The Process Model of Participatory Non-Smoking House in Patum District Health Promotion Hospital, Amphoe Muang, Ubon Ratchathani

Abstract

Smoking is still on the rise, especially among adolescents and working people who are new smokers. The purpose of this study was to investigate the community participation process in non-smoking house and the smoking behavior of the target people in community. The sample was the residents who over 15 years that resided in the responsibility of the Patum Sub-District Health Promotion Hospital, 850 household volunteers participated in the project. Of 311 smokers and 60 board members worked through three quality management processes, and evaluated stages of change from July 2015 to January 2017. Data collections were data logging, observation forms, smoking habit in the community survey, smoking cessation behaviors in the community and in the clinic form. Data analysis was used by frequency, percentage and content analysis. The results found that process of participation in the community's non-smoking house was several stages. There were surveying the problem, mapping of smoking household, and returning the information to community. Then, there were announcing the non-smoking house policy, creating the social rule, creating the media to smoking cessation, and continuing campaign in the community. Lastly, there were setting up a blue-sky clinic in the district health promotion hospital, providing the knowledge with 5A by invitation newsletters to the clinic, and following home visit in the community. The results of the process found the number of people who smoke decreased from 311 (9.15%) to 258 (7.59%), and 53 smoking cessations (17.04%) that there were 37 children and pregnant women (39.78%) in the smoking behavior of the family. The behavior of smoking in the family changed that smoking decreased from 64.31 to 29.59; and in families with children and pregnant women decreased from 90.32 to 21.51. The process of the community participation has created a model for reaching out to community smokers’ targets that community seek common patterns and practices to address problems with ongoing activities.