Performance Evaluation of The Dengue Preventing and Controlling of Village Health Volunteers at High-risk Area of Ban Haet District, Khon Kaen Province: An Application Results Based Management Approach

Abstract

            This research aims to study performance evaluation of the dengue preventing and controlling of village health volunteers at Ban Haet District Khon Kaen Province. This evaluation study is between October 2020 to September 2021. Data was recorded with a questionnaire, Knowledge questionnaire, House Index (HI) and Container Index (CI). The examples in this study were village health volunteers 186 persons and people over aged 15 years 704 persons. Data were analyzed by descriptive statistics, the result revealed that mostly were female 90.9%, the mean age was 53.15 years, mainly engaged in agriculture same as the populations that mostly were female 68.2%, the mean age was 54.0 years. The productivity of dengue prevention and control operations was assessed from 1) the knowledge of dengue fever and self-prevention of village health volunteers was high level 58.1% median level 41.9% 2) Operations of the village health volunteers all 3 periods (pre-epidemic period, epidemic period, and post-epidemic period) was at the highest level with an average of 4.51-4.67. 3) Attitudes about dengue prevention and control were at a good level 64.0%. The outcomes of public assessments include 1) the knowledge of dengue fever and self-prevention was median level. 2) Most of the people had good self-protection behaviors from dengue fever, 88.4% 3) Participation of the people in the prevention and control of dengue fever in all 4components are searching for problems and causes of disease, planning, prevention and control, and monitoring and evaluation, the overall at is the high level. And 4) Complacence of the people in the prevention and control of dengue fever form the village health volunteers at is the high level 46.4% the highest level 33.5% and the impact evaluated form House Index (HI) and Container Index (CI) the survey results throughout the 1-year period. Not more than the criteria set by the Ministry of Public Health. And 2) Data on the number of patients compared to the median for the past 5 years showed that during weeks 1-24, the number of patients was higher than the median and began to decline below the median during 37-52 weeks from the results of the performance assessment of village health volunteers in ​​Ban Haet District Khon Kaen Province. It was found that people still lack knowledge and understanding about dengue vectors. Therefore, a model for transferring knowledge about important disease vectors should be developed to enable the public to understand and realize the severity of dengue hemorrhagic fever leading to sustainable prevention and control of dengue hemorrhagic fever.