Factors affecting performance of village health volunteers in Sukhothai, Thailand 10.55131/jphd/2022/200110

Main Article Content

Yutthana Yaebkai
Pramote Wongsawat


This descriptive research aimed to investigate the factors affecting performance among village health volunteers (VHVs). The sample participants were 598 VHVs in Sukhothai Province, Thailand. They were selected by using the systematic random sampling technique. In this research, a questionnaire was employed for the data collection, after which the data were analysed by using percentage, mean, standard deviation, and stepwise multiple regression analysis. The study results showed that knowledge, role perception, social support, and work motivation were at a high level, whereas attitude and performance were at a moderate level. Work motivation was the strongest predictor of performance among VHVs, followed by role perception, number of other positions in the communities, knowledge, agricultural occupation, duration of being VHVs, and attitude. In combination, all these factors could predict the performance of the VHVs at 26.5% with a statistical significance of 0.05. According to the study results, related agencies should arrange training programs as a means of enhancing attitude towards work operation and role perception, and should create work motivation of VHVs to further increase their effectiveness of performance.

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Yaebkai Y, Wongsawat P. Factors affecting performance of village health volunteers in Sukhothai, Thailand: 10.55131/jphd/2022/200110. J Public Hlth Dev [Internet]. 2022 Jan. 29 [cited 2024 Apr. 15];20(1):120-31. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/254315
Original Articles
Author Biographies

Yutthana Yaebkai, Faculty of Public Health, Naresuan University, Phitsanulok, Thailand

Faculty of Public Health, Naresuan University, Phitsanulok, Thailand

Sukhothai Provincial Public Health Office, Sukhothai, Thailand

Pramote Wongsawat, Faculty of Public Health, Naresuan University, Phitsanulok, Thailand

Faculty of Public Health, Naresuan University, Phitsanulok, Thailand


World Health Organisation. Primary Health Care: report of the international conference on primary health care, Alma-Ata, USSR, 6-12 September 1978/ jointly sponsored by the World Health Organization and the United Nations Children's Fund [Internet]. 2021 [cited 2021 May 23]. Available from: https://apps.who.int/iris/handle/ 10665/39228

Primary Health Care Division. 4 Decades of primary health care. Nonthaburi (Thailand): Primary Health Care Division; 2018. (in Thai)

Songserm N, Woradet S, Bureelerd O, Thongchai C, Thongprung S, Ali A. Effectiveness of leader village health volunteers training program on preventing cholangiocarcinoma in Thailand: advantages for high-risk area with limited public health personnel. J Canc Educ 2020. doi: https://doi.org/ 10.1007/s13187-020-01768-4.

Kok MC, Kane SS, Tulloch O, Ormel H, Theobald S, Dieleman M, Taegtmeyer M, Broerse J EW, Koning K AM de. How does context influence performance of community health workers in low- and middle-income countries? Evidence from the literature. Health Res Policy Sys 2015. doi: https://doi.org/10.1186/s12961-015-0001-3.

Pagaiya N, Noree T, Hongthong P, Gongkulawat K, Padungson P, Setheetham D.

From village health volunteers to paid care givers: the optimal mix for a multidisciplinary home health care workforce in rural Thailand. Hum Resour Health 2021. doi: https://doi.org/ 10.1186/s12960-020-00542-3.

World Health Organisation. Monitoring the building blocks of health systems: a handbook of indicators and their measurement strategies. Geneva (Switzerland): World Health Organisation. 2010.

Primary Health Care Division. Family volunteer’s handbook. Bangkok (Thailand): The Agricultural Co-operative Federation of Thailand. 2016. (in Thai)

World Health Organisation. Thailand’s 1 million village health volunteers “Unsung Heroes” are helping guard communities nationwide from COVID-19 [Internet]. 2021 [cited 2021 May 23]. Available from: https:// www.who.int/Thailand/.

Yaebkai Y, Wongsawat P. Main role performances of village health volunteers. JPNC. 2020;31(2):269-79. (in Thai)

Department of Health Service Support. Report on potential development of village health volunteers [Internet]. 2020 [cited 2021 Aug 21]. Available from: http://www.thaiphc.net/ new2020/ content/4. (in Thai)

Yaebkai Y, Wongsawat P. Factors affecting performance on competency standards among village health volunteers, Sukhothai Province. Chonburi Hosp J. 2017;42(2):179-86. (in Thai)

Health Service Support Centre 2. Guidelines for implementation of primary health care and health behavioural development, budget year 2019. Phitsanulok (Thailand): Health Service Support Centre 2; 2018. (in Thai)

Sukhothai Provincial Public Health Office. Annual report 2018. Sukhothai (Thailand): Sukhothai Provincial Public Health Office; 2018. (in Thai)

Daniel WW, Cross CL. Biostatistics: a foundation for analysis in the health sciences. 10th ed. Hoboken (NJ): J. Wiley & Sons; 2013.

Rovinelli RJ, Hambleton RK. On the use of content specialists in the assessment of criterion-referenced test item validity. Tijdschrift voor Onderwijsresearch. 1977;2(2): 49-60.

