Participation of Health Center Chiefs in Development of Health Promotion Plan in Rayong-การมีส่วนร่วมในการจัดทำแผนพัฒนาสุขภาพของหัวหน้าสถานีอนามัยจังหวัดระยอง

Abstract

          The objective of the survey was to determine the level of participation and correlations with various factors.  A set of questionnaire was a used in data collection during March - April 2008 among target population of 94 health center chiefs in Rayong province. In data analysis, descriptive statistics and Pearson Correlation Coefficient were employed.

            It was found that most of them participated in the development of health promotion planning at a high level, scoring 3.02 in average.  The highest scores were reported on : planning related to appropriate operation and activities (3.30); operation related to implementation as planned (3.23); evaluation (3.23).  They were very knowledgeable in planning procedure for health promotion as shown in the average of 0.97.  Eventhough they seemed to be well informed on national health promotion policy and plan (91.49%) only 62.76 percent of them could comprehend and applied in the planning process of the health centers. They admitted that the environment was highly supportive, scoring 3.07. Likewise, their attitude was high at 3.19 and showed some correlation with their participation at 32.8 percent. Whereas, the knowledge showed 43.6 percent correlation with the participation. It was worth noted that they still lacked skills in planning which affected their self- confidence in voicing their concerns and actual participation.  It is recommended that health manpower development is required and grassroots participation may be critical in successful health promotion planning.  However a clear guidance by district or provincial health officers may also be necessary.

Key words:      participation, development of health promotion, planning, health center chiefs