Development of a Value-Based Maternal and Child Health Care System in Health Region 2

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Published: Aug 6, 2025
Keywords:
Value-based maternal and child healthcare system 6 value programs innovation

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Piyaphan Trakultip
Registered Nurse, Senior Professional Level, Health Center 2, Phitsanulok
Wanshana Cheenduang
Public Health Technical Officer, Senior Professional Level, Health Center 2, Phitsanulok
Nitsara Pongpanit
Nutritionist, Senior Professional Level, Health Center 2, Phitsanulok
Maythika Mailoungkard
Registered Nurse, Professional Level, Health Center 2, Phitsanulok
Chinnaraporn Ratchatawan
Public Health Technical Officer, Professional Level, Health Center 2, Phitsanulok

Abstract

This research and development was conducted to develop a value-based maternal and child healthcare system in Health Region 2, comprising three phases: 1.Phase 1: Identifying pregnant women’s issues and needs through in-depth interviews and reviewing related concepts, including Michael E. Porter’s value-based healthcare (Porter & Lee, 2021) and health literacy promotion among pregnant women. 2. Phase 2: Developing the value-based maternal and child healthcare system through group discussions and expert panel seminars for system refinement. 3. Phase 3: Evaluating the system’s effectiveness in two steps: Step 1: Conducting a quasi-experimental, single-group pre-and post-test design to compare key health outcomes for mothers and children before and after implementation. Step 2: Assessing the system’s effectiveness post-implementation.Instruments included document analysis tools and validity checks reviewed by five experts, yielding content validity indices (CVI) of 0.83 and 0.87, respectively. Self-administered questionnaires tested on 30 public health personnel yielded a Cronbach’s alpha of 0.89. Descriptive statistics (frequency, percentage, standard deviation) and inferential statistics (Pearson correlation, paired t-tests) were used to analyze the data.The study resulted in an innovative value-based maternal and child healthcare model called the “6 Value Base Maternal and Child Health Programs.” Comparisons of health outcomes before and after the intervention showed no significant differences in maternal mortality rates, neonatal mortality rates (within 28 days), or the percentage of children aged 0–5 years meeting developmental milestones. However, the system demonstrated high structural and service delivery quality, with a significant positive correlation. Future research should focus on continuously developing and refining value-based services and enhancing information technology to create databases that optimize service delivery and efficiency.

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How to Cite
Trakultip, P., Cheenduang, W. ., Pongpanit, N. ., Mailoungkard, M. ., & Ratchatawan, C. . (2025). Development of a Value-Based Maternal and Child Health Care System in Health Region 2. NU Journal of Nursing and Health Sciences, 19(2), 207–222. retrieved from https://he01.tci-thaijo.org/index.php/NurseNu/article/view/274666
Issue
Vol. 19 No. 2 (2025): NU Journal of Nursing and Health Sciences
Section
Research Article
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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