The massive flood in Malaysia's east coast in December 2014 has placed Kelantan in a possible dengue outbreak risk. At this point, community awareness is essential in preventing disease spread. However, no data on knowledge, attitude, and practice (KAP) of dengue in Kelantan have existed in relevance to flood disaster, although such information is necessary for the vector control programs. The purpose of this study is to assess the KAP regarding dengue among school children from flooded and unflooded areas and to evaluate the effectiveness of the dengue health education program in improving their KAP level. A school-based pre- and post-tests design was utilized in this study whereby a booklet on dengue was distributed during the interphase of the tests. The information collected was on the socio-demographic, KAP and the source of dengue information. We statistically compared the KAP between the two study sites and the pre- and post-test scores to evaluate the health education program. A total of 203 students participated in the survey, and 51.7% of them were flood victims. When comparing the baseline KAP, the respondents from the unflooded area had higher knowledge scores compared to those from the flooded area (P<0.05), while non-significant differences were observed in the attitude and practice between the two study areas (P>0.05). The health education program significantly improved knowledge and practice in the flooded area and knowledge only in the unflooded area (P<0.05). The multinomial regression analysis suggests that age and dengue history are the primary determinants that influence the high practice level in both areas. We suggest the need to increase routine dengue health education programs to all age groups targeting both high and low dengue risk areas, and the necessity to ensure the translation of positive knowledge and attitude changes into real dengue preventive practices.

中文翻译：

---

马来西亚吉兰丹州以学校为基础的登革热控制健康教育：对知识，态度和实践的影响。

2014年12月，马来西亚东海岸发生大水灾，吉兰丹州可能面临登革热暴发的危险。在这一点上，社区意识对于预防疾病传播至关重要。但是，与吉兰丹州有关洪灾的登革热知识，态度和实践（KAP）数据不存在，尽管这些信息对于病媒控制程序是必需的。这项研究的目的是评估有关水灾和非水灾地区小学生登革热的KAP，并评估登革热健康教育计划在提高其KAP水平方面的有效性。在这项研究中，采用了基于学校的测试前和测试后设计，在测试的中间阶段分发了一本有关登革热的小册子。收集的信息在社会人口统计资料中，KAP和登革热信息的来源。我们对两个研究地点之间的KAP以及测试前和测试后的分数进行了统计比较，以评估健康教育计划。共有203名学生参加了调查，其中51.7％是洪灾受害者。在比较基准KAP时，未淹水地区的受访者的知识得分高于淹水地区的受访者（P <0.05），而两个研究地区在态度和实践上的差异无统计学意义（P> 0.05） ）。健康教育计划显着提高了水灾地区的知识和实践水平，只提高了非水灾地区的知识水平（P <0.05）。多项回归分析表明，年龄和登革热病史是影响这两个地区高级实践水平的主要决定因素。