Model of Health Risk Management due to Alcohol, Tobacco, and Substance Abuse under the Cooperative Mechanism of the District Health Board in Health Region 11

Abstract

This descriptive research aimed to explore the model of health risk management due to alcohol, tobacco, and substance abuse under the cooperative mechanism of the District Health Board (DHB) in Health Region 11. The 226 informants consisted of the committees of the Local Health Fund, the DHB, and the network partners/ mentors of Sawi District, Chumphon Province and Ban Na San District, Surat Thani Province. The research instruments included the opinion regarding the model of health risk management due to alcohol, tobacco, and substance of community questionnaire and the focus group discussion form. Data were collected from July, 2019 to March, 2020. Data were analyzed using frequency, percentage, and content analysis.

The research results revealed that the DHB had fulfilled the health risk management due to alcohol, tobacco, and substance abuse in accordance with the UCCARE framework as follows: 1) Unity team: 21 members collaborated on the design of health risk management; 2) Customer focus: used local information to develop plans/ projects, and evaluated people satisfaction; 3) Community participation: integrated performance among various sectors through co-thinking, co-operating, and co-evaluating; 4) Appreciation: awards were honored in a community model with good practices and role models that reduced and quitted the health risk factors; 5) Resource sharing and human development: the utilization of resources was seen in both public and private sectors; and 6) Essential care: integrated health care services at all levels of health care setting in the community.

This research suggests that the National Health Security Office should encourage the capability development for the committees of the Local Health Fund in order to increase the efficiency of performance.