Knowledge, attitude, and practice regarding dengue vaccine: a baseline study of community members and health providers in Indonesia

Background: Despite recent behavioral interventions aimed at reducing the burden of dengue, persistent un favorable related behaviors in the Indonesian community suggest that vaccination could be effective. However, before this is implemented nationally, public perception and acceptance of the vaccine should be assessed in addition to health providers' points of view. Purpose: This study aimed to assess the knowledge, attitudes, and practices (KAP) of community members and health providers in Indonesia. Methods: A crosssectional survey was conducted in 6 districts of 3 Indonesian provinces. Respondents included both community members and health providers living within the territory of the selected primary health care centers. Pretested questionnaires were used to gather information on the sociodemographic characteristics and KAPs regarding dengue vaccines. An independent t test was performed to compare the mean KAP scores between community members and health providers, while a logistic regression analysis was used to identify the predictors in each domain. Results: Only 18.5% of health providers possessed high knowledge of the dengue vaccine versus only 12.5% of community members. Approximately onethird of the health providers versus onefourth of community mem bers displayed a high to moderate score for attitudes about dengue vaccines. Dengue vaccination practices de monstrated a more favorable score for both health providers and community members at 59.1% and 41.1%, respectively. No individual sociodemographic characteristics were associated with KAPs; rather, only education was correlat ed with better dengue vaccination practices. We also found that good knowledge of dengue was the only factor associated with all domains. Conclusion: Our findings highlight the urgent need to deliver educational interventions to health providers and community members in Indonesia to improve their awareness of dengue vaccines.