Development of Management Model in The Epidemic Situation of Coronavirus Disease 2019 in Nakhon Phanom Province

Abstract

This action research aims to develop a management model in the epidemic situation of Coronavirus Disease 2019 in Nakhon Phanom province that consists of 3 steps are 1) Review the context and epidemic situation of Coronavirus 2019, 2) Develop a management model in the epidemic situation of Coronavirus Disease 2019, and 3) Model assessment. Study populations were purposive sampling that including Provincial Communicable Disease Committee, Emergency Operation Center Team: EOC, Health volunteers, community leaders, and community members. A quantitative questionnaire was using to collect the data from 165 people, besides a qualitative questionnaire and lesson learn methods were also used to collect the data from 82 people that divided into: In-depth interview of 18 people, and focus group discussion of 64 people for 6 times. To analyze the data using descriptive statistic, Pared t-test, and qualitative content analysis.

          Result: This study found that the early stage before and during outbreak of Coronavirus 2019, there was a driving mechanism to respond to the problem according the context of each area and there was a management plan to support any health emergency situation. The second stage, develop a management model with driving mechanism system and tracking system for both during epidemic and after epidemic period by using method of empowerment and management concept, lesson learns and synthesis in 7 dimensions that consisted of 1) Management mechanism, 2) Human resource, 3) Medical supplies and technology, 4) Information technology and communication, 5) Financial, 6) Service system, and 7) Participation. Getting outstanding model that including Surveillance and Disease Control, Self-isolate Service and Best Practice of COVID-19 Vaccine management as the concept of “Ready to take care when got sick, prevents the outbreak in community, and everyone is immunization” that including. Active Screening for traveler, Surveillance and Control in Community, Self-isolation, and Vaccine COVID-19 Management. The third stage, after evaluating the overall of the expectation and practicing management was in the highest level ( = 4.63, S.D. =0.19 = 4.19, S.D. = 0.39) and was statistically significant (p<0.05).

          Suggestion: Using information technology as a network to connect and shar the data along with provincial data and all other stakeholder’s organization to prepare for further epidemic and other health hazards.