NPD6014 RESEARCH METHODOLOGOY AND STATISTIC

INFORM CONSENT

FOR PARTICIPANTS IN RESEARCH SURVEY KNOWLEDGE, ATTITUDE AND PRACTICE (KAP) TOWARD DENGUE FEVER AMONG UKM UNIVERSITY STUDENT

Instructions: Before filling out the survey questionnaire please first read carefully and sign this Informed Consent Form. This form must be returned with the questionnaire in order for us to include your comments in our study. All information will be kept confidential and no names will be used. Title of Research Project: Knowledge, Attitude and Practive (KAP) toward Dengue Fever 1. You are invited to participate in a research study conducted by UKM postgraduate student. This research is a part of project for group assessment in NPD 6014 class. Your participation is strictly voluntary. Before agreeing to participate, you should know enough about it to make an informed decision. You can ask for any inquiry before participating. The purpose of the study is to determine the knowledge, attitude, and practices toward dengue fever among UKM university students. The questionnaire including the following parts: Part 1: Socio-demographic data Part 2: Source of Information about dengue fever Part 3: Knowledge about dengue fever Part 4: Attitude toward dengue fever Part 5: Practice regarding dengue fever

2.

3.

4. The participation is voluntary. You may choose not to participate, and you may withdraw at anytime during the research project. You will NOT be penalized in any way should you choose not to participate or to withdraw. 5. As part of this effort, your identity will not be revealed in any publications that result from this study. The information in the study records will be kept strictly confidential. Individual data will be stored securely and will be made available only to persons conducting the study. No reference will be made in oral or written reports that could link you to the study. If you have questions or concerns at any time about the study or the procedures, you may contact the researchers:, Researcher name : FAIRUS FARIZA ZAINUDIN Phone : fairus_fz82@yahoo.com

NPD6014 RESEARCH METHODOLOGOY AND STATISTIC

INDIVIDUAL CONSENT

I have read read the information of this study and have also been given the explanation by a

researcher about the purpose of this document. I understand the aims of the study including its risks and benefits. I _____________________________________ (name), IC no: ____________________, *agree/disagree to participate in the study as stated above.

I *would like to know/dont want to know the result of this study (*delete where unnecessary)

Signature: ______________________

Date: _______________________

Witness Name: _________________________ IC No: _________________________ Signature: ______________________ Date: __________________________

Researcher Name: _______________________ IC No: _______________________ Signature: ____________________ Date : _______________________

NPD6014 RESEARCH METHODOLOGOY AND STATISTIC

KNOWLEDGE, ATTITUDE AND PRACTICE (KAP) TOWARD DENGUE FEVER AMONG UKM UNIVERSITY STUDENT

QUESTIONNAIRE Instructions: Please answer all questions in Part 1, Part 2, Part 3, Part 4 and Part 5. Please choose one and tick () that was most closely to your choice. Part 1: Socio-demographic Characteristic 1. 2. 3. 4. 5. 6. 7. Serial No Age Gender Race Faculty Year of Study Hostel : : : : : : : ( ( ( ( ( ( ) Male ) Malay ) Medical ) One ) KTSN1 ( ( ( ( ( ) Female ) Chinese ) Health Science ) Two ) KTSN4 ( ( ( ( ) Indian ( ) Other

) Others specify:_______ ) Three ( ) Four

) KTSN5 & Plaza RAH

) Other Specify :____________

Part 2: Source of Information about Dengue Fever 8. Have you ever received any information about dengue? ( ) Yes ( ) No

9.

Select the sources from which you got the information ( ( ( ) Television ) Leaflets ( ( ) Radio ) Friend ( ( ) Newspaper ) Family ( ) Magazines

) Others. Specify: _____________.............

NPD6014 RESEARCH METHODOLOGOY AND STATISTIC

Part 3: Knowledge about Dengue Fever CODES K1 K2 ITEMS The principal mosquito vector for dengue fever is Aedes Aegypti. Dengue fever is a severe, flu-like illness that affects infants, young children and adults. K3 A dengue patient has chills, headache, pain upon moving the eyes and low backache. K4 K5 K6 K7 Rainy season is the only epidemic season for dengue infection. Mosquitoes transmitting dengue infection bites only during day time. The mosquitos that transmit dengue infection lay in eggs in dirty sewage water. Empty stagnant water from old tires, trash cans, and flower pots can be breeding places for mosquitoes. K8 Dengue viruses are transmitted to human through bites of infective female Aedes mosquitoes. K9 K10 Only method of controlling dengue infection is to combat the vector mosquitoes. There is no specific treatment for dengue infection and the drug choice is paracetamol. K11 K12 Abate sand can be beneficial in killing the mosquitoes larvae. Abate sand, if put in standing water, can help to prevent the mosquito breeding for 3 months. K13 Stored water container/tanks for drinking water without being covered should be cleaned every 7 days. K14 I am afraid of getting it dengue fever if one of my family members has dengue fever. YES NO

NPD6014 RESEARCH METHODOLOGOY AND STATISTIC

Part 4: Attitude towards Dengue Fever Scale Indicator
STRONGLY AGREE 1 AGREE 2 NEITHER AGREE NOR DISAGREE 3 DISAGREE 4 STRONGLY DISAGREE 5

SCALES CODES ITEMS (Please tick one only) 1 2 3 4 5

A1 A2

Dengue fever is a disease that cannot be prevented* Eliminating the breeding places is the responsibility of the public health staff and health volunteer*

A3

Only method of controlling or preventing dengue and dengue haemorrhage fever is to combat the vector mosquitoes.

A4 A5 A6 A7 A8 A9

Only smogging is enough to prevent mosquito and no need other ways* Everybody has a chance to be infected with dengue virus. Person who once got dengue infection cannot get dengue infection again. It is possible to recover completely from dengue infection. Elimination of larvae breeding sources is a waste of time and very complicated.* Restricting and checking the availability of potential breeding habits should be conducted every 1 to 2 times / year.

A10 A11 A12

Strong and healthy person will not get dengue infection.* Sleeping in mosquito net can prevent dengue infection. You are one of the important people in preventing dengue fever.

NPD6014 RESEARCH METHODOLOGOY AND STATISTIC

Part 5: Practice Regarding Dengue Fever CODES ITEMS YES NO DONT HAVE P1 P2 P3 Do you cover water jars after using immediately? Do you have a cover in your water tanks? If there is a mosquito larva in your water tank, do you ever do anything to get rid of it? P4 P5 P6 P7 Do you ever examine the mosquito larva in the flower pots? Do you change the water of the indoor plants every week? Do you ever drain off the water in the plates of the flower pot? Do you examine any discarded thing that can hold water around your house? P8 P9 P10 P11 If yes, do you ever put them in the garbage or dispose them? Do you use mosquito net/ mosquito coils in your house? Do you participate when your community has been sprayed fog? Do you participate in any campaigns of dengue infection in your community? P12 P13 Do you ever examine the mosquito larva in water container in the toilet? Do you check and clean your roof gutters in the rainy season?

END OF QUESTIONNAIRE THANK YOU