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

Abstract

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.