Journal of the Office of Disease Prevention and Control, 7 Khon Kaen

Policy Recommendations Proposed from the Regional Situation of Seasonal Influenza and Various Outbreaks in Health Region 11

Panuwat Naraart — 2025-12-26

This descriptive study examined the epidemiological characteristics, outbreak clusters, and limitations of influenza prevention and control measures to propose policy recommendations for Health Region 11. Data were obtained from the R506 and D506 systems, cluster outbreak investigation reports, and reports on monitoring of prevention and control from 2020 to 2024. Descriptive statistics were applied to analyze quantitative data over person, time, and place, and outbreak-related factors, while qualitative data was summarized by content summary on the limitations of current control strategies. There was a sharp increase in morbidity rate from 113.51 to 1,194.09 per 100,000 population, while the highest rate was among children aged 3–4 years. Most outbreak clusters occurred in prisons (71.43%), with 46.15% linked to transmission from infected correctional officers. Outbreak detection was delayed, with a median of 10 days after symptom onset in the primary case. Vaccine coverage was below 10.00% of the total population, and children aged 3–4 years were not included in the target group. Major limitations included insufficient screening tests, difficulties in implementing isolation within prisons, and staff shortages. This study recommends that vaccination should be expanded to include children aged 6 months to 4 years, and achieve herd immunity. Prisons should also be equipped with sufficient screening tests to ensure timely outbreak detection, especially in staff-introduced clusters.

Analysis of Effectiveness and Efficiency of Diabetes Screening Tool: A Case Study of Nam Phong District, Khon Kaen Province, under the Integrated National Diabetes Risk Screening Project, Department of Medical Services, 2023-2024

Nidtakorn Sonpirom — 2025-12-26

This research aimed to analyze the effectiveness and efficiency of the Department of Medical Services' diabetes screening tool and to study factors associated with diabetes risk screening results. This cross-sectional analytical study analyzed secondary data from the National Diabetes Risk Screening Project. The sample consisted of 800 participants from 18 Sub-district Health Promoting Hospitals in Nam Phong District, Khon Kaen Province, during July-September 2023. Data were analyzed using descriptive statistics, chi-square tests, and odds ratios with 95% confidence intervals.
The results showed that the department of medical services' screening tool had 100% sensitivity, 41.83% specificity, 2.34% positive predictive value, and 100% negative predictive value. A high-risk group of 470 participants (58.75%) was identified, with 11 new diabetes cases detected (1.38%). The tool reduced blood glucose testing by 41.25%. Factors with the highest association were over-standard waist circumference (χ²=167.89, OR=7.2, 95%CI:5.1-10.1), age ≥50 years (χ²=156.78, OR=3.5, 95%CI:2.6-4.7), and BMI >27.5 (χ²=145.23, OR=16.2, 95%CI:8.3-31.6), (p<0.001). The screening tool effectively identifies high-risk groups and significantly reduces costs, with waist circumference being the most important predictive factor.

The Effects of a Health Media Program to Improving Health Literacy for Stroke Prevention in Uncontrolled Hypertensive Patients in Ban Na Sub-district, Srinagarindra District, Phatthalung Province

Soohana Chewae — 2025-12-26

This study employed a one-group quasi-experimental design to examine the effects of a health media program on improving health literacy for stroke prevention among patients with uncontrolled hypertension in Ban Na Sub-district, Srinakarindra District, Phatthalung Province. The sample consisted of 32 participants, and the intervention was implemented over a period of three months. The program utilized health education videos and infographics that provided knowledge on stroke prevention, exercise, stress management, self-management skills, and decision-making for disease prevention. The media were disseminated via the LINE application. Data were collected using a structured questionnaire that was validated by experts, yielding an Item–Objective Congruence (IOC) index of 0.97 or higher for all items. Data were analyzed using descriptive statistics, including frequency, mean, and standard deviation, and inferential statistics, namely the Wilcoxon signed-rank test and the paired t-test.

After participation in the program, participants’ health literacy for stroke prevention significantly increased (P-value < 0.001). Health behaviors related to stroke prevention also improved significantly (P-value = 0.038). The risk level for stroke significantly decreased (P-value < 0.001). Moreover, systolic blood pressure significantly decreased (P-value < 0.001), and diastolic blood pressure significantly decreased (P-value = 0.008). Continuous follow-up and evaluation of health behavior modification, together with empowerment of program participants, are recommended to sustain long-term benefits.

