Development of the Community Participatory Emergency Medical Service System Model In Amphoe Si Satchanalai, Changwat Sukhothai By Si Satchanalai Hospital

Abstract

             Emergency Medical Service System (EMS) is important and necessary for reducing human losses in any accident as well as in emergency cases requiring immediate treatments. However EMS cannot cover effectively, particularly in remote areas. The Si Satchanalai hospital, is designated as a main health service of the EMS extended over a vast expanse of plane and mountainous areas in the district. This participatory action research was designed with an objective to develop a community participatory EMS model (CP.EMS) during October, 2005-September 2007. Firstly, a situation analysis was carried out and a tentative model was synthesized accordