Lesson Learned in Sub-district Health Management System : "ThungPhong Model"

Abstract

          This qualitative research aimed to study the health system management "ThungPhong Model" in the case of successful control of dengue fever through community participation. This research conducted in ThungPhong Sub-District, Nong Chang District, UthaiThani. The informants were health personnel, sub-district or municipality administrators, village headman, health volunteers, community leaders, and people in the community. This research instrument was structured questionnaires. Data were collected by2 focus groups discussion (10 participants each group) and in-depth-interview 5 participants during April to May 2016. Data were analyzed by content analysis.

            The results revealed that the unsolved health problems of controlling dengue fever outbreaks was a starting point of the development of the community participation in "ThungPhong Model". The key processes of this model were 1) finding of social capital, which used the technique of "Mapping and Finding the change agents" and "Understanding and Emphasized" 2) capacity building for the stakeholders, by "adult learning" technique 3) collaborative goal setting which used the technique of "Clear and Direct to the point" and 4) driving the project based on the participation. In addition, the key successes of this model were a variety and potentiality of social capital, particularly human and cultural capitals, which cooperative in moving project in order to achieve the goal (the efficiency of controlling the outbreak of dengue fever, which is not found new case until 2017). The study suggest that in order to create the collaboration for solving health problems, the health providers should understand the local context and concept of participation. Apart from that the potential ofhealth providers should be improved for the cultural sensitivity and developing a rapid response and social communication skills.