing the active larval indices surveillance system for dengue solution in low and high dengue risk primary care units, Southern Thailand","volume":"32","author":"C. Suwanbamrung","year":"2018","journal-title":"J. Health Res"},{"key":"pone.0313171.ref040","doi-asserted-by":"crossref","first-page":"1361717","DOI":"10.3389\/fpubh.2024.1361717","article-title":"Literacy and attitude of Asian youths on dengue and its prevention in an endemic developed community","volume":"12","author":"WF Soo","year":"2024","journal-title":"Front. Public Health"},{"key":"pone.0313171.ref041","first-page":"120","article-title":"The Influence of School Types, Class Classifications and Gender on Academic Achievement in Economics among High School Students: A Comparative Analysis","volume":"8","author":"WO Aransi","year":"2018","journal-title":"Int. J. Progr Sci. Technol. (IJPSAT)"},{"key":"pone.0313171.ref042","unstructured":"Byers T, Mahat M, Liu K, Knock A, Imms W. A Systematic Review of the Effects of Learning Environments on Student Learning Outcomes\u2014Technical Report 4\/2018. University of Melbourne, LEaRN. 2018. Retrieved from: http:\/\/www.iletc.com.au\/publications\/reports."},{"issue":"6","key":"pone.0313171.ref043","doi-asserted-by":"crossref","first-page":"e16759","DOI":"10.1016\/j.heliyon.2023.e16759","article-title":"Effectiveness of dengue training programmes on prevention and control among high school students in the Yangon region, Myanmar","volume":"9","author":"SH Aung","year":"2023","journal-title":"Heliyon"},{"key":"pone.0313171.ref044","unstructured":"Centers for Disease Control and Prevention. Life Cycle of Aedes Mosquitoes, 2024. https:\/\/www.cdc.gov\/mosquitoes\/about\/life-cycle-of-aedes-mosquitoes.html (Accessed June 20, 2024)."},{"issue":"3","key":"pone.0313171.ref045","doi-asserted-by":"crossref","first-page":"e143","DOI":"10.1371\/journal.pntd.0000143","article-title":"Community and school-based health education for dengue control in rural Cambodia: a process evaluation","volume":"1","author":"S. Khun","year":"2007","journal-title":"PLoS Neglected Trop. 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