Development of a Participatory Health Management Model Based on Sufficiency Economy Philosophy in Roi-Et Province
Keywords:
Development, Community health, Holistic, Participation, Sufficiency economyAbstract
This participatory action research aimed to develop a community health management model based on the Sufficiency Economy Philosophy in Roi Et Province, Thailand. This study consisted of three phases: 1) the preparation phase, which involved identifying community health issues and randomly selecting 367 participants; 2) the implementation phase, a total of 40 participants including community leaders, village committees, health volunteers, and community residents were enrolled to create and implement a community health management plan; and 3) the evaluation phase, which 80 respondents were randomly selected and data were collected using self-assessment questionnaires. These questionnaires consisted of health management, health literacy, and WHOQOL-BREF with their content validity being .96 and .98, and reliability was .85, .85 and .88, respectively. The quantitative data was analyzed using descriptive and inferential statistics in terms of paired t-tests while the qualitative data was analyzed using content analysis.
The findings revealed that the community residents reported moderate levels of health knowledge (35.00%), health management (36.25%), and quality of life (38.75%), respectively. The “HEALTHS Model” is composed of seven key elements, including holistic health, sufficiency economy, health awareness, leadership, teamwork, harmony and participation, and sustainability. Following the model’s implementation, participants reported substantial enhancements in health knowledge, management, and quality of life (p-value < .01). This study emphasizes the significance of continuing to promote this participatory health management paradigm, which is founded on the Sufficiency Economy Philosophy, in order to ensure long-term sustainability in community health.
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