The model development of disease prevention and control by mechanism of District Health Board of Thailand
DOI:
https://doi.org/10.14456/dcj.2023.17Keywords:
model development, disease prevention and control, District Health Board (DHB)Abstract
This research and development aimed to improve disease prevention and control by a mechanism of the District Health Board (DHB) of Thailand. The project was divided into 3 phases: 1st phase - Identifying the problem, working mechanism, and prospect of DHB in 12 districts. The volunteers were of qualifications which are District Health Board members, working staff at the sub-district level (SDHB), and community leaders. The 2nd phase - program development and pilot study in 8 districts among the volunteers who were the representatives from the Office of Disease Prevention and Control (ODPC), Provincial Public Health Office (PPHO), District Public Health Office (DPHO), and public sector. The 3rd phase - program implementation in 10 districts by the volunteers from representatives from ODPC, PPHO, and DPHO and people representatives from the studied districts between March 2018 to September 2022. The face-to-face interview, focus group discussion and performance report of DHB were adopted for program evaluation. The result demonstrates that most of the representatives from DHBs (66.7 percent) require locally data connection among related organizations. At the same amount (66.7 percent), they need guidelines or tools to be used in problem- solution planning. In addition, 40.0 percent of them require monitoring and evaluation for the operation. During the program development phase and the implementation phase, the model discovered that the knowledges and working plan/project management skills of the mentors at the district level were statistically significant increased (p<0.001). After the development, most of the target population has a moderate to high level of knowledge about disease prevention and control, a sufficient level of health literacy, and a moderate to high level of disease prevention and control behavior. Additionally, outcome of reducing diseases and risk factors is slightly better compared with those at the pre-development phase.
Downloads
References
Department of Disease Control (TH). Division of Non-Communicable Disease. Number and death rate with 5 non-communicable diseases (NCD) 2016–2020 [Internet]. [cited 2022 Oct 18]. Available from: http://www.thaincd.com/2016/mission/documents-detail.php?id=14220&tid=32&gid=1-020 (in Thai)
Thailand Road Safety Observatory. Overall road traffic injuries situation, death rate per 100,000 population from 2017–2021 [Internet]. [cited 2022 Oct 18]. Available from: http://trso.thairoads.org/statistic/national/N-SPI-A/N-SPI-A2/N-SPI-A2-01 (in Thai)
Strategy and Planning Division. Office of the Permanent Secretary. Ministry of Public Health (TH). Thailand health profile 2016-2017. Nonthaburi: Strategy and Planning Division; 2019. (in Thai)
Department of Disease Control (TH). Bureau of Occupational and Environmental Diseases. Situation report: Diseases and health hazards from work and environment in 2017 [Internet]. [cited 2018 Oct 30]. Available from: http://envocc.ddc.moph.go.th/uploads/situation/01_envocc_situation_60.pdf (in Thai)
Office of the Prime Minister (TH). Regulations of the office of the prime minister on the development of quality of life at the local level. Thai Government Gazette. No.135(54). 2018. (in Thai)
Office of Thailand Healthy Lifestyle Strategic Management. Office of the Permanent Secretary. Ministry of Public Health (TH). Documents for the presentation of the steering sub-committee meeting on public health system reform in health service systems, health promotion, disease prevention, Thai traditional medicine, and medical center. 2020 December 20; Nonthaburi: n.p.; 2020. (in Thai)
Khongsateinpong K. Wanaratwichit C. District quality development committee: Challenges and development. BCNUT J Nurs. 2021;13(2):275-86. (in Thai)
Liamsungnoen S. A model to develop health promotion management skills for local health promotion teams. The lessons learned meeting for the development skills of local health promotion teams and evaluation by action research method (ARE); 2013 Jan 30 - Feb 1; Gold (Khaoyai) Resort & SPA. Pak Chong, Nakhon Rachasima: n.p.; 2013. (in Thai)
Centers for Disease Control and Prevention. Department of Health and Human Services. Evaluation Guide. Developing and Using a Logic Model [Internet]. 2006 [cited 2021 Aug 1]. Available from: https://www.cdc.gov/dhdsp/evaluation_resources/ guides/logic_model.html
Quality Improvement and Innovation Partnership. The logic model resource guide for family health teams [Internet]. 2010 [cited 2021 Aug 1]. Available from: http://www.hqontario.ca/ portals/0/documents/qi/qi-rg-logic-model-1012-en.pdf
Ngamjarus C. n4Studies Version 1.4.0. [Internet]. 2014 [cited 2021 Aug 1]. Available from: https://n4studies.soft112.com/download.html
U-Chupai V. Knowledge and behavior of people in waste management and quality of waste management services of Laoyao sub-district administrative organization Ban Hong district Lamphun province [Thesis]. Chiang Mai: Chiang Mai Rajabhat University; 2018. 182 p. (in Thai)
Bureau of Environmental Health. 26th A survey of health behaviors for COVID-19 prevention [Internet]. [cited 2022 Oct 19]. Available from: https://sites.google.com/view/hia-surveillance/anamai-poll-covid
Office of the Permanent Secretary (TH). MOPH Immunization center dashboard [Internet]. [cited 2022 Oct 19]. Available from: https://cvp1.moph.go.th/dashboard/ (in Thai)
Ministry of Public Health (TH). Key Performance Indicator [Internet]. [cited 2022 Oct 19]. Available from: http://hdcservice.moph.go.th/hdc/main/index.php? (in Thai)
Injury Data Collaboration Center. Division of Injury Prevention. Department of Disease Control (TH). Road traffic injuries information [Internet]. [cited 2022 Oct 19]. Available from: https://dip.ddc.moph.go.th/new/ (in Thai)
Local Environment Division. Department of Local Administration (TH). Information system for solid waste Management of the local administration [Internet]. [cited 2022 Oct 21]. Available from: http://waste.dla.go.th/ (in Thai)
Chong Mek Subdistrict Administrative Organization (TH). Waste management and environmental Information [Internet]. [cited 2022 Oct 21]. Available from: https://www.chongmek.go.th/ (in Thai)
Srivanichakorn S, Vechasuthanon K, Leesmith W, Yana T, Direkbussarakom O, Sanchaisuriya P, et al. Potential and readiness of tripartite member concerning the development of the community health system in 12 sub-districts. JHSR. 2009;3(3):389-401. (in Thai)
Pagaiya N, Hongthong P, Phetthongyok P., Kongweerakul K. Health workforce management for drive primary health care service and district health system of Thailand [Internet]. [cited 2022 Oct 21]. Available from: https://hrdo.org/wp-content/uploads/2019/07/HRH-primary-carereport25-7-18.pdf (in Thai)
Thammakun TH, Thammakun T, Prompunjai P, Photipim M, Slawongluk T, Bell O, et al. Application of logic model on development of prevention and behavior modification model of alcohol consumption among youth (PABMACY). Interprof. J. Health Sci. 2020;27:420-31. (in Thai)
Prompunjai P, Thammakun TH, Thammakun T, Pensuk P. Effectiveness of management skill development program for district leaders to prevent dengue hemorrhagic fever in health service network region 9th. Dis Control J. 2013;39:194–203. (in Thai)
Sripud N, Suwanbongkot P, Phanthongrak K, Khamin M, Sopakun W. Achieving local teams to accomplish health plans in the upper northern region. LPHJ. 2020;2:46-60. (in Thai)
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Disease Control Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International 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}
