Dengue Trends and the Landscape of NGO-Led IEC/SBCCEngagement: A Five-State Descriptive Comparison from India (2021–2025)
Dengue Trends and IEC/SBCC Landscape in India
DOI:
https://doi.org/10.1234/jachrz82Abstract
Dengue is India’s most rapidly expanding vector-borne disease, yet unlike malaria, supported by a centrally financed Global Fund NGO Sub-Recipient architecture, no equivalent NGO-partnership model exists for dengue control. This retrospective, ecological, descriptive comparison examined dengue trends (2021–2025) and mapped civil-society Information, Education and Communication/Social and Behaviour Change Communication (IEC/SBCC) engagement across India’s five highest-burden states: Uttar Pradesh, Karnataka, Maharashtra, Tamil Nadu, and Rajasthan. Uttar Pradesh recorded the highest absolute burden, approximately 110,047 cases, but, being India’s most populous state, the lowest population-adjusted incidence (45.6/100, 000); Karnataka, smallest in population among the five, recorded the highest incidence (113.4/100, 000). Maharashtra recorded the highest case-fatality ratio (0.254%). States with more intensive interpersonal or mass-media IEC/SBCC engagement showed steeper case decline, though the design precludes causal inference. India’s dengue civil-society landscape remains fragmented and disproportionate to population-adjusted burden, an equity concern warranting a structured, centrally coordinated NGO/IEC-SBCC partnership framework with standardised monitoring and evaluation.
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