Diabetes Prevention Operations in Primary Care Units, Samut Prakan Province

Abstract

This cross-sectional descriptive research aimed to study factors affecting diabetes prevention operations in primary care units, Samut Prakan province. The samples comprised 258 individuals, including directors, professional nurses, and public health technical officers from 86 primary care units. Data were collected via questionnaires and analyzed using descriptive statistics (frequency distribution, percentage, mean, standard deviation), chi-square tests, and logistic regression analysis.

The majority of the target sample were female (82.2%) aged 40 years and older (39.5%). The length of employment of respondents was between 1 and 10 years (50.0%). Most primary care facilities had 1-15 staff members (89.1%). Additionally, 73.3% of these facilities were large. The analysis indicated that the information system (p-value 0.047) and the supporting system (p-value 0.015) were statistically significant predictive factors for the diabetes prevention process in primary care facilities at the 0.05 level.

To enhance diabetes prevention at the district level, the Non-Communicable Disease (NCD) Board should periodically review and adjust evidence-based medical practice guidelines to ensure effective service delivery. Training programs should focus on training personnel with the necessary skills and confidence to implement these guidelines effectively. Furthermore, primary care units should be supported by robust information systems. Public health technical officers must be trained to accurately record and manage data within the Health Data Center system. Continuous monitoring, inspection, and analysis of this data will help assess
the outcomes of the operations, enabling improvements in the processes and strategies being implemented.