Health behavior analysis in prevention of dengue Hemorrhagic fever based on the health belief model at the Matali Sub-district community in Kotamobagu city, North Sulawesi Province of Indonesia

Rahdinan Julyoputera Paputungan 1, *, Josef S.B. Tuda 2 and Jehosua S.V. Sinolungan 2

1 Graduate students of the Public Health Study Program, Graduate Program, Sam Ratulangi University, Indonesia.
2 Department of General Medicine, Faculty of Medicine, Sam Ratulangi University, Indonesia.
 
Research Article
Open Access Research Journal of Biology and Pharmacy, 2026, 16(02), 067-080.
Article DOI: 10.53022/oarjbp.2026.16.2.0026
Publication history: 
Received on 20 February 2026; revised on 31 March 2026; accepted on 3 April 2026
 
Abstract: 
Background: A disease of Dengue Hemorrhagic Fever (DHF) is caused by dengue virus infection, generally occurred in the optimal condition area for its transmission by the Aedes aegypti mosquitos with optimal climate and temperature (10°C) around tropical and subtropical areas.
Objective: This study was conducted to describe the knowledge, attitude, and action of community perception factors based on six elements of health belief model (6-HBM) and community behavior factors based on ten activities in eradicating mosquito nests (10-EMN) including both factor correlations to reach good public health status at Matali Sub-district community.
Methods: Observations on community perceptions of the 6-HBM were given five choices of scores to answer the questions facing the issue of dengue hemorrhagic fever. Observations on community behavior factors in the10-EMN were involving two choices of scores to answer questions on the activity preventing the dengue fever issue. The correlation of both factors was analyzed by the Chi-square test.
Results: This study showed that average score above 3.51 can be considered to the public who agreed the perception of Dengue hemorrhagic Fever prevention efforts based on the HBM involving only four elements for higher perception to act. Furthermore, the health behavior based on the EMN program was involving higher activities of seven elements including P1, P2, P3, P5, P6, P7, and P8 with high percentages ranging 68 to 98 percents communities. There was also significant correlation between community perception of the HBM and community participation involving the elements of EMN to prevent the dengue hemorrhagic fever in Matali Sub-district community.
Conclusion: The implementation of the health belief model combined with the elements of eradicating mosquito nests would be the prominent efforts in prevention of extraordinary events of dengue hemorrhagic fever transmitted by the Aedes aegypti mosquito around the people community environmental habitat areas.
 
Keywords: 
Dengue hemorrhagic fever; Community behavior; Health belief model prevention; Matali Sub-district
 
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