Policy Implementation to Encourage the Accessibility Vaccine for Coronavirus 2019 Prevention by Participatory Practicing, Phetchabun Province

Abstract

This mixed methods research aimed to develop a model for the policy implementation to encourage the accessibility of vaccine for Coronavirus 2019 prevention by participatory practicing based on the conceptual of 6 building blocks. Methodology consisted of 3 phrases: phrase 1—to determine the process of policy implementation by an in-depth interview and focus group discussion of key informants as well as, qualitative data analysis based on 6 building blocks using descriptive statistic and content analysis; phrase 2—to develop the model for policy implementation to encourage the accessibility of vaccine for Coronavirus 2019 prevention; phrase 3—to quasi-experiment-mediated evaluate the developed model that was implemented to 30 health workers who worked in Tambon health promoting hospital. The data were collected through questionnaires. Paired t-test statistic was used to compare pre- and post-results. The results revealed that the model for the policy implementation to encourage the accessibility of vaccine for Coronavirus 2019 prevention included: 1) administration and management with governance; 2) health workforce; 3) accessibility to medical supply, vaccine, medicine and technological advancement; 4) health information system; 5) finance and stock system; and 6) service delivery. Considering the conceptual of 6 building blocks, the post-experiment mean score was increased (p-value <0.001). Similarly, considering the policy implementation to encourage the accessibility of vaccine for Coronavirus 2019 prevention, the post-experiment mean score was increased (p-value <0.001). This study suggested that, service roles of all vaccine provider should be precisely assigned to encourage participatory operation.