Problems in Preventing Stroke in a Community of Village Health Volunteers in Nang Rong District, Buri Ram Province: a Phenomenological Study

Abstract

This descriptive qualitative research was aimed to explicate the problem of stroke prevention in the community of village health volunteers in Nang Rong district, Buri Ram Province. The 28 participants included village health volunteer chairpersons, primary care cluster staff, patients, caregivers, and village health volunteers. They were interviewed with semi-structured questionnaires. The findings showed that the problems related to stroke prevention among village health volunteers could be divided into 4 main issues: (1) knowledge of stroke prevention, (2) guidelines for coordination with relevant agencies, (3) roles and responsibilities of village health volunteers, and (4) public confidence. Accordingly, a comprehensive community-based program should be implemented to strengthen stroke-prevention capacity by enhancing health literacy, improving access to reliable health information and services, facilitating structured question-and-answer exchanges, and developing decision-making skills and health-promoting behavior change. Establishing standardized operating procedures and ensuring role clarity among stakeholders, together with trust-building initiatives, could promote consistency of practice and provide a replicable model for sustainable health improvements at the community level.