Development of Home Visit Model for 12-Week Pregnancy Women Created by Nong Phok Hospital, Roi Et Province

Abstract

This participatory action research, one cycle, aimed to explore situation and develop model of home visit for 12-week pregnancy women created by Nong Phok hospital, Roi Et province, following Kemmis and McTaggart concept. Participants were 277 12-week pregnancy women. Data were collected by quantitative and qualitative methods. Descriptive statistics in terms of frequency, percentage and mean, and also content analysis were used to analyze quantitative and qualitative data respectively. The results revealed that:

          Phase 1: situation and problems: 46% of the participants had first antenatal care within 12 12 weeks which was lower than standard criteria of 60%. This situation lead to find out the way to solve the problem regarding developing new model. The model included eight elements: principle, aim, objective, goal, structure, process, VAlCHOR Model implementation, and condition for success and outputs. The emphasis of this model focused on mind development and empowerment for pregnancy women and their babies to be healthy, person for data responsibility, and antenatal care clinic management.

          Phase 2: model implementation: 12-week pregnancy women were visited following seven steps in 13 health centers in Nong Phok district.

          Phase 3: model evaluation: there were five aspects for evaluation covering validity, conforming, suitability, possibility and benefit. All aspects were assessed, in each and overall aspects, and shown as at high levels. Participants had their highest satisfactions to the training activities such as lecturing, practicing and duration of the training course, and had high satisfactions to the visit model developed.

          Phase 4: data reflection: there were some drawbacks form brain storming and in-depth interviews, two cases, of the participants. The participants indicated that they could not do for antenatal care within 12 weeks because they could not manage their times, the appointment date and working time were the same, and they were not sure for their first pregnancy.