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Development of a Community Chronic Kidney Disease Prevention Model through Network Partner Participation in Kae Dam District, Maha Sarakham Province

Authors

Peachlada Chammanee Medical Physician Senior Professional Level, Kaedam Hospital Maha Sarakham Province
Thitaporn Phutakhet Medical Physician Senior Professional Level, Kaedam Hospital Maha Sarakham Province

Keywords:

Chronic Kidney Disease, Action Research, network partners

Abstract

Chronic kidney disease (CKD) is closely linked to poorly controlled diabetes and hypertension in many areas of Thailand. In Kae Dam District, Maha Sarakham Province, only 43.6% and 72.4% of diabetic and hypertensive patients achieved good control, and only 55.97% of CKD patients achieved target eGFR deceleration. This study aimed to examine the situation, develop, and evaluate a community-based CKD prevention model through network-partner participation. An action research design following Kemmis and McTaggart was conducted from October 2024 to September 2025 across three phases, with model development completed through one PAOR cycle, using data from 110 network partners and Health Data Center (HDC) records.

The partners developed the "KAEDAM Model," comprising six components and three projects coordinated through the District Health Board. After implementation, service access rose from 85.6% to 98.5%, good glycemic and blood-pressure control increased to 49.6% and 80.0%, and target eGFR deceleration rose to 63.77%. CIPP evaluation showed acceptance and contextual fit across all dimensions, with sustainability reflected in a national award and institutionalization into the district development plan.

The model's key strength is its district-level governance mechanism integrating non-health sectors, supporting its feasibility for strengthening CKD prevention through risk-factor control. However, the before-after design without a comparison group limits causal conclusions. Studies with comparison groups and longer follow-up are needed.

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