Factors influencing performance of village health posts in Kalasin Province, Thailand
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Abstract
A descriptive study was conducted to identify factors influencing performance of village health posts (VHPs) at Kalasin province, Thailand. Ninety-two VHPs responded the questionnaires during 15 June 2012 to 15 December 2012. The response rate was 74.2 %. Chi-square test and multiple logistic regression were used to examine the association between independent variables and performance of VHPs.
Thirty- five VHPs (38 %) were categorized to high performance and 57 VHPs (62 %) to low performance according to cut off point of mean activities (3.58 visits per day) done by each VHP. Community health group, community health fund, distance from a VHP to a health center more than 3 kilometers, financial support for village health volunteer and participation of community leader in VHP execution were found significant association with performance of VHPs (p-value < 0.05). Multiple logistic regression revealing significant predictors for performance of VHP composed of financial support for village health volunteers and participation of community leaders in VHP execution. When controlling other factors, VHPs with financial support for health volunteers were 5.9 times more likely to have high performance than those with no financial support. VHPs with high level of community leader participation in execution of VHPs was 10.1 times more likely to have high performance than those with low participation groups.
The finding of this study suggested that providing of financial support for village health volunteers and promotion of community leader participation in VHP execution can boost performance of VHPs.
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References
2. Tangcharoensathien V, Wibulpholprasert S, Nitayaramphong S. Knowledge-based changes to health systems: the Thai experience in policy development. Bull World Health Organ. 2004;82(10):750-6.
3. De Maeseneer J, Moosa S, Pongsupap Y, Kaufman A. Primary health care in a changing world. Br J Gen Pract. 2008;58(556):806-9, i-ii.
4. World Health Organization. Community health workers: What do we know about them? World Health Organization 2007. [Cited 2018 December 15] Available from: www.who.int/healthsystems/round9_7.pdf.
5. Suvanavejh, C. Thailand primary health care profile. Primary Health Care Office, Office of Permanent Secretary, Ministry of Public Health, Bangkok. 1992.
6. Kauffman KS, Myers DH. The changing role of village health volunteers in northeast Thailand: an ethnographic field study. Int J Nurs Stud. 1997;34(4):249-55.
7. World Health Organization. Strengthening the performance of community health workers in primary health care: report of a WHO Study Group: World Health Organization; 1989. [Cited 2018 December 10] Available from: ttp://whqlibdoc.who.int/trs/WHO_TRS_780.pdf.
8. Gruen R, Weeramanthri T, Knight S, Bailie R. Specialist outreach clinics in primary care and rural hospital settings (Cochrane Review). Community Eye Health. 2006;19(58):31.
9. Bowling A, Bond M. A national evaluation of specialists' clinics in primary care settings. Br J Gen Pract. 2001;51(465):264-9.
10. Nakar S, Vinker S, Lustman A, Hyam E. Outreach clinics in Israel: a common but unregulated phenomenon. Fam Pract. 1999;16(2):149-51.
11. Golnick C, Asay E, Provost E, Van Liere D, Bosshart C, Rounds-Riley J, et al. Innovative primary care delivery in rural Alaska: a review of patient encounters seen by community health aides. Int J Circumpolar Health. 2012;71:18543.
12. Jacobs B, Lindelow M, Xayyavong P, Sackett P. Building on community outreach for childhood vaccination to deliver maternal and child health services in Laos: a feasibility assessment. Reprod Health Matters. 2012;20(40):112-21.
13 Powell J. Systematic review of outreach clinics in primary care in the UK. J Health Serv Res Policy. 2002;7(3):177-83.
14 Bond M, Bowling A, Abery A, McClay M, Dickinson E. Evaluation of outreach clinics held by specialists in general practice in England. J Epidemiol Community Health. 2000;54(2):149-56.
15. Kalasin provincial health office. Kalasin provincial health report, 2011.
16. Somsop O. Community Self -reliance on public health: a case study of two community primary health care centers in amphoe Nogrue, Khon Kaen province: Khon Kaen University; 1995.
17. Limpawitthayakul J. Role Performance of Health Volunteers in Community Primary Health Care Center Bungsampan District Petchabun Province: Khon Kaen University; 2002.
18. Suwannarong K. Participation of village health volunteers in the activities of the community' s primary care center in Prayeun district, Khon Kaen province Khon Kaen university 1996.
19. Sritavong S. Factors for success in running primary health care center by health volunteers in Roi-Et Province. Bangkok: Chulalongkorn University; 1997.
20. Somjitskul S. Factors related to the community participation in the activities of community primary health care center in Plapak District of Nakhonphanom Province. Khon Kaen: Khon kaen 1996.
21. Inbute A. Effectiveness of Health Volunteer's Performance in Community Primary Health Care Center at Lua-ammnart sub-district, Amnartcharoern Province. Chiang Mai: Chiang Mai University 1994.