Factors Affecting to Survival Rate among New Pulmonary Tuberculosis at Hospitals in Buriram Province, 2019 – 2024

Wongduean Pongwan — 2025-12-26

This is an analytical retrospective cohort study aiming to investigate the factors affecting survival rates, make comparative analyses, and determine the overall survival rates among new pulmonary tuberculosis cases after diagnosis who received treatment at hospitals in Buriram province. Patients from the National Tuberculosis Information Program (NTIP) with diagnostic codes ICD-10: A15 - A16 between January 1, 2019, and December 31, 2023, from the Bureau of Registration Administration (BORA). All patients were followed up until their final status was determined as of December 31, 2024. Survival analysis was performed using the Kaplan-Meier method, with presentation of survival rates at various time points, accompanied by 95% confidence intervals. Comparisons between groups were conducted using the Log-rank test, with p-values reported. The relationships between various factors and survival time were analyzed using Cox regression, presenting Adjusted Hazard Ratios (HR) with 95% confidence intervals and p-values derived from the partial likelihood ratio test.

Among the 5,295 new pulmonary tuberculosis patients studied, the majority were male (n=3,674, 69.4%), with a mean age of 56.0 years (S.D. = 15.7 years). first sputum positivity AFB 3+ (n=1,030, 19.5%), treatment with the new patient regimen (n=5,265, 99.4%). During the follow-up period of 15,617.9 person-years, 503 patients died, resulting in a mortality rate of 3.2 per 100 person-years (95% CI: 2.95 – 3.51). Survival rates at 1, 3, and 5 years were 91.5% (95% CI: 90.67 – 92.19), 90.5% (95% CI: 89.61 – 91.23), and 89.8% (95% CI: 88.85 – 90.63), respectively. After controlling for all variables in the model, Age, Patients aged 60 years or older (adj.HR = 2.66, 95% CI; 2.19 - 3.23), alcoholism (adj.HR = 2.80, 95% CI; 2.12 - 3.70), HIV-infected (adj.HR = 3.31, 95% CI: 2.42 - 4.54) first sputum AFB smear 1+ (adj.HR = 1.15, 95% CI; 0.91 - 1.45), AFB 2+ (adj.HR = 1.23, 95% CI; 0.94 - 1.60), AFB 3+ (adj.HR = 1.53, 95% CI; 1.21 - 1.93) and chest X-ray (adj.HR = 2.15, 95% CI; 1.58 to 2.92) were significantly associated with diagnosis survival of new pulmonary tuberculosis patients (p-value<0.05).

The conclusion of this study identified several factors significantly associated with survival rates of new pulmonary tuberculosis patients after diagnosis: age, alcoholism, HIV status, first sputum, and chest X-ray. Physicians providing treatment should carefully consider these factors to determine the most appropriate therapeutic approach. Taking these factors into account during treatment planning can help improve long-term survival outcomes for new pulmonary tuberculosis patients.

Dengue Hemorrhagic Fever Surveillance Evaluation in Suranaree University of Technology Hospital, Nakhon Ratchasima, 2024

Orawan Buasriphum — 2025-12-26

This cross-sectional descriptive study aimed to evaluate the dengue surveillance system at Suranaree University of Technology Hospital, Nakhon Ratchasima Province, focusing on the disease reporting process, quantitative attributes, and qualitative attributes. Quantitative data were obtained from a retrospective review of 344 patient medical records diagnosed with dengue hemorrhagic fever (ICD-10 codes) between January 1 and December 31, 2024, and compared with cases reported to the national epidemiological surveillance system (D506). Qualitative data were collected through interviews with key personnel involved in the surveillance process. The study found that all hospital departments followed a consistent protocol. When a physician diagnosed or suspected a dengue case, the ward nurse promptly notified the disease prevention and control unit via various communication channels. Epidemiology staff reviewed and compiled daily case lists, conducted individual investigations, and submitted timely reports to relevant authorities. Quantitative evaluation showed a completeness/sensitivity rate of 71.08%, indicating a good level of performance. The positive predictive value was 95.55%, reflecting a strong alignment with actual disease occurrence. Data accuracy was 100%, and the timeliness of case reporting within a 7-day timeframe reached 87.85%. Qualitatively, the dengue surveillance system is well accepted by healthcare personnel, who recognize its importance. The system is simple, with clear procedures, and demonstrates high flexibility, allowing case reporting through various channels based on the local context. It also exhibits strong stability, enabling staff at all levels to use the system effectively for case investigation and disease control. However, the study suggests that surveillance coverage should be expanded beyond confirmed diagnoses to include all cases meeting the clinical definition of dengue hemorrhagic fever. Additionally, follow-up on final medical diagnoses should be emphasized to enhance the timeliness and accuracy of outbreak control responses.

Development of Tuberculosis Management Model with Participation of Network Partners in Border Areas of Chiang Mai Province

Surasit Tametip — 2025-12-26

This action research aimed to 1) examine the situation and management of tuberculosis in the border areas of Chiang Mai Province; 2) develop a tuberculosis management model with the participation of network partners in the border areas of Chiang Mai Province; and 3) evaluate the effectiveness of the model in the same context. The sample was selected using purposive sampling. Phase 1 included 15 public health personnel and 48 network partners in the border areas. Phase 2 focused on the development of the model, involving 4 participants comprising public health personnel, network partners, tuberculosis patients, and their families, as well as an implementation group consisting of 15 tuberculosis patients and their caregivers. Phase 3 evaluated the model among public health personnel, network partners, and tuberculosis patients, their families, and at-risk groups in the border areas, totaling 82 participants. The research was carried out between October 2024 and June 2025. The study collected both quantitative and qualitative data. Quantitative data were analyzed using both descriptive and inferential statistics, specifically the paired t-test. Qualitative data were analyzed through content analysis. The results of the Phase 1 research revealed that, over the past five years (2020–2024), tuberculosis management primarily focused on screening that met the national criteria. However, the overall approach to solving tuberculosis-related problems was not systematic and lacked community participation. Phase 2 focused on the development of a tuberculosis management model with the participation of network partners in the border areas of Chiang Mai Province. The TB CD Model consists of four key components: T (Teamwork), which aims to strengthen multidisciplinary teams within the local area; B (Border Collaboration), which fosters partnerships with network stakeholders in the border regions; C (Communication), which emphasizes effective interaction in multicultural contexts; and D (Data Excellence), which involves the management of an accurate and comprehensive data system. This model was designed to address the complex challenges of tuberculosis control by leveraging collaborative efforts and robust data management. Phase 3: Evaluation of the model implementation revealed statistically significant improvements among patients in knowledge (p = 0.039), self-care (p <0.001), participation (p = 0.005), and satisfaction (p <0.001). Additionally, the rate of treatment completion increased, while medication discontinuation decreased. Therefore, effective management and resolution of tuberculosis problems in border areas require the development of strong teams, active participation of network partners, effective communication, and robust database management. These components collectively contribute to sustainable solutions for tuberculosis control.

Development of an Online Vaccine Passport at Demonstration Service Center, Office of Disease Prevention and Control Region 7, Khon Kaen Province

Praweena Satchapong — 2025-12-26

This study aimed at the development of an Online Vaccine Passport at the Demonstration Service Center, Office of Disease Prevention and Control, Region 7 Khon Kaen. The objectives were to 1) study problems and analyze current operational processes, 2) design and develop a prototype, 3) try out the prototype, and 4) evaluate processes. The research employed a research and development (R&D) methodology, divided into four phases: phase 1 problem analysis (R1), phase 2 prototype design and development (D1), consisting of two stages, prototype I and prototype II, phase 3 prototype implementation (R2), and phase 4 evaluation (D2). Data collection involved questionnaires measuring utility, satisfaction, efficiency, and effectiveness of the prototypes. Data were analyzed using descriptive statistics, including frequency, percentage, median, mean, and standard deviation. The Mann–Whitney U test, an inferential statistic, was used to analyze and used to compare two independent groups. The results showed that the conventional vaccine passport issuance process was multi-stepped, required at least seven days, and required contacting the office at least two times. The prototype I developed and tried out between March and April 2022 (34 clients), which still required a seven-day processing time, and contacted the office at least one time. Subsequently, the prototype II was developed and integrated with an online service platform via the improved Line Official Account and implemented from June to July 2022 (51 clients). This innovation reduced the client contact to a single time and shortened the average service time to approximately 20 minutes per client. Clients reported the highest levels of satisfaction, and the innovation demonstrated the highest efficiency and effectiveness. Additionally, there was a statistically significant increase in average satisfaction scores between prototype I (Med=19.74) and prototype II (Med=58.51) at < 0.001 level. The design thinking model, combined with an online service system via the Line official account, could be applied in healthcare units to improve public service.

