Factors Affecting Decision Making to Apply for a Quality Accreditation Assessment Environmental Health Service Provision (EHA; Environmental Health Accreditation) of the Municipality in NongbuaLamphu Province, in 2021

Abstract

Objective: To study the factors related to decision making apply for a quality accreditation assessment environmental health service provision. To study the expectations of the Municipality on the quality assurance assessment of environmental health services provision, and study the condition of problems, obstacles and suggestions in assessing the quality of environmental health services provision of the Municipalities in NongBuaLamphu Province.

Materials and methods: The sample group used in the study is the Mayor or the Permanent Secretary, and Director of the Division of Public Health and Environment in every Municipality. It is a specific selection (Purposive Sampling) 2 people each. A total is 48 people. Data were collected during September 2021 and analyzed by using descriptive statistics to explain general information of the respondents. Analytical statistics is used to determine the relationship between factors that correlate with the decision making apply for the assessment using the Chi-Square value. (Chi-Square)

Results:Experience factors were related to the decision to apply for thecertification assessment. Statisticallysignificantat a level less than 0.05(P= 0.02). The aspect of receiving information were related to the decision to apply for the certificationassessment. Statistically significant at a level less than 0.05(P= 0.008). The aspect of stimulating the developmentwere related to the decision to apply for thecertification assessment.Statisticallysignificantat a level less than 0.05(P= 0.01). Resources and Management were related to the decision to apply for the certificationassessment. Statistically significant at a level less than 0.05(P= 0.001).and the motivation or something that makes the pridewere related to the decision to apply for the certificationassessment. Statisticallysignificant at a level less than 0.05(P= 0.001).

Municipality's expectations to the quality assurance assessment Environmental health service provision found that the most expectation from management. (=21.81; SD=1.08) followed by political expectations. (=19.12; SD=1.91) Next, is health and environmental expectations. (=18.56; SD=2.78) And then is social expectations. (=18.08; SD=2.31) The least expectation was the economy. (=10.35; SD=2.10)

Suggestions:The application system should be developed to be able to apply through the QR CODE scanning system. Meetings should be organized to understand the criteria method model and various preparations to be ready at the beginning of the year. Especially, small municipalities that still lacks readiness in various fields including never applying for an assessment before. Itshould have summary of work, transcripts, and study visits in municipalities that provide various environmental health services and passed the standard in order to improve their municipalities.It also encourages continuous development and seeks support operating budget especially in the work that must be carried out in the same way, such as checking the quality of tap water. It should do the testing together in the same place. This will reduce the cost of the examination and have the same inspection standards.

Conclusion : From the results of the study found that stakeholders should be taken into account the factors related to the decision to apply for admission quality assurance assessment environmental health service provision to take advantage, such as converting it to a policy to support and motivate pushing or motivating in various factors affecting decision-makingincluding what the Municipality expected. help to solve problems, obstacles, and supporting what the Municipality has to offer. The researcher believes that will lead to the development of the quality of environmental health services of local government organization have more standard quality, which will result in people receiving health care services environment with more quality.