Evaluation of Community Warning Centers on Health Products in Srisaket

Abstract

Objective: To evaluate the operation of community warning centers on health products in Srisaket using CIPP model. Method: This study was a qualitative study collecting the data by in-depth interviewing 17 directors of subdistrict health promoting hospitals who were in charge of 17 community warning centers on health products, together with observation of the operation of centers and review of related documents. The data collection was conducted during May 2014-December 2014. Content analysis of the data was focused on 4 dimensions including context, input, process and outcomes. Results: In context dimension, provincial policy with clear operation plan and participation of those in communities were driving force for effective operation. Inputs including budget, media for advertising of the centers, personnel, operation plans and space, were adequate and suitable for effective operation. In the process, the strength was the operation with strong teamwork and participation from all factions in the areas. However, the weakness was the inaccessibility to single window database and internet of the community participants. In output, social measures were used with high awareness among communities due to participation in the activities of the centers, self-learning opportunities, easy accessibility to the activities of the centers in term of compliant filing and quick testing of the suspected health products. From 26 filed compliant, 24 (92.30%) were successfully settle. Conclusion: The procedures for handling filed compliant should be available in all communities by expanding the numbers of community warning center to increase the access of the people. Driving force for effective operation of the warning centers included public policy development by communities with the participation of local administration organization by setting the policies in the form of municipal law or agreement for self-regulation within the communities or social measures, improvement of information system to link with necessary database, the presentation of the problems in the areas and pushing it as an agenda in provincial health assembly and the development of public policy with the participation from the communities.