Performance Evaluation of Preventive and Control Measures for Liver Fluke and Cholangiocarcinoma in Sa Kaeo Province, 2022

Abstract

This study aims to assess the process of the performance of the input factors, process, productivity, and data feedback according to prevention and control measures for liver fluke and Cholangiocarcinoma in Sa Kaeo Province in Fiscal Year 2022, this is evaluation research. Target group were 11 persons who responsible for liver fluke and Cholangiocarcinoma in Sa Kaeo Province. Personnel interview form and a questionnaire on contextual communication knowledge and analyze the data with descriptive statistics, including frequency, number, percentage, mean, and standard deviation. The study results showed that 1) Import factors: There are 5 measures: liver fluke screening; Screening for Cholangiocarcinoma organize a sanitation system Sewage Management Local contextual communication and develop innovation 2) Process: Screening for liver flukes according to the plan, there are 9 districts, 59 sub-districts, 100 cases per sub-district, a total of 5,900 cases. Screening for Cholangiocarcinoma is according to the plan, 2,000 cases. Organize a sanitation system and sewage management, having a meeting with the officer of Municipalities, Subdistrict Administrative Organization (SAO) and Provincial Public Health Office. Local contextual communication in accordance with the health behavior change plan and creating health literacy in 1 district, which is Watthana Nakhon District and develop an innovation is in accordance with the personnel development plan for screening and diagnosis of liver fluke using artificial intelligence 3) Productivity: Comparing the target value according to the performance and the target value according to the Strategic Plan of Opisthorchiasis & Cholangiocarcinoma Elimination Strategy phase 2 (2019 - 2025). The results of screening for liver fluke in the target group aged 15 years and over, were prevalence 2.92% (prevalence < 1%). Mortality rate of cholangiocarcinoma 0.01 per 100,000 population (mortality rate 0.003 per 100,000 population in 2035). Organization a sanitation system, Sewage management and treatment pond, can be used 1 pond/district (9 districts/9 ponds).

Results from the assessment, relevant departments should have a system for supervision, monitoring and evaluation of performance on a continuous basis along with returning the performance data as well as developing new approaches to lead to the achievement of the Strategic Plan of Opisthorchiasis & Cholangiocarcinoma Elimination Strategy phase 2 (2019 - 2025).