Development of Children’s Quality of Life in Health with Sustainable Iodine Policy towards Children of Takasila 4.0 (Smart Kids Takasila 4.0) of Mahasarakham Province from 2018-2021

Abstract

This research aimed to develop quality of life of children and develop a model on quality of life in health with sustainable iodine policy towards children of Takasila 4.0 (Smart Kids Takasila 4.0) of Mahasarakham Province. It was conducted in four stages. In the study period of 2018-2011, the participants were (1) five top provincial executives, (2) 21 heads of provincial agencies, (3) 21 heads of planning departments, and (4) 273 members of the District Quality of Life Development Committee of 13 districts, altogether 320 people; and in 2019-2021, 15 provincial head of organizations and 15 heads of planning departments were added, altogether 350 people. Research tools were interviews, group meetings, brainstorming sessions; and the data were analyzed by descriptive statistics. It was found that the 2018 provincial development plan stipulated 5 goals with 85 indicators, and increased to 126 indicators in 2019-2021. Development results from 2018-2021 showed that provincial agencies indicators passed 68.24, 87.30, 83.33, 80.96 percent, and the overall district level passed 91.38, 96.26, 95.60, 91.65 percent of all indicators, respectively. After the development, nine health indicators of mother and child groups and school-age groups showed improvement in eight indicators, with only one that still tends to be more problematic: TSH levels in newborns. The development impact measured with intelligence quotient of school-age groups in 2021 revealed the averaged of 101.49 points, increased 6.4 points from 2016. The model had eight key operational processes at the provincial level, six processes at district level and six action groups at sub-district levels. The research proposed to evaluate health outcomes and the impact of further development in 2022-2027 with intelligence quotient, emotional quotient, moral quotient and executive functions.