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Community Interviews - Coggle Diagram
Community Interviews
Vector control
Chikungunya
Reported outbreak in 2021, 2 interviewees reported being diagnosed and treated for chikungunya
Likely to be breeding in surrounding rice paddies, not in immediate surrounding of local houses. Very difficult to target breeding areas
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Previous interventions
Good knowledge retention in community members of previous vector control interventions i.e, yard clean ups, clearing of stagnant pools, mosquito net usage, repellant usage.
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Sanitation
Reported illness
Fever, muscle weakness, dihhorea, vomiting
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Knowledge gaps
Good knowledge, lack of facilities appears to be the major limitation
Water quality
Available facilities
Community surface water, possible faecal and chemical contamination
CAD centre tap water, likely faecal contamination
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Previous interventions
Good retention of knowledge regarding importance of boiling water before use and purchasing bottled water where possible
Reported illness
Fever, muscle weakness, vomiting, dihhorea
Food safety
Previous interventions
Good retention of knowledge of previous interventions centred around handwashing, nutrition, the need to clean raw food before consuming and that cooking foods can reduce the possibility of getting sick
Some community members displayed knowledge regarding importance of surface cleaning, however were unable to explain why it was important
All interviewees knew to clean raw food before eating, however not all knew the importance of using clean water to wash food with
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Likely contamination
Faecal contamination of crops due to open defecation, lack of sewerage systems and contamination of water sources
Knowledge gaps
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One interviewee believed 'germs' originate from inside the body, not from surrounding environments
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School behaviours
All interviewees reported that they believe all students and staff are aware of the need to stay home when ill
School WaSH behaviours known and taught to all staff and children, however are at times not followed by students
Most students stay home when they are ill, however some students still attend school with symptoms such as fever, coughs, vomiting and/or diahhorea
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Hygiene
Knowledge gaps
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Good awareness of COVID-19 in all participants, however many participants unable to name any other microbes
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Food supply
Two of the eight interviewees reported severe food shortages in rural areas, however the other six respondents did not believe it to be an issue.
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Some reports of newly introduced social welfare(IDPoor card) helping families struggling to provide food
Air quality
Epidemiological data found stating air quality is a major cause of illness and death in Cambodia however no community concerns were reported when asked during interviews
Medical concerns related to cigarette smoking, however this was not expressed to be a major issues facing local community health
Community illness
Health services
7 out of the 8 interviewees reported that delaying or avoiding attending health care and/or ambulance services when ill due to high out of pocket costs and current lack of staff and medicine available at centres is common practice in the community
1 out of the 8 interviewees claimed that all Cambodians, rural and financially limited inhabitants included, always have access and choice when it comes to healthcare
Two community members reported that rural inhabitants have either no ability or limited ability to access medical treatment due to COVID19 restriction and financial limitations
One interviewee expressed concern over potential chemical contamination of local food sources leading to illness
Community illness
Community concerns
All interviewees expressed concerns regarding vectorborne, waterborne and communicable diseases.
2 interviewees were distressed regarding severe food shortages in rural areas, while the remaining 6 were not aware of food shortages
1 interviewee voiced concern over chemical contamination of rural food sources causing skin irritations
Reported symptoms
Reports of runny noses, cough, fever, vomiting, diahhorea, rashes, muscle ache, weakness and skin irritation
Diagnosed illness
Reports of recent medical conditions and diagnoses in Battambang region include Chikungunya, high blood pressure,
Waterborne diseases were reported to not generally be pathologically confirmed, instead provision of general gastrointestinal illness diagnosed on symptoms
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Very few medially diagnosed cases of COVID19 within the entire Ek Phnom district, however respondents were not aware of anyone receiving a COVID19 test other than individuals who enter the hospital system with displaying severe symptoms
COVID19
Financial limitations accociated with COVID19 have meant CAD can no longer afford to supply safe drinking water and health snacks to students. Students are required to bring water and snacks from home
Students are reported to be significant behind in their education due to the COVID 19 lockdown period