Development of an effective inspection and supervision support model for the Roi Et Provincial Public Health Office

Abstract

Purposes : To analyze the situation, develop a model, and evaluate the effectiveness of the support system for inspection and supervision at the Roi Et Provincial Public Health Office.

Study design : Action research.

Materials and Methods: The research was conducted in Roi Et Province, covering the Provincial Public Health Office, 20 Hospitals, and 20 District public health offices from January to September 2024. The key informants included 50 provincial-level officers responsible for performance indicators and 20 district-level officers in charge of inspection and supervision. The study was divided into three phases: (1) Situation analysis, (2) Model development, and (3) Model evaluation. Data were collected using a questionnaire on the efficiency of inspection and supervision, as well as group discussion records related to the inspection and supervision process in Roi Et Province. The data were analyzed using frequency, percentage, mean and standard deviation, with differences compared using the Percentage Difference.

Main findings : Before implementation, key issues identified included redundant work processes, limited operational time, and workforce constraints. In the 2023 fiscal year, 12 out of 17 inspection performance indicators (70.59%) did not meet the targets. The model was developed using the PDCA (Plan-Do-Check-Act) approach. After implementation, the 2024 fiscal year showed improvements in 11 out of 17 indicators (64.70%). The new inspection and supervision model led to a 20.00% increase in both work quality and quantity, 30.00% reduction in processing time, and 15.00% decrease in operational costs.

Conclusion and Recommendations : The results of this research result in a more efficient inspection and supervision model. Therefore, the agency should use this model to develop public health performance.