Kuder GF, Richardson MW. The Theory of the estimation of test reliability. Psychometrika. 1937;2(3): 151-60.

Bloom, BS. Taxonomy of educational objectives, handbook I: The cognitive domain. New York (NY): David McKay; 1975.

Cronbach LJ. Essentials of psychology and education. New York (NY): McGraw-Hill. 1984.

Tshering D, Tejativaddhana, P, Briggs D, Wangmo N. Factors affecting motivation and retention of village health workers and recommended strategies: a systematic review from 11 developing countries. APJHM. 2018;13(2):1-10.

Miller JS, Musominali S, Baganizi M, Paccione GA. A process evaluation of performance-based incentives for village health workers in Kisoro District, Uganda. Hum Resour Health 2014. doi: https://doi.org/10.1186/ 1478-4491-12-19.

Seraji MHR, Mannan I, Shah R, Al-Mahmud AB, Bari S, Hossain D, Das MK, Baqui AH, Arifeen SE, Winch PJ. Factors affecting recruitment and retention of community health workers in newborn care intervention in Bangladesh. Hum Resour Health 2010. doi: https://doi.org/10.1186/1478-4491-8-12.

Herzberg F, Mausner B, Snyderman BB. The motivation to work. 12th ed. New Brunswick (NJ): Transaction Publishers. 2010.

Chatio S, Welaga P, Tabong PTN, Akweongo P. Factors influencing performance of community-based health volunteers’ activities in the Kassena-Nankana District of northern Ghana. PLOS ONE 2019;14(2): e0212166. doi:10.1371/journal.pone. 0212166.

Sharma R, Webster P, Bhattacharyya S. Factors affecting the performance of community health workers in India: a multi-stakeholder perspective. Glob Health Action 2014;7(1):25352. doi:10.3402/gha.v7.25352.

Regulation of the Ministry of Public Health on village health volunteers, B.E. 2554. Published in Government Gazette, Vols.128, Part 33D. (2011 March 30). (in Thai)

Jampasri P, Rattanagreethakul S, Lawang W. Factors influencing rehabilitation practice for persons with physical disability among village health volunteers in Nakhon Pathom Province. JFONUBUU. 2017;25(3): 76-88. (in Thai)

Jukchai P, Khuneepong A, Changkaew W. Factors affecting the performance of village health volunteers of family care teams, Pathum Thani Province. J Pub Health Nurse. 2017;31(1):16-28. (in Thai)

Yaebkai Y. Factors affecting the standard of primary health care performance among village health volunteers in Sukhothai Province. JNHR. 2018;19(3):145-55. (in Thai)

Field E, Dove G, Witi N, Abo D, Samiak L, Vallely L, Nathan S. Perceptions of the village health volunteer program implemented in remote Papua New Guinea: lessons for policy. PNG Med J. 2019;62(1):19-32.

Kuule Y, Dobson AE, Woldeyohannes D, Zolfo M, Najjemba R, Edwin BMR, Haven N, Verdonck K, Owiti P, Wilkinson E. Community health volunteers in primary healthcare in rural Uganda: factors influencing performance. Front Public Health 2017. doi: https://doi.org/10.3389/ fpubh.2017.00062.

Acharya D, Singh JK, Adhikari S, Jain V. Association between sociodemographic characteristics of female community health volunteers and their knowledge and performance on maternal and child health services in rural Nepal. J Multidiscip Health 2016;9:111-20. doi:10.2147/JMDH. S98700.

Sootthasil M, Sasang N, Chusak T. Factors influencing participation in managing to control and prevent the spread of contagious disease in the border area of the village health volunteers in Phusang District, Phayao Province. J Royal Thai Army Nurses. 2017;18(1):83-93. (in Thai)

Heangkul N, Yaebkai Y. Factors predicting urban area role performance among village health volunteers in Sukhothai Province. J Health Sci. 2020;29(2):314-22. (in Thai)

Tetjativaddhana P, Kitreerawutiwong N. Performance evaluation of public health volunteers in the villages working in the health service network, Phrom Phiram District, Phitsanulok Province. J Pub Health Nurse. 2014;28(1):16-28. (in Thai)

Ketaiam M, Yeabkai Y. Factors affecting the health consumer protection performance among village health volunteers in Sukhothai Province. JPHNU. 2020;2(2):37-49. (in Thai)

Department of Health Service Support. Guidelines and criteria for selection and performance evaluation on outstanding village health volunteers, excellent village health volunteers, and extremely excellent village health volunteers. Bangkok (Thailand): Keawjawjom Printing and Publishing Suan Sunandha Rajabhat University; 2015. (in Thai)

Notification of the Ministry of Public Health on the right to receive remuneration for duty implementation of village health volunteers B.E. 2560 (No. 2) B.E. 2562. Published in Government Gazette, Vols.136, Part 70D. (2019 March 21). (in Thai)

Chiuydee S, Sangon S, Nintachan, P. The study of community psychiatric and mental health practice among village health volunteers. JPNMH. 2017;31(1):41-59. (in Thai)