The The Results of Model Development of Malaria Elimination by Integrated Network Partners in Health Region 6

Abstract

        The three aims of this study were to study the context, create and evaluate an integrated malaria elimination model in collaboration with partners in the Health Region 6 network. This study employs an action research methodology based on Kemmis and McTaggart's model, with three phases: phase one, assessing the setting and status of malaria in B.E. 2559-2561, and then brainstorming with 30 key persons about the operation's planning, aims, and results. The study was conducted in two districts, Na Di in Prachinburi Province and Tha Takiap in Chachoengsao Province, using purposive sampling based on three criteria: first, malaria transmission areas; second, readiness; and third, desire to participate throughout the project. During this phase, data was selected using the recording form. Phase two, the development of an integrated disease eradication model, was a participatory action research study involving 23 people from each location for a total of 46. The operation consists of four steps, as follows: 1) plan activities for one day per area in January and February 2019; 2) carry out the plan; 3) observe and follow up on barriers; and 4) reflect, return information, and raise the degree of activity. The tools utilized from fiscal year B.E. 2562 to 2566 were semi-structured interviews, recording forms, and observation forms, and phase three summarizes and assesses the use of quantitative and qualitative research models. Semi-structured interviews and recordings were employed as approaches. The data is evaluated using both descriptive and content analyses. The study's findings demonstrated that, first, in the setting of the illness, people lacked sufficient knowledge and awareness. There was labor mobility, and local authorities lacked knowledge of malaria removal. Second, the prototype area's malaria elimination model, which was integrated with network partners, consisted of five components: first, establishing a collaborative team for malaria prevention and control; second, implementing a disease monitoring system; third, assessing, treating, and following up with patients; fourth, planning, monitoring, and evaluating a system; and fifth, coordinating resource and financial support from relevant organizations. The mission roles have been realigned to ensure that each agency understands its responsibilities and can conduct surveillance and control measures for malaria following the guidelines for malaria elimination. The Provincial Public Health Office and the Office of the Provincial Administrative Organization 6 Chonburi/Immigration Bureau play a crucial role as mentors, providing support and supervision. Malaria elimination efforts have been integrated into the public health system. Third, the summaries and assessments of the approach serve as a blueprint for expanding operations across the entire province. In B.E.2566, Prachinburi successfully obtained certification as a malaria-free province, and Chachoengsao will aim to achieve the same certification in B.E.2569.