Development of an integrated and participatory quality antenatal care model Nuea Khlong Subdistrict Nuea Khlong District Krabi Province

Abstract

This action research aimed to develop and explore the integrated and participatory quality antenatal care model at Nuea Khlong sub-district, Nuea Khlong district, Krabi province. Participants were 97 persons divided into 2 groups involving 20 persons of health networks and community leaders and 77 persons of pregnant women who attended the antenatal care following the Ministry of Public health standard. The research conducted for 6 months using
the process of Plan, Do, Check, Act (PDCA). Data were collected by the interview forms and analyzed by descriptive statistics and also content analysis. The integrated and participatory quality antenatal care model included 3 activities covering: 1) increasing access to services and motivating pregnant women to attend the antenatal care to meet the criteria;
2) improving the quality of services, such as organizing health education system and monitoring system for pregnant women; and 3) promoting the community participation, such as organizing community forums to clarify maternal and child health problems in the community, and also assigning village health volunteers to follow pregnant women by knocking the houses’ doors.             The results revealed that most pregnant woman were 25-30 years old with the average age of 26.33, held Islam (64.20%), finished secondary school (42.40%), did agriculture (75.00%) and had income 10,000-15,000 baht. They had health services at PCU of Nuea Khlong hospital (65.00%) because of convenience for travelling and using the universal coverage insurance.
In addition, they had the service of antenatal care for more than 5 sessions (92.00%).

According to the performance of 5 antenatal care sessions according to the
standard criteria (Target 75%), the percentage before the implementation of the model
was 49.46, while after was 75.82. It could be suggested that the developed model should employ problem solving principle to plan for organizing antenatal care activities, evaluating and improving service process by community participation.