Respati T, Feriandi Y, Ndoen E, Raksanegara A, Djuhaeni H, et al. (2018) A Qualitative Ecohealth Model of Dengue Fever (DF) in Bandung, Indonesia. Int J Trop Dis 1:008.


© 2018 Respati T, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

ORIGINAL ARTICLE | OPEN ACCESS DOI: 10.23937/ijtd-2017/1710008

A Qualitative Ecohealth Model of Dengue Fever (DF) in Bandung, Indonesia

Titik Respati1*, Yudi Feriandi1, Ermi Ndoen2, Ardini Raksanegara3, Heni Djuhaeni3, Asep Sofyan4 and Pat Dale5

1Faculty of Medicine, Universitas Islam Bandung, Indonesia

2UNICEF Indonesia, Indonesia

3Faculty of Medicine, Universitas Padjadjaran, Indonesia

4Department of Environmental Engineering, Institut Teknologi Bandung, Indonesia

5Environmental Futures Research Institute (EFRI), School of Environment & Science, Griffith University, Australia



Dengue Fever (DF) is a serious disease in Indonesia. The sustainability of a DF prevention program remains constrained despite continuing education programs and community participation efforts. Identifying the issues related to the cause of the disease is a major factor in its control. In this study we try to understand the complexity of the management of the disease.


We apply an eco-health approach to explore DF management in Bandung city, West Java, an area of high DF incidence. A qualitative study was conducted using unstructured interviews and focus group discussions with cadres and community leaders directly involved in DF management. The verbatim data were transcribed and analyzed using NVivo software.


Four major themes emerged: Prevention and control, community participation, housing and surroundings and weather. They were illustrated as a model. In more detail, sub-themes emerged and were interrelated with the basic model. We synthesized the results into six key principles based on process or purpose. Process principles were systems thinking, interdisciplinary or trans disciplinary research and participation. Purpose principles were sustainability, gender equality and social status and knowledge translation. The principles were expanded in a table to indicate how the overall findings related to the principles.


We concluded that system thinking, and interdisciplinary research facilitates optimal management related to the connections the DF program has with systems external to health. Translating research results into an sunderstandable form for stakeholders, encourages community participation and understanding of DF. Finally, program sustainability requires the involvement of the complete community regardless of gender and social status.