Strategic health care reform: The development of the District Health System Uthai Thani province

Abstract

          This research aimed to evaluate the implementation of the district health system development policy when applied at Uthai Thani Province. This study used the Stufflebeam’s CIPP model which evaluated 4 aspects (Context, Input factors, Processes and Product) 145 samples from 3 departments, data collected using questionnaire. Descriptive statistics, percentage, mean and standard deviation were used to explain and discuss.

          The results of the study showed that 1) Context evaluation: The activity plan is consistent with the policy and strategy of the Ministry of Public Health including health problems in the area. 2) Input evaluation: Executive support, the staffs of the project were sufficient and there are limitations in the allocation of budgets and resources for project operations 3) Process evaluation: The team has a meeting to assess the problem. Coordinate and manage problems together at all levels 4) Product evaluation: There are network innovation and project activities that help drive the development of public health work according to issues in the area such as Lan Sak distric: The elderly school, Muang distric: The health care service system development for the elderly long term care, Nong Khayang distric: The participation in dengue hemorrhagic fever prevention.

          The DHS policy should be a strategic plan for 3-5 years. There should also be other organization or forum or local partner to drive the strategy and evaluate it by applying other evaluating models such as the Stake evaluation or Screven's assessment model.