Non-Communicable Diseases Prevention and Control Program Based on Community Base Intervention in Thailand (2004 -2009)
Keywords:
Non Communicable Disease, Community based interventionAbstract
This study aimed to review the Non-Communicable(NCD) prevention and control programs based on community base intervention(CBI) which operated by Bureau of Non-communicable Diseases , Department of Disease Control, Ministry of Public Health and networks during 2004-2009. The documents and operational experience in country and other countries were reviewed and analysed. The study showed the results of CBI program implementation in Thailand as following items; 1) Target population could access and receive excellent screening services including knowledge and practical guideline for NCD prevention. 2) The health providers in those areas knew the policy, goal and regulation and actively participated in learning of model development and operational planning with CBI concept for appropriate implementation to the local problems and context. 3) Sharing experiences and lessoned learns of implementation for NCD prevention and control widespreadly and linkage among networks though country. 4) The behavior change was not determined obviously because duration of comminty operation was too short. The implementation in other countries were reviewed in the items of process design and program development, level of participation among multi-sectoral networks, timeline, mechanism of the continuum, and monitoring and evaluation. The findings revealed that NCD prevention and control programs based on CBI of other countries are stronger than in Thailand. The recommendations were; priolitize NCD prevention and control to be important local policy, developing and strengthening the cooperation of networks, adjusting timeline, strategies and activities suitable to situation, context, lifestyle and community calendar of each area. Encourage to do the research and development (R&D) of implementation with CBI by Routine to Research methods. In addition, the information and monitoring and evaluation system should be developed to feedback and improve the NCD prevention and control programs based on CBI.
Downloads
References
2. เยาวรัตน์ ปรปักษ์ขาม, พรพันธุ์ บุญรัตพันธุ์, บรรณาธิการ. การสำรวจสภาวะสุขภาพอนามัยของประชาชนไทย โดยการตรวจร่างกาย ครั้งที่ 3 พ.ศ. 2546 - 2547. นนทบุรี: สถาบันวิจัยระบบสาธารณสุข; 2549.
3. World Health Organization. Preventing chronic diseases: a vital investment: WHO global report. WHO Press, World Health Organization, Geneva, Switzerland, 2005.
4. Nissinen A, Berrios X, Puska P. Communitybased Noncommunicable Disease Interventions: lessions from developed countries for developing ones. Bulletin of the World Health Organization. 2001; 79(10): 963-970.
5. Alwan A. Noncommunicable diseases: a major challenge to public health in the Region Eastern Mediterranean Health Journal. 1997; 3(1): 6-16.
6. Merzel C. and D'Afflitti J. Reconsidering community-based health promotion: promise, performance, and potential. Am J Public Health. 2003; 93: 557-574.
7. Brownson R.C., Baker E.A. and Novick L.F. Community-Based Prevention: Programs that Work. Gaithersburg, Maryland: Aspen Publishers, Inc. 1999.
8. Puska P. Successful prevention of non-communicable diseases: 25 year experiences with North Karelia Project in Finland. Public Health Medicine. 2002; 4(1): 5-7.
9. Fortmann SP, Williams PT, Hulley SB, Haskell WL, Farquhar JW. Effect of health education on dietary behavior: the Stanford three community study. Am. J. Clin. Nutr. 1981;34:2030-38.
10. Farquhar JW, Fortmann SP, Maccoby N, et al. The Stanford Five-City Project: design and methods. Am J Epidemiol. 1985; 122: 323-334.
11. Fortmann SP., Flora JA., Winkleby MA., Schooler C, Baylor C.B, Farquhar JW. Community Intervention Trials: Reflections on the Stanford Five-City Project Experience. American Journal of Epidemiology. 1995; 142(6): 576-587.
12. Luepker RV, Murray DM, Jacobs-DR Jr, et al. Community education for cardiovascular disease prevention: risk factor changes in the Minnesota Heart Health Program. Am J Public Health. 1994; 84: 1383-93.
13. Carleton RA, Lasater TM, Assaf AR, Feldman HA, McKinlay S. The Pawtucket Heart Health Program: community changes in cardiovascular risk factors and projected disease risk. Am J Public Health. 1995; 85: 777-85.
14. Mittelmark MB, Hunt MK, Heath GW, Schmid TL. Realistic outcomes: lessons from community-based research and demonstration programs for the prevention of cardiovascular diseases. J Public Health Policy. 1993 Winter; 14(4): 437-62.
15. Schooler C., et al. Synthesis of findings and issues from community prevention trials. Annals of Epidemiology, 1997; S7: S54-S68.
16. Sorensen G, Emmons K, Hunt MK, Johnston D. Implications of the results of community intervention trials. Annu Rev Public Health. 1998; 19: 379-416.
17. Slater MD, Flora JA. Health lifestyles: audience segmentation analysis for public health interventions. Health Educ Q. 1991; Summer: 221-233.
Downloads
Published
How to Cite
Issue
Section
License
Articles published in the Disease Control Journal are considered as academic work, research or analysis of the personal opinion of the authors, not the opinion of the Thailand Department of Disease Control or editorial team. The authors must be responsible for their articles.
.png){kind=logo}
