Population-Based Intervention for Liver Fluke Prevention and Control in Meuang Yang District, Nakhon Ratchasima Province, Thailand

  • Kompor, Pontip (Master of Public Health, Vongchavalitkul University) ;
  • Karn, Rattikarn Muang (Faculty of Public Health, Vongchavalitkul University) ;
  • Norkaew, Jun (Faculty of Public Health, Vongchavalitkul University) ;
  • Kujapun, Jirawoot (Faculty of Public Health, Vongchavalitkul University) ;
  • Photipim, Mali (Faculty of Public Health, Vongchavalitkul University) ;
  • Ponphimai, Sukanya (Faculty of Public Health, Vongchavalitkul University) ;
  • Chavengkun, Wasugree (Faculty of Public Health, Vongchavalitkul University) ;
  • Paew, Somkiat Phong (Faculty of Public Health, Vongchavalitkul University) ;
  • Kaewpitoon, Soraya (School of Family Medicine and Community Medicine, Suranaree University of Technology) ;
  • Rujirakul, Ratana (Parasitic Disease Research Unit, Suranaree University of Technology) ;
  • Wakhuwathapong, Parichart (Parasitic Disease Research Unit, Suranaree University of Technology) ;
  • Phatisena, Tanida (Faculty of Public health, Nakhon Ratchasima Rajabhat University) ;
  • Eaksanti, Thawatchai (Faculty of Public health, Nakhon Ratchasima Rajabhat University) ;
  • Joosiri, Apinya (Parasitic Disease Research Unit, Suranaree University of Technology) ;
  • Polsripradistdist, Poowadol (Provincial Public Health Office of Nakhon Ratchasima) ;
  • Padchasuwan, Natnapa (Faculty of Public Health, Khon Kaen University) ;
  • Kaewpitoon, Natthawut (Suranaree University of Technology Hospital, Suranaree University of Technology)
  • Published : 2016.03.07


Opisthorchiasis is still a major health problem in rural communities of Thailand. Infection is associated with cholangiocarcinoma (CCA), which is found frequently in Thailand, particularly in the northeastern. Therefore, this study aimed to evaluate the effectiveness of health intervention in the population at risk for opisthorchiasis and CCA. A quasi-experimental study was conducted in Meuang Yang district, Nakhon Ratchasima province, northeastern Thailand, between June and October 2015. Participants were completed health intervention comprising 4 stations; 1, VDO clip of moving adult worm of liver fluke; 2, poster of life cycle of liver fluke; 3, microscopy with adult and egg liver fluke; and 4, brochure with the knowledge of liver fluke containing infection, signs, symptoms, related disease, diagnosis, treatment, prevention, and control. Pre-and-post-test questionnaires were utilized to collect data from all participants. Students paired t-tests were used to analyze differences between before and after participation in the health intervention. Knowledge (mean difference=-7.48, t=-51.241, 95% CI, -7.77, -7.19, p-value =0.001), attitude (mean difference=-9.07, t=-9.818, 95% CI=-10.9, -7.24, p-value=0.001), and practice (mean difference=-2.04, t=-2.688, 95% CI=-3.55, -0.53, p-value=0.008), changed between before and after time points with statistical significance. Community rules were concluded regarding: (1) cooked cyprinoid fish consumption; (2) stop under cooked cyprinoid fish by household cooker; (3) cooked food consumption; (4) hygienic defecation; (5) corrected knowledge campaign close to each household; (6) organizing a village food safety club; (7) and annual health check including stool examination featuring monitoring by village health volunteers and local public health officers. The results indicates that the present health intervention program was effective and easy to understand, with low cost and taking only a short time. Therefore, this program may useful for further work at community and provincial levels for liver fluke prevention and control.


Population-based intervention;liver fluke;prevention and control;Thailand


Supported by : National Health Security Office of Nakhon Ratchasima province


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