The Evaluation of Operational Process for Province Model Development of Non Communicable Disease Control Service in 2004

Abstract

This study aimed to evaluate the operational process and obstacles of model development to control non-communicable diseases at the provincial level in 2004. The method of study was undertaken by questionnaires answered by 127 health personnel working in bureau of Non-communicable Disease Control, 12 NCD Regional officers, Provincial Health Offices and Health Service outlets in 12 pilot provinces namely Pathumthani, Suphanburi, Chantaburi, Samut-songkram, Surin, Nongkhai, Mukdaharn, Nakornsawan, Nan, Lamphang, Krabi and Trang. The results revealed that this project had been acknowledged by the health personnel on policy, plan, target and method of the non-communicable diseases project. These personnel hadinteractively learned together to design and develop appropriate NCD control models for each setting. Teamwork and networks with communities had been formed during the operation procedures. These models had improved the quality of screening and expounded the access of people to services in terms of care, knowledge and appropriate behavior to control and promote good health. The key successes of this project were the support from top executives, the awareness and strong interaction of field health operators. Problems and obstacles were poor understanding and lack of coordination of the project at the beginning of the project which delayed the process. Feedback and suggestion were the anticipation of planning from field operators and consistent support of budget should be sustained inorder to expand the project.