CHALLENGES OF DENGUE CONTROL AND PREVENTION WORLDWIDE: A SYSTEMATIC REVIEW

Abstract

Dengue fever is a mosquito-borne disease representing significant public health challenges worldwide. Management of dengue prevention and control faces numerous challenges, including rapid urbanization, climate change, and socioeconomic inequalities. This systematic review aims to determine the challenges of the dengue control and prevention strategies. This review conducted a comprehensive search of articles published from 2013 to 2024, utilizing databases such as Scopus, ScienceDirect, and PubMed. The Preferred Reporting Items for Systematic Reviews (PRISMA) are used to improve transparency and completeness of reporting, and the Joanna Briggs Institute (JBI) is used for critical appraisal. The findings from the risk of bias assessment revealed moderate to high quality across the studies, with scores ranging from 5 to 9 out of 10. The populations studied included community members, health officers, healthcare workers, caregivers, and health surveillance experts representing diverse geographic locations like Malaysia, Thailand, the Dominican Republic, and Brazil. The types of studies included were qualitative, with one case report. Major challenges identified include weak community participation, inconsistent stakeholder coordination, socioeconomic constraints, and environmental factors affecting vector control sustainability. Integrated strategies combining traditional and innovative approaches, with strong community involvement and inter-sectoral collaboration, are essential for sustainable dengue control. In conclusion, the management of dengue needs integrated strategies that combine traditional methods with innovative approaches. In addition, it is crucial to involve the community and coordinate with stakeholders to enhance the effectiveness of dengue control measures by adapting to the local context.  Future research should focus on developing sustainable and community-driven interventions, as well as enhancing inter-sectoral collaboration to address the multifaceted challenges of dengue prevention and control.