The study was conducted to assess the achievement of a thalassemia screening program at a community level supported by village health volunteers (VHVs) of 2 subdistricts in the northeast of Thailand. One subdistrict served as the intervention and the other as the control area. A training program was organized for the village health volunteers from the intervention area. Essential information about the risk and danger of thalassemia was given to the participants who wanted to have children in the community as well. Of the 206 individuals who wanted to have children living in the intervention area, 190 (92.2%) agreed to undergo screening. Of the 196 individuals within the control area, only 26 (13.3%) voluntarily participated in the screening tests. Attitude toward prevention and knowledge about the disease improved significantly in both areas, but the differences between the scores were statistically significantly higher for individuals living in the intervention area.
World Health Organization & The United Nations Children’s Fund. Primary Health Care. Geneva, Switzerland: World Health Organization; 1978.
2.
Department of Health Service Support, Ministry of Public Health. Geographic Information System of Village Health Volunteer Data Report of the Year. Bangkok, Thailand: Ministry of Public Health; 2010.
3.
Department of Health Service Support, Ministry of Public Health. Standard Training Curriculum for Village Health Volunteer. 1st ed. Bangkok, Thailand: Radiation Limited; 2007.
4.
Department of Health Service Support, Ministry of Public Health. Refresher Training Curriculum for Village Health Volunteer. 1st ed. Bangkok, Thailand: Radiation Limited; 2010.
5.
FucharoenSWinichagoonP. Thalassemia in Southeast Asia: problems and strategy for prevention and control. Southeast Asian J Trop Med Public Health. 1992;23:649-655.
6.
TienthavornVPattarakulwanichSPattanapongsathonJ. The prevalence of thalassemia carriers and the risk couple rates for severe thalassemia in Thailand. Paper presented at: Proceeding of the 11th Meeting of National Thalassemia; September 1-2, 2004; Bangkok, Thailand.
7.
JopangYMernkratokSPuangplrukR. The efficacy of thalassemia and HbE screening in first-trimester pregnant women at Health Promoting Hospital, Regional Health Promotion Centre 5, Nakhon Ratchasima province. J Med Tech Assoc Thai. 2004;32:585-593.
8.
VoramongkolN. Prevention and control thalassemia. Paper presented at: Proceedings of the 7th Meeting of National Thalassemia; June 27-29, 2001; Thummasat University, Bangkok, Thailand.
9.
ModellBKhanMDarlisonM. A national register for surveillance of inherited disorders: β-thalassaemia in the United Kingdom. Bull World Health Organ. 2001;79:1006-1013.
10.
DormandyEBryanSGullifordMC. Antenatal screening for haemoglobinopathies in primary care: a cohort study and cluster randomized trial to inform a simulation model. The Screening for Haemoglobinopathies in First Trimester (SHIFT) trial. Health Technol Assess. 2010;14:1-160.
11.
KalokairinouEM. The experience of β-thalassemia and its prevention in Cyprus. Med Law. 2008;27:825-842.
12.
GulerECaliskanUUcarAlbayrakCKaracanM. Prevalence of beta-thalassemia and sickle cell anemia trait in premarital screening in Konya urban area, Turkey. J Pediatr Hematol Oncol. 2007;29:783-785.
13.
TaraziIAl NajjarELuluNSirdahM. Obligatory premarital tests for β-thalassemia in Gaza Strip: evaluation and recommendations. Int J Lab Hematol. 2007;29:111-118.
14.
TheodoridouSAlemayehouMPrappasN. Carrier screening and prenatal diagnosis of hemoglobinopathies. A study of indigenous and immigrant couples in Northern Greece, over the last 5 years. Hemoglobin. 2008;32:434-439.
15.
ColahRSurveRWadiaM. Carrier screening for beta-thalassemia during pregnancy in India: a 7-year evaluation. Genet Test. 2008;12:181-185.
16.
FengSWGuJMLiH. Population intervention of thalassemia relying on family planning service system. Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2011;28:223-226.
17.
SamavatAModellB. Iranian national thalassemia screening programme. BMJ. 2004;329:1134-1137.
18.
PhunthaweeP. Relationships Between Attitudes Toward Screening, Subjective Norm, Perceived Behavioral Control, Demographic Characteristics and the Intention to Thalassemia Screening of People During Their Reproductive Years in Chon Buri Province [master’s thesis]. Burapha, Thailand: Graduate School, Burapha University; 2006 (in Thai).
19.
Department of Health. The national thalassemia prevention and control program 2007-2010. Paper presented at: Proceedings of the 13th Meeting of National Thalassemia; October 4-5, 2007; Bangkok, Thailand.
20.
MouzourasMCambaLIoannouPModellBConstantinidesPGraleR. Thalassemia as a model of recessive genetic disease in the community. Lancet. 1980;2:574-578.
21.
DormandyETsuiEYLMarteauTM. Development of a measure of informed choice suitable for use in low literacy populations. Patient Educ Couns. 2007;66:278-295.
22.
ArmeliCRobbinsSJEunpuD. Comparing knowledge of β-thalassemia in samples of Italians, Italian-Americans, and non-Italian-Americans. J Genet Couns. 2005;14:365-375.
23.
JopangY. Prevention of Thalassemia at the Community Level [doctoral thesis]. Khon Kaen, Thailand: Graduate School, Khon Kaen University; 2011.
24.
FengSXuXJinYYaoX. Women’s knowledge of human papillomavirus (HPV) and their attitudes toward HPV vaccine: preparing for HPV vaccination in China. Asia Pac J Public Health. 2012;24(3):522-531.
25.
MoriskyDETiglaoTV. Educational and structural interventions and their impact on condom use and STI/HIV prevention for Filipina women and male customers. Asia Pac J Public Health. 2010;22:151S-158S.
26.
World Health Organization. Control of Genetic Disease. Genomics and World Health: Report of the Secretariat. Geneva, Switzerland: World Health Organization; 2005.
27.
FrumkinAZlotogoraJ. Genetic screening for reproductive purposes at school: is it a good strategy?Am J Med Genet A. 2008;146:264-269.
28.
MashimoAMiuraHSakanoSHamadaAThepthienBUmenaiT. The role of AIDS volunteers in developing community-based care for people with AIDS in Thailand. Asia Pac J Public Health. 2001;13:3-8.
29.
BarbaraMBLowerTJamesRRouseI. Changes in ante-natal care and family planning in Krakor, Pursat, Cambodia, 1996-1998. Asia Pac J Public Health. 2001;13:74-78.
30.
LimtragoolPPanichacheewakulPStoeckelJCharoenchaiA. Health programme effects upon acceptance of immunization in northeast Thailand. Asia Pac J Public Health. 1989;3:26-31.
31.
HeggenhoughenP. Community Health Workers: The Tanzanian Experience. Oxford, England: Oxford University Press; 1987.
32.
ShresthaS. A conceptual model for empowerment of the female community health volunteers in Nepal. Educ Health (Abingdon). 2003;16:318-327.
