The Components and Indicators of Multicultural Community Mental Health Practice Competency among Village Health Volunteers in Yala Province

Authors

  • Rewat Khongphasuk Boromarajonani College of Nursing Yala, Faculty of Nursing, Praboromarajchanok Institute
  • Bukhori Maming Boromarajonani College of Nursing Yala, Faculty of Nursing, Praboromarajchanok Institute
  • Pootsanee Kaewmanee Boromarajonani College of Nursing, Yala. Faculty of Nursing, Praboromarajchanok Institute

Keywords:

Community Mental Health Performance, Competency, Multicultural, Village Health Volunteers (VHVs)

Abstract

         This descriptive study aimed to examine the components and indicators of multicultural community mental health performance competencies among Village Health Volunteers in Yala Province. The sample consisted of 330 VHVs from eight districts in Yala Province, selected through stratified random sampling. The research instrument was a questionnaire, validated for content validity with an index of item objective congruence (IOC) between .67 – 1.00. Overall Cronbach's alpha coefficient was .95. Data were analyzed by Exploratory Factor Analysis (EFA), including the process of factor extraction and factor rotation using the Varimax method.
        Research Findings:The study identified that the components and indicators of multicultural community mental health performance competencies for Village Health Volunteers (VHVs) in Yala Province comprise 4 components and 32 indicators. These components were as follows: 1) Attitudinal Competency and Cultural Sensitivity in Mental Health Care (11 indicators) 2) Mental Health Screening and Assessment Competency in the Community (9 indicators) 3) Communication, Coordination, and Community Resource Linkage Competency (7 indicators) 4) Continuity of Mental Health Care Competency (5 indicators) The Exploratory Factor Analysis (EFA) results indicated that these four components collectively accounted for 59.01% of the total variance. The factor loadings for all retained indicators ranged from .519 to .849. These findings offer a framework for the development of multicultural competency assessment tools and the design of targeted capacity-building programs for VHVs that are specifically tailored to the unique socio-cultural context of the area. Furthermore, the findings may inform policy and practice by guiding strategies to strengthen multicultural community mental health competencies among VHVs, thereby improving service quality and reducing disparities in access to mental health care.

References

Bunpitaksakun, D., Juthamanee, S., & Ketphan, O. (2021). Capacity development of village health volunteers to promote and support mental health. The Journal of Faculty of Nursing Burapha University, 29(4), 99–110. https://he02.tci-thaijo.org/index.php/Nubuu/article/view/255590. (in Thai)

Campinha-Bacote, J. (2002). The process of cultural competence in the delivery of healthcare services: A model of care. Journal of Transcultural Nursing, 13(3), 181–184. https://doi.org/10.1177/10459602013003003.

Chaiyawong, P. (Katapunyo). (2024). Living together in a multicultural society in the 3 southern border provinces. Journal of MCU Nakhondhat, 11(9), 99–109. https://so03.tci-thaijo.org/index.php/JMND/article/view/280930/185338. (in Thai)

Chanpanit, P., Wongmanee, W., & Judabood, N. (2023). Strengthening the community: Role of village health volunteers. Journal of The Royal Thai Army Nurses, 24(3), 23–30. https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263631. (in Thai)

Department of Health service support. (2011). Handbook for new-era village health volunteers. https://hss.moph.go.th/fileupload_doc/2021-09-07-11-21-93471516.pdf (in Thai)

Department of Health service support. (2022). Guidelines for Public Health Operations in Fiscal Year 2021. https://hss.moph.go.th/HssDepartment/file_reference/20210506935772122.pdf (in Thai)

Department of Mental Health. (2018). Handbook for expert village health volunteers in community mental health. (in Thai)

Department of Mental Health. (2024). Annual report 2024. https://dmh.go.th/report/dmh/rpt_year/view.asp?id=470 (in Thai)

Department of Mental Health. (2025). Building mental health literacy through the 4A model toward mentally healthy citizens. https://www.thaidmh-elibrary.org/content/11547/สร้างความรอบรู้สุขภาพจิต-ด้วยโมเดล-4a-สู่พลเมืองสุขภาพจิตดี. (in Thai)

Giebel, C., Gabbay, M., Shrestha, N., Saldarriaga, G., Reilly, S., White, R., Liu, G., Allen, D., & Zuluaga, M. I. (2024). Community-based mental health interventions in low- and middle-income countries: A qualitative study with international experts. International Journal for Equity in Health, 23(1), Article 19. https://doi.org/10.1186/s12939-024-02106-6.

Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2019). Multivariate data analysis (8th ed.). Cengage Learning.

Jaikham, J., Wungrath, J., & Thongprachum, A. (2021). Health literacy and health-promoting behaviors based on the 3E 2S principles among village health volunteers in Ban Hong District, Lamphun Province. Journal of Health Sciences Scholarship, 8(2). https://he01.tci-thaijo.org/index.php/johss/article/download/247806/170566/967416. (in Thai)

Jutha, W., & Khamdee, T. (2024). Prevalence of psychotic experiences: The 2023 national mental health epidemiological survey of Thai people. Department of Mental Health Knowledge Repository. https://dmh-elibrary.org/items/show/1686.

Khanthavudh, C., Grealish, A., Tzouvara, V., & Leamy, M. (2025). Supporting healthcare in rural communities in Thailand: An exploratory qualitative study to understand the role and current mental health practices of village health volunteers. PLoS ONE, 20(3), e0320559. https://doi.org/10.1371/journal.pone.0320559.

Kiatsinsap, J., & Thongtong, S. (2021). Village health volunteers: Roles of community mental health care in the situation of the COVID-19 outbreak. Udonthani Hospital Medical Journal, 29(2), 314–323. https://he02.tci-thaijo.org/index.php/udhhosmj/article/view/253277 (in Thai)

McClelland, D. C. (1973). Testing for competence rather than for “intelligence”. American Psychologist, 28(1), 1–14. https://doi.org/10.1037/h0034092.

Noppiboon, W., & Boonsang, A. (2025). Potential development for mental health care of village health volunteers, Nong Lek Subdistrict, Sikhoraphum District, Surin Province. Thai Journal of Public Health and Health Education, 5(2), 1–10. https://he02.tci-thaijo.org/index.php/tjphe/article/view/274927. (in Thai)

Primary Health Care Division. (2023). Public Health Volunteer Report. https://www.thaiphc.net/phc/phcadmin/administrator/Report/osm/province.php. (in Thai)

Primary Health Care Division. (2025). Report on the list and addresses of village health volunteers and their family members. https://www.thaiphc.net/phc/phcadmin/administrator/Report/OSMRP00002.php (in Thai)

Puti, S., Phukao, D., Tapinta, D., & Pradubmook-Sherer, P. (2021). Model of cultural competence and cognitive behavioral therapy for drug addiction rehabilitation in the three southern border provinces of Thailand. Kasetsart Journal of Social Sciences, 42(4), 753–760. https://so04.tci-thaijo.org/index.php/kjss/article/view/255722/173046. (in Thai)

Rasiri, S., Intarakamhang Na Ratchasima, S., & Rasiri, T. (2021). Roles of Thai village health volunteers. Journal of Health Research and Development Nakhon Ratchasima Public Health Provincial Office, 7(2), 80–97. https://he02.tci-thaijo.org/index.php/journalkorat/article/view/250391. (in Thai)

Worawasuwat, N. (2017). Handbook for expert village health volunteers in community mental health. Phra Thammakhant Printing. (in Thai)

World Health Organization. (2021). Guidance on community mental health services: Promoting person-centred and rights-based approaches. https://www.who.int/publications/i/item/9789240025707.

Yothawong, P. (2023). The components and indicators of competency in community mental health care of village health volunteers (VHVs) in Nam Som District, Udon Thani Province. Journal of Council of Community Public Health, 5(1), 1–12. https://he01.tci-thaijo.org/index.php/JCCPH/article/view/260969. (in Thai)

Downloads

Published

2026-11-07

Issue

Section

Research Articles