https://he01.tci-thaijo.org/index.php/LMJ <p><span data-sheets-value="{&quot;1&quot;:2,&quot;2&quot;:&quot;Lampang Medical Journal is biannual peer reviewed scientific journal published by Lampang Hospital. Aims to publish original research article, review article, case report, clinical study and medical innovation.&quot;}" data-sheets-userformat="{&quot;2&quot;:513,&quot;3&quot;:{&quot;1&quot;:0},&quot;12&quot;:0}">Lampang Medical Journal is biannual peer reviewed scientific journal published by Lampang Hospital. Aims to publish original research article, review article, case report, clinical study and medical innovation.</span></p> โรงพยาบาลลำปาง en-US Lampang Medical Journal 0125-4235 <p>บทความที่ส่งมาลงพิมพ์ต้องไม่เคยพิมพ์หรือกำลังได้รับการพิจารณาตีพิมพ์ในวารสารอื่น เนื้อหาในบทความต้องเป็นผลงานของผู้นิพนธ์เอง ไม่ได้ลอกเลียนหรือตัดทอนจากบทความอื่น โดยไม่ได้รับอนุญาตหรือไม่ได้อ้างอิงอย่างเหมาะสม การแก้ไขหรือให้ข้อมูลเพิ่มเติมแก่กองบรรณาธิการ จะต้องเสร็จสิ้นเป็นที่เรียบร้อยก่อนจะได้รับพิจารณาตีพิมพ์ และบทความที่ตีพิมพ์แล้วเป็นสมบัติ ของลำปางเวชสาร</p> https://he01.tci-thaijo.org/index.php/LMJ/article/view/266869 <p><strong>Background:</strong> Liver fluke infection is a major cause of cholangiocarcinoma and a health problem in the northeastern region of Thailand. In Mueang District, the prevalence of liver fluke infection ranks among the top three highest districts in Nakhon Phanom province.<br /><strong>Objective:</strong> To study the outcomes of a developed model for liver fluke prevention through community participation in Wang Ta Mua Subdistrict, Mueang District, Nakhon Phanom Province.<br /><strong>Material and methods:</strong> This action research study was conducted with 61 participants, including village health volunteers, public health officers, teachers, monks, a villager representative, a village headman, a subdistrict headman, and members of the Subdistrict Administrative Organization, as well as 33 villagers who had concurrent liver fluke infections. The study consisted of ten operating steps: 1) problem analysis; 2) preparation of action plans; 3) educational activities; 4) disease prevention campaign activities; 5) creating a cooperation network; 6) monitoring infected villagers; 7) conducting a papaya salad cooking and market survey to ensure it was free from raw fermented fish; 8) setting community preventive measures; 9) monitoring, supervising, and evaluating the activities; and 10) exchanging and sharing knowledge. Data were collected using questionnaires, interviews, and observations and were analyzed using descriptive statistics, paired t-tests, and content analysis.<br /><strong>Results:</strong> After finishing the model, the target group had significantly higher levels of knowledge, attitudes, behaviors, and participation in liver fluke prevention (p&lt;0.001). The success factors might be explained by the connection between network partners and the unity of people in the community, leading to the participation and mutual acceptance of those involved in all steps of development.<br /><strong>Conclusion:</strong> The development of a liver fluke participatory-prevention model in Wang Ta Mua Subdistrict could significantly increase the levels of knowledge, attitudes, behaviors, and participation in disease prevention. The community could create a participatory plan to address the problem using a more systematic operating model.</p> Wachareeporn Natungmuan Phatcha Hirunwatthanakul Jaruwan Viroj Copyright (c) 2024 Lampang Medical Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2024-05-17 2024-05-17 45 1 1 8 https://he01.tci-thaijo.org/index.php/LMJ/article/view/267337 <p><strong>Background</strong>: Pregnancy poses risks to pregnant women, which can be reduced by enhancing health literacy. This strategy promotes the acquisition of knowledge, positive attitudes, and motivation for engaging in correct and suitable self-care behaviors.<br /><strong>Objective</strong>: To evaluate the outcomes of the program designed to enhance health literacy among pregnant women at Borabue Hospital, which includes the development of six skills: access, cognition, communication, decisionmaking, self-management, and media literacy.<br /><strong>Material and methods:</strong> A quasi-experimental research study, employing a one-group, before-and-after design, was conducted among 30 pregnant women who had their first visit at the ANC clinic in Borabue Hospital between July and November 2023. The participants attended the program three times, which included two weeks after the first antenatal care (ANC) visit (focusing on functional health literacy), at a gestational age (GA) of 15 weeks (emphasizing interactive health literacy), and at a GA of 20 weeks (concentrating on critical health literacy). Data were collected before program participation and at 26 weeks of GA using questionnaires and blood exams. The health knowledge scores, health literacy scores, self-care behavioral scores, and hematocrit levels were compared using the paired t-test.<br /><strong>Results:</strong> The mean age was 28.0±1.9 years (range 17–38). Fifty percent of the participants (15 cases) are experiencing their second pregnancy (range 1–3), and the average GA at the first ANC visit was 8.5±0.9 weeks (range 7–10). After completing the program, the women achieved higher average scores in terms of health knowledge (12.8±1.4 vs 9.6±1.4 points, p=0.001), health literacy (4.2±0.8 vs 2.9±0.8 points, p&lt;0.001), self-care behavior (4.1±0.8 vs 2.9±0.7 points, p&lt;0.001), and hematocrit levels (38.7±3.0% vs 33.8±2.5%, p&lt;0.001).<br /><strong>Conclusion:</strong> The health literacy program for pregnant woman at Borabue Hospital could enhance the literacy skills of newly pregnant women, enabling proper self-care behaviors and increasing hematocrit levels.</p> Sirinapa Samlee Phatcha Hirunwatthanakul Vorapoj Promasatayaprot Copyright (c) 2024 Lampang Medical Journal https://creativecommons.org/licenses/by-nc-nd/4.0 2024-07-03 2024-07-03 45 1 9 17