Evaluation of basic occupational health service standard for informal workers in Primary Care Units, Office of Disease Prevention and Control 10, Ubon Ratchathani
Keywords:Occupational health service, primary care units, performance evaluation
The study aimed to evaluation the implementation of Occupational Health Services (OHS) practices standard for informal workers and analyze success factors, problems or difficulties to work operation according to standard of PCUs in Health Region 10. The cross-sectional descriptive study were collected data by using OHS standard assessment form for 553 PCUs and interview guideline for 12 PCUs. Data were analyzed and interpreted using assessment criteria with descriptive statistics and content analysis. The results found that (1) most of PCUs has been OHS practices standard (93.3%). Most of them self-assessed was passed starting level (41.6%), good level (23.1%), and very good level (22.2%), respectively. In each activities, 89.9% have surveyed occupational information, health education activities (87.3%), screening and diagnosis basic occupational diseases (86.3%), health risk screening (75.4%), disease recorded and reported (75.2%), respectively. (2) The success factors including; internal factors, such as executive support, person responsible main work, have related project plans. External factors, such as strange monitoring, online reporting system, supporting from local networks. (3) PCUs have various operational problems including OHS practices standard implementation an incorrect and incomplete in some issues, limitations on personnel, resources, and insufficient budget. Therefore, PCUs should be integrated OHS practices with routine works and co-operation with local network. While the Provincial Health Office and the Office of Disease Prevention and Control need support to upgrade the quality of OHS and development of personnel capacity building training continuously.
International Labour Organization. Occupational health services [Internet]. 2015 [cited 2019 Sep 19]. Available from: https://www.ilo.org/safework/areasofwork/occupational-health/WCMS_354275/lang--en/index.htm
Rantanen J, Fedotov IA. Standards, principles and approaches in occupational health services [Internet]. 2002 [cited 2019 Sep 19]. Available from: https://www.ilo.org/wcmsp5/groups/ public/---ed_protect/---protrav/---safework/documents/publication/wcms_110439.pdf
Pingle S. Basic occupational health services. Indian J Occup Environ Med 2009;13:1-2.
Rantanen JH. Basic occupational health services—their structure, content and objectives. SJWEH Suppl 2005;1:5-15.
National Statistical Office. Survey on informal employment, 2018. Bangkok: Statistical Forecasting Division; 2018. (in Thai)
Sychareun V, Vongxay V, Thammavongsa V, Thongmyxay S, Phummavongsa P, Durham J. Informal workers and access to healthcare: a qualitative study of facilitators and barriers to accessing healthcare for beer promoters in the Lao People's Democratic Republic. Int J Equity Health 2016;15:66.
Kongtip P, Nankongnab N, Chaikittiporn C, Laohaudomchok W, Woskie S, Slatin C. Informal workers in Thailand: occupational health and social security disparities. New Solut 2015;25:189-211.
Innamma S. Working and social life of informal workers and impacts on health: a case study of the sewing group of Ban Meng Sub-district, Nong Ruea District, Khon Kaen Province. Journal of Health Systems Research 2010;4:379-92. (in Thai)
Chantaramanee N. Risks of health and safety in work of informal agricultural workers, Amphoe Phu Kamyao, Phayao Province. EAU Heritage Journal Science and Technology 2017;11:112-23. (in Thai)
Wirakul W, Wimonpusit O, Gosoomp M, Panyarangsri P, Sawasdiphol S. Manual for local health security fund management for informal worker health care. Bangkok: Thai Health Promotion Foundation; 2016. (in Thai)
Ametepeh RS, Adei D, Arhin AA. Occupational health hazards and safety of the informal sector in the Sekondi-Takoradi Metropolitan area of Ghana. Research on Humanities and Social Sciences 2013;3:87-99.
Butmee T, Kiatkitroj K, Aungudornpukdee P. Health status and health risk of working conditions among the agricultural informal workers in Phitsanulok Province. Journal of Safety and Health 2014;7:17-26. (in Thai)
Sakchainanont B, Jiraniratisai S. Development of occupational health services in health centers for informal workers. Dis Control J 2011;37:1-8. (in Thai)
Buijs P, Gunnyeon B, van Weel C. Primary health care: what role for occupational health?. Br J Gen Pract 2012;62:623-4.
Bureau of Occupational and Environmental Diseases. Guidelines for development of occupational and environmental health medicine for public health services [Internet]. [cited 2019 Sep 19]. Available from: http://envocc.ddc.moph.go.th/contents/view/155 (in Thai)
Siriruttanapruk S, Wada K, Kawakami T. Promoting occupational health services for workers in the informal economy through primary care units. Bangkok: ILO Subregional Office for East Asia; 2009.
Siriruttanapruk S. Integrating occupational health services into public health systems: a model developed with Thailand’s Primary Care Units. Bangkok: International Labour Office; 2006.
Tangcharoensathien V, Sawaengdee K, Rajataram B, Muangyim K, Sarakshetrin A, Chantra R, et al. A study of work load and productivity among health personnel in District Health Promotion Hospitals. Nonthaburi: Health Systems Research Institute; 2016. (in Thai)
Public Health Region Office 10th. Health resources information in Health Zone 10 [Internet]. [cited 2019 Sep 19]. Available from: http://www.spbket10.com/web60/?page_id=494 (in Thai)
Bureau of Occupational and Environmental Diseases. Evaluation criteria for the provision of occupational health services for informal workers in Primary Care Units (11 criteria) [Internet]. [cited 2019 Sep 19]. Available from: http://envocc.ddc.moph.go.th/contents/ view/414 (in Thai)
Occupational and Environmental Diseases Center. Implementation guideline for surveillance, prevention and control of occupational diseases and health hazards among informal workers in fiscal year 2019. Ubon Ratchathani: Office of Disease Prevention and Control Region 10, Ubon Ratchathani; 2019. (in Thai)
Dithisawatwet S, Polpila P, Chomchaloa P, Yates J, Jiraniratisai S, Toyoh F, et al. Basic occupational health service development in Primary Health Care Units. Journal of the Office of DPC 6 Khon Kaen 2013;20:79-92. (in Thai)
Strategy and Planning Division, Office of the Permanent Secretary, Ministry of Public Health. Description of key performance indicators (KPIs) for 20-year National Strategic Plan for Public Health, fiscal year 2019. Nonthaburi: Office of the Permanent Secretary, Ministry of Public Health; 2018. (in Thai)
How to Cite
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.