Factors Influencing the Work Efficiency of Village Health Volunteers in Phanom Thuan District, Kanchanaburi Province, Following the Transfer of Subdistrict Health Promoting Hospitals to the Provincial Administrative Organization

Abstract

This cross-sectional descriptive correlational study aimed to assess perceived work efficiency and analyze factors explaining perceived work efficiency among Village Health Volunteers (VHVs) in Phanom Thuan District, Kanchanaburi Province, under the context following the transfer of Subdistrict Health Promoting Hospitals to the Provincial Administrative Organization. The sample consisted of 315 VHVs selected by proportional stratified random sampling. Data were collected using a self-administered questionnaire covering general information, four work-related factors—work motivation, knowledge and skills for practice, organizational support, and role clarity—and perceived work efficiency. The questionnaire had IOC values ranging from 0.67 to 1.00 and an overall reliability coefficient of 0.94. Data were analyzed using descriptive statistics, Pearson’s correlation coefficient, and multiple regression analysis. The results showed that overall perceived work efficiency was at a high level (M = 4.21, SD. = 0.54). All four factors were positively associated with perceived work efficiency, with role clarity showing the strongest correlation (r = .752, P-value < .001). The four factors jointly explained 64.50% of the variance in perceived work efficiency (R² = 0.645, Adjusted R² = 0.640, P-value < .001), with role clarity as the strongest influencing factor (Beta = 0.421).
The findings suggest that the Provincial Administrative Organization and related agencies should clearly communicate VHVs’ roles under the new administrative structure while strengthening essential skills and work support systems in the community.