Factors Associated with Fatalities from Road Traffic Accidents Among Injured Patients Treated in Government Hospitals, Mukdahan Province, 2022 - 2024

chainan bootkan — 2025-12-26

This study aimed to examine the factors associated with fatalities from road traffic accidents among injured patients who were brought to the emergency room of government hospitals in Mukdahan Province during 2022–2024. A cross-sectional analytical design was employed. From a total of 9,306 road traffic injury cases involving all types of vehicles, and total data from of 4,026 cases that met the inclusion criteria were selected as the study sample. Data were collected from the Injury Surveillance (IS) system. Data were analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation. and Association were deployed using Inferential statistics, presenting crude odds ratio and adjusted odds ratio (OR_adj) with 95% confidence intervals (95% CI). A significance level of 0.05 was applied. The results showed that age and transfer by emergency medical services (EMS) were significantly associated with fatalities. Individuals aged 20 - 59 years (OR_adj=3.51; 95% CI: 1.03–11.96; P=0.044), aged 60 years and above (OR_adj=4.96; 95% CI: 1.17–21.02; P=0.030) and transfer by EMS (OR_adj=3.46; 95% CI: 1.37–8.73; P=0.008). Wearing a helmet/Seat Belt, Road type, injury mechanism, and head injury were associated with fatalities not significant. Therefore, targeted proactive prevention measures focusing on individuals aged 20 - 59 years and those aged 60 years and above. In addition, enhancing and improving emergency medical services transfer cases to prevent road traffic deaths in alignment with the local area context.

COVID-19 Outbreak Investigation in a Prison, Khon Kaen Province

Wasana Sornpeng — 2025-12-26

Prisons are environments that facilitate the transmission of communicable diseases, particularly Coronavirus Disease 2019 (COVID-19). In May 2024, a clustered outbreak was reported in a provincial prison in Khon Kaen, A disease investigation team conducted an epidemiological study to confirm the diagnosis and describe the outbreak. Among a total of 1,022 incarcerated individuals, 157 cumulative suspected cases were identified, yielding an attack rate of 15.36%. The female-to-male ratio was 1:3.13, and 24 inmates had underlying medical conditions. The most common presenting symptom was fever (63.06%). The age group with the highest proportion of cases was 58–62 years (25%). Laboratory testing confirmed SARS-CoV-2 Omicron variant B.1.1.529 sublineages: JN.1.18 (50%), JN.1 (20%), and JN.1.5 and BA.2.86.1 (10%). Association analysis demonstrated that sex was significantly associated with the presence of fever among cases (p-value < 0.05). The outbreak investigation indicated that transmission originated from close-contact visits by relatives, with initial infection among male inmates followed by spread to female inmates. Identified risk behaviors included close contact without face masks, sharing utensils and drinking glasses, and overcrowded sleeping areas with limited space. Based on the findings, key recommendations include visitor screening and mandatory mask use during visits, screening of inmates, health education on disease prevention and personal hygiene, and appropriate environmental sanitation within the prison.

The Effectiveness of a Competency Development Model in Sub-district Health Promoting Hospitals by Field Training, Health Region 9

Nantana Taeprasert — 2025-12-26

This action research aimed to evaluate the effectiveness of a competency development model for disease investigation among Subdistrict Health Promoting Hospital (SHPH) staff through field-based training. The study included four steps: developing the model, implementing online theory training combined with mentored field practice report writing and presentation, evaluating the model, and conducting a post-training review. Participants were purposively selected SHPH staff from four districts in Health Region 9. Research tools included knowledge, skill, attitude, and ten investigation steps checklist and investigation report assessment guideline satisfaction assessments ANOVA with validated quality and reliability. Data were analyzed using descriptive statistics, repeated measures for knowledge scores, and paired t-tests for skills and attitudes. The results showed 22 participants with significantly higher knowledge scores after both training sessions. After the first session increased by an average of 8 points (S.D.=2.93), and after the second session increased by an average of 5.77 points (S.D.=2.54). Differences in knowledge scores before and after both training sessions were statistically significant at p-value <0.001. After the training, 91.29% of participants demonstrated good to very good disease investigation skills. Skill scores before and after training showed statistically significant differences at p-value <0.001, with a mean difference of 1.27 (S.D.=0.32). Regarding attitudes toward disease investigation, 96.36% of participants agreed with positive statements, while 70.91% disagreed with negative statements. Attitude scores before and after the training differed significantly at p-value <0.001, with a mean difference of 0.80 (S.D.=0.56). Satisfaction levels among participants and supervisors were 96.36% and 96.30%, respectively. The quality of the four disease investigation reports scored an average of 81 out of 100. In conclusion, the competency development model for disease investigation among SHPHs through field practice was effective. It is recommended that the model be expanded to cover all SHPHs and that agreements be established between Provincial Administrative Organizations, Provincial Public Health Offices, and Disease Control Offices.

