The Development Model of the Empowerment of Disease Control at District Level in HuaiRat District, Buriram Province

Abstract

          The empowerment of disease control at district level has been implemented from the policy of the Department of disease control, Ministry of Public Health It has aimed to support and develop at district level to conduct surveillance, prevention and control of diseases or health hazards manually. This action research aimed to study the development of the empowering community management to encourage disease prevention in HuaiRat district, Buriram province. The sample of process included 81 participants that were selected by purposive sampling from the public health committee, the local government committee, the relevant government agencies committee and the public sector committee. The quantitative and qualitative data were collected using multiple choice tests, questionnaires, interviews, observation and record of the event. Data analysis employed percentage, mean and standard deviation. Comparison of before and after the development for statistics Paired t-testwhile the content analysis was used for the qualitative data.

          The results showed that the developmental process composed of 6 steps : 1) learning community context  2) analysis of area 3) action plan meeting 4) operational plan workshop 5) follow up and evaluation and 6) after action review. The performance affected increase of knowledge, opinion and participation about the empowerment of disease control at district level.The participantshad significant increase in post - test score (p < 0.05)Consequently, it could achieve a pass level of the empowerment of disease control at district levelstandard. In conclusion, the key success factors were networking, participation, knowledge management and evaluation.

          Research has suggested that there should be a clear policy of disease control. The participation of stakeholders who have knowledge and understanding on their role. The health authorities in the area as a mentor and support knowledge could impact the operation of disease control appropriately to the area contexts.