Evaluation of the plan to enhance security and excellence in disease control of the country 2020 - 2022 Updated version, Department of Disease Control

Abstract

This study aimed to evaluate the revised National Health Security and Excellence Plan 2020-2022, as well as analyze the success factors and obstacles to develop proposals for the plan in the next phase. The study was conducted in a mixed-method research format, collecting both quantitative and qualitative data. The population and sample were purposively selected, consisting of those involved in the plan of the Department of Disease Control from 44 agencies and 76 provincial public health offices. The results of the study found that the overall performance in all aspects was at a high level.
The outcome dimension had the highest mean score of 3.93, and the context dimension had the lowest mean score of 3.61. Factors affecting the success of the plan were the definition of health security issues in the 20-year national strategy, and executives gave importance to and used the plan as a framework for considering annual budget allocation. In terms of obstacles, the plan’s content lacked completeness and clarity in many dimensions, lacked mechanisms for implementing the plan and monitoring results, resulting in some issues not leading to clear and tangible implementation, and communication did not reach operators and networks for disease prevention and control at the local level. The proposal is to use lessons learned and gaps from the development as a framework for the plan in the next phase, including the use of laws on disease prevention and health hazards. It is an important mechanism for integrating cooperation with relevant networks in both the public and private sectors. For the preparation of the plan in the next phase, the plan's objectives should be clearly defined, the success can be measured, and there should be a clear mechanism for driving, monitoring and evaluating the results of the plan to ensure tangible implementation.