Factors Affecting for Standard Epidemiological Surveillance of Health Personnel at Sub-district Health Promoting Hospital in Nakon Si Thammarat Province

Abstract

The objectives of this survey research were to study 1) level of standard epidemiological surveillance performance; 2) factors of personal characteristics, organizational support, and job motivation; 3) factors of personal characteristics, organizational support, and job motivation affecting epidemiological surveillance performance standard; and 4) problems, obstacles and suggestions of standard epidemiological surveillance performance of public health personnel at sub-district health promoting hospitals in Nakhon Si Thammarat Province. The study population were 253 public health personnel, who were in charge of epidemiological surveillance performance standard at sub-district health promoting hospitals. A sample size of 153 personnel was recruited by systemic random sampling technique. Data were collected by a questionnaire, with the reliability values of the organizational support, job motivation and level of standard epidemiological surveillance performance were 0.91, 0.96 and 0.94, respectively. Statistics used for data analysis were percentage, mean, standard deviation, and Stepwise multiple regression analysis. The results revealed that: 1) the majority of samples were female, with average age of 39.7 years, married, having bachelor’s degree or equivalent, having average official age of 18.8 years, average working experiences of 10.6 years, received training over two years. Regarding organizational support factor, the overall, human resource, and budget aspects were at a moderate level, while the material and administration aspects were at a high level. The overall job motivation and hygiene factors were at a moderate level, while the motivating factors were at a high level; 2) the epidemiological surveillance performance standard of public health personnel, the overall and all aspects were at a high level, excepting data analysis and interpretation aspect was at a moderate level; 3) factors affecting standard epidemiological surveillance performance at a significant level of 0.05 were the hygiene factors of policy and administration aspect, the organizational support factor of materials and motivation aspects, and the overall motivation factors, respectively, with a predictive power of 62.6 percent; and 4) the main problems and obstacles included untrained personnel to refresh the investigation of disease, lacked team working, and delayed budget allocation. Recommendations for the provincial health administrators were that there should be training on academic review at least once a year, team and relationship building, and accelerating on budget allocation.