Risk Assessment of Occupational Health, Safety, and Working Environment in a New Hydroelectric Power Plant, Lao PDR

Pirawan Wangupadcha — 2025-12-26

This research aims to assess risks and identify hazards related to occupational health, safety, and the working environment of a hydropower plant in Lao PDR. Data were collected using an occupational health and safety inspection checklist developed based on OSHA guidelines at five workplace areas, involving 35 workers from four departments in the hydropower station. The results showed a total of 473 hazard points across the five workplaces. The main power station (28.12%) had the highest number of hazard points, followed by the transmission line (26.22%), camp area (20.30%), re-regulation power station (18.18%), and office (7.19%), respectively. A total of 541 hazards were found in four work processes, with the majority in maintenance (69.50%), followed by operation (22.00%), transmission (7.02%), and administration (1.48%). Health hazards in the hydroelectric power plant were classified into 14 categories, the most common being working with electricity (50.80%), working with hazardous energy (13.90%), and working under insufficient lighting (9.10%). The risk assessment using a Risk Matrix, results showed that three activities—electrical work, working with energy sources, and working at heights—were classified as high-risk. In contrast, ergonomic issues, noise exposure, and heat exposure were classified as moderate risk. In conclusion, based on the results of risk assessment and hazard identification, this study was able to develop an occupational health and safety control management plan and policy to reduce significant risks to acceptable levels, thereby preventing accidents, injuries, and occupational diseases for all workers and related personnel in the hydroelectric power plant.

Development of a Wellness Center Model for Managing At-risk Employees for Chronic NCDs in Large Enterprises, Health Region 7

Kangsadal Suwannarong — 2025-12-26

This action research aimed to develop a Wellness Center Model for Managing at-risk Employees with non-communicable diseases (NCDs) in large-scale establishments in Health Region 7. The participants included at-risk employees from large-scale establishments, human resources and safety officers, occupational health personnel from Provincial Health Offices, and occupational medicine staff from general and community hospitals in Health Region 7. The study was conducted in four phases between April 2023 and September 2024: Phase 1, situation analysis; Phase 2, model development; Phase 3, model implementation; and Phase 4, evaluation. Data were collected using both quantitative and qualitative methods. Research instruments included focus group discussion guides, guidelines for implementing the Wellness Center Model for Managing At-Risk Employees in establishments, and questionnaires assessing health literacy and health behaviors. Quantitative data were analyzed using a paired samples t-test, while qualitative data were analyzed through content analysis. Phase 1 situation analysis revealed that over 50% of employees were at risk for NCDs, with significant gaps identified in health promotion implementation, including unclear feedback on health examination results and a lack of systematic proactive interventions. Phase 2 involved developing the Wellness Center Model for Managing At-Risk Employees by adapting existing health education programs and incorporating additional content specifically addressing the gaps identified in Phase 1, such as building confidence in behavior modification, interpreting health examination results, and providing support by workplace nurses. Phase 3 implemented the model with 53 at-risk employees (representing 80.3% participation), reflecting the program's appropriateness. Phase 4 evaluation demonstrated that the program significantly increased health literacy scores by 4.81 points (p <0.001), with the greatest improvement observed in the information access and communication domain. Research recommendations suggest that large-scale establishments should support workplace nurses to perform surveillance and monitor the health status of at-risk employees. Future research should conduct long-term follow-up and evaluate effectiveness in medium and small-scale establishments.

The Development of Key Performance Indicator Template Providers in Department of Disease Control

Amornradh Sricharoendhat — 2025-12-26

This action research aimed to investigate the model for capacity development of personnel responsible for preparing the performance indicator details within the Department of Disease Control (DDC) Performance Agreement. The target group consisted of 28 operational staff involved in organizational development or related to the preparation of the Performance Agreement indicators. The data collection tools included a training program and practical exercises on writing indicator details, on-the-job training (OJT), a knowledge test, a satisfaction questionnaire, and an opinion survey. Data analysis employed descriptive statistics, including mean and percentage, and the difference in means was compared using the Paired t-test.

The study found that the main challenge of the existing capacity development model for personnel preparing indicator details was that staff lacked knowledge and understanding regarding the preparation of the performance indicator details, and that the follow-up process for operational outcomes was time-consuming. This led to the development of a new operational model consisting of two main components: personnel development on writing Performance Agreement indicator details, and a mentoring-based operational follow-up system. The results of the development showed that the participants in the personnel development meeting on writing Performance Agreement indicator details had a mean difference of 3.90 points (95% CI: 1.45 to 5.75) between pre- and post-training scores. This difference was statistically significant (p-value = 0.041). This finding was consistent with the results of the quality assessment of the written Performance Agreement indicator details based on the SMART Objective criteria, where the overall average score was at a Very Good level. Furthermore, the mentoring-based operational follow-up was able to drive the DDC's overall score to 4.64 (out of a full score of 5.00). These operational results reflect the success of the capacity development model for personnel responsible for preparing the performance indicator details within the Department of Disease Control.

Assessing Exposure to Microplastics from Snail Consumption among People Living in the Area Surrounding Tongwat Creek, Warin Chamrap District, Ubon Ratchathani Province

Kanjana Yadee — 2025-12-26

This research is a cross-sectional descriptive study designed to study the amount of microplastic accumulation in snails in the Tongwat Creek. and to assess exposure to microplastics from snail consumption in the Tong Wat Creek area among people living in the area surrounding Tong Wat Creek. Warin Chamrap District, Ubon Ratchathani Province. Data were collected between June and August 2023 by analyzing 30 samples of microplastics accumulated in snails and interviewing 294 people who lived in the area around Tongwat Creek on snail consumption. The results of the study found that the accumulation of microplastics in snails in all three areas was found to be the accumulation of microplastics in a total of 257 pieces (8.56 ± 26.35 pieces/snail). Accumulation was found in 92 pieces of F. martensi (6.20 ± 2.59 pieces/snail). There were 164 pieces of microplastics accumulated in P. canaliculata (10.93 ± 8.05 pieces/snail). Exposure to microplastics from snail consumption. It was found that people living in the area surrounding Tongwat Creek had a chance of being exposed to microplastics from consuming F. martensi 14.26 pieces/person/day, or 5,204.90 pieces/person/year, and from consuming P. canaliculata 33.95 pieces/person /day, or 12,391.75 pieces/person/year.

Therefore, local administrative organizations in the area should find ways to reduce microplastic contamination in Tongwat Creek, including measures to manage wastewater from dormitories. Establishments and communities around Tongwat Creek. Agencies that oversee public health in the area should educate people on reducing the amount of microplastics in snails before consuming them.

Development of Tuberculosis Screening Innovation for Household Contacts of Tuberculosis Patients in Health Region 11

Kamonwan Imduang — 2025-12-26

This research and development study aimed to explore the context and develop an innovation for tuberculosis (TB) screening among household contacts of TB patients in Health Region 11, Thailand, and to synthesize policy recommendations for TB screening among household contacts. The study was conducted in four phases: (1) assessment of the current situation and needs, (2) development of an innovation prototype based on the Design Thinking concept, (3) evaluation of the effectiveness of the innovation, and (4) formulation of policy recommendations. The target population comprised household contacts of TB patients. Data were collected between October 2024 and September 2025 using an innovation utilization assessment and a satisfaction questionnaire. Quantitative data were analyzed using descriptive statistics, including percentages and means, while qualitative data were analyzed using content analysis. The findings revealed that TB screening coverage among household contacts was relatively low (38.33%–58.24%), primarily due to lack of knowledge, absence of appointment cards, and insufficient networking databases. The innovation development resulted in the HHC Screening Program application. After implementation, users reported a high level of perceived usefulness of the TB screening innovation (M = 4.17, SD = 0.73) and a high level of satisfaction (M = 4.29, SD = 0.79). Moreover, TB screening coverage increased to 100% (302/302 cases). The results indicate that the innovation is effective and suitable for scaling up in other areas within Health Region 11 to enhance sustainable TB control.