The development of an integrated model for cooperation between the government and communities to strengthen health in rural areas, Sri Bunruang District, Nong Bua Lamphu Province, 2025

Abstract

Background: Currently, Sri Bun Rueang District, Nong Bua Lamphu Province, is facing an aging population and a higher rate of non-communicable diseases (NCDs) than the national average, with 42% of chronically ill patients experiencing uncontrolled disease. This situation is exacerbated by personnel limitations and a lack of community participation in management.

Objectives: (1) study the context and health problems in rural Sri Bun Rueang District,  (2) develop a model for integrated public-community collaboration, and (3) trial and evaluate the effectiveness of this model.

The research utilized a PAR approach, involving government agencies, community leaders, village health volunteers, and the public at every stage. Data collection involved a combination of interviews, focus groups, and questionnaires. The model was developed using four main mechanisms: coordination, participation, support, and monitoring and evaluation. The pilot project was piloted in two sub-districts.

Methods: The results showed that the model was effective, with public participation significantly increasing from 52.4% to 76.7%, and satisfaction with the model reached 84%. A key mechanism for its success was the establishment of a "partner working group" with clear roles and open spaces for ongoing public participation, fostering a sense of shared ownership. However, limitations were identified, including budget continuity and policy fluctuations.

Conclusion: The developed model can be used as a practical guideline for public health personnel and village health volunteers to enhance community health and develop sustainable rural health systems.