The development of a system for implementing dengue NS1 rapid test in a pilot area of Nonthaburi Province

Abstract

Dengue remains a significant public health problem, with ongoing reports of cases and deaths. The use of the Dengue NS1 Rapid Test is an essential approach for reducing severity and fatality. However, the current implementation lacks a clear operational system; therefore, it is necessary to develop a practical and applicable system. This study employed an action research design comprising planning, action, observation, and reflection, divided into three phases. Phase 1: Preparation by studying relevant guidelines, situations, and problems in the use of the Dengue NS1 Rapid Test. Phase 2: Development and system improvement, including training for health personnel and communication with the public. Phase 3: Monitoring and reflection on system development. Qualitative data were analyzed using content analysis, while quantitative data were analyzed using descriptive statistics (percentages, means, and standard deviations) and inferential statistics (Paired t-test).

The results revealed that the developed system improved implementation efficiency at the local level. The public demonstrated increased knowledge and awareness of the test’s benefits, and health personnel exhibited improved skills, understanding, and systematic practice. The reporting system was improved to integrate with the main database, enhancing the timeliness of patient follow-up and disease control. After system development, the overall satisfaction score was significantly higher than before development (p<0.01). The system demonstrated high levels of appropriateness and feasibility, indicating that it is practical and can be expanded to other areas.