Development of local Health Charter process in Phusing District, Sisaket Province

Abstract

The District Health Board (DHB), Phusing District, in cooperation with network partners, has set a policy to improve the quality of life by using the local Health Charter as a tool to promote participation and cooperation of the people. The objectives of the action research were  to 1) study the form and process for establishing and implementing local Health Charter for Phusing District, and 2) develop an appropriate model and process for providing for an implementing a suitable local Health Charter for Phusing District. The population and the sample group used in this research included members of the District Health Board (DHB), committees relating the community and local people aged 20 years old and over. Total 612 people. The research consisted of three phases: Phase 1 for surveying the basic information  of the local health charter;  Phase 2 for developing issues  through five cycles of the  PAOR process;   and Phase 3 evaluating satisfaction and participation. The instruments included an interview guideline, development process records, and questionnaires. The data analysis was percentage, average, standard deviation, and content analysis. As  the results, the study found that, in Phase 1, processes of conducting the construction of the local Health  were initiatives for preparing the community and awareness, community participation, implementation of local Health Charter, evaluation, and revision of local Health Charter within community context, problems, and development needs. Outcomes of the Phase 2 after the 5-cycle PAOR process were announcement of local constitution (seven local Health Charter and a district Health Charter); implementation of the local constitution into practice (prevention of the novel Coronavirus infection disease 2019 and dengue fever. In Phase 3,  assessment of satisfaction and participation in the formulation of the local Health Charter. It was found that most of them have a high level of satisfaction and participation. From this research, it can be seen that the construction of the local Health Charter must be carried out under the context and community issues, with the participation and satisfaction of the people.