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.
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