Impact and Adaptation of Subdistrict Health Promoting Hospital in the COVID-19 Outbreak Situation

Abstract

Outbreak of COVID-19 effected Subdistrict Health Promoting Hospital (SHPH.), the most closed up health center to community. This descriptive research aimed to study effect, adaptation and policy proposal on outbreak of COVID-19 to SHPH. Data were collected from head of SHPHs in 4 provinces; Chiang rai, Phayao, Nan and Lampang, divided into 2 phases. 1) Qualitative data were collected by using in-dept interview and analyzed by content analysis and 2) Quantitative data were collected by using questionnaire from 300 head of SHPHs and analyzed by descriptive statistics.

The result of the 1^st phase revealed that outbreak of COVID-19 effected SHPH in unclear policy, lack of knowledge and information, inadequate personnel, material and budget, stop any routine work. SHPHs adapted themselves by creating working network and volunteer community, resource mobilizing from private sectors, enhancing knowledge from online media, drug delivery. Offer for problem solving were creating unity policy and area operation center, increasing compensation, developing online course and disease surveillance system. The 2^nd phase showed that the effect and adaptation of SHPH on outbreak of COVID-19 were in middle level, but policy proposal were in high lever. That situation SHPHs were lack of appropriate system for response disease outbreak. So all level of public health management had to prepare system for respond COVID-19 and other emerging disease.