บริการสุขภาพและการเข้าถึงบริการสุขภาพของวัยรุ่น ในเขตพื้นที่อำเภอเมือง จังหวัดขอนแก่น Health Service and Access to Health Service of Teenage in Muang District, Khon Kaen Province

บทคัดย่อ

This research is the result of situational analysis of action research entitled “Development of Service System for Preventing Risky Adolescent Sexual Behavior in Sub-district Health Promoting Hospitals, Muang District, Khon Kaen Province, with Community Participation”. The objective is to analyze the situation of health service and access to health service of teenagers in Muang district, Khon kaen province, which is the area of responsibility of 3 sub-district health promoting hospitals covering 3 sub-districts of Muang district, Khon kaen province. Research informants and participants included 1) 30 teenagers aged 10-19 years, 2) 30 parents of the teenagers, 3) 30 health volunteers, 4) 12 community leaders, 5) 6 elementary and high school teachers in the study area and 6) 6 officials in sub-district health promoting hospitals. This study used concept of access to health service of teenagers as conceptual framework. Data were collected by in-depth interview, focus group discussion and observation, with participant and non-participant. The qualitative data were analyzed by content analysis.

The results of situational studies in health service and access to health service of teenagers in the study area revealed that services providing for teenagers were from health service units, schools, communities and other youth organizations. It was found that certain teenagers were not able to access to health care services due to various type of factors including teenagers, health care units, perspective of health service providers, perspective of families and communities, as well as health services that were still not covered the need of target groups and the lack of integrated working among agencies that were involved. These results lead to several suggestive plans including 1) potential development and perspective adjustment of health service providers, in term of services for teens, in health promoting hospitals, 2) Increment of various accessible routes for health service to teenagers, particular via online, 3) increment of sexual literacy for teenagers via curriculum in school and cooperation among schools and health care unit, as well as health care networks that provides services for teens, 4) increment of knowing natural adolescent behavior for teens and perspective adjustment for families, parents and communities, and  5) The database teens in the community to cover the group's cross in the education system and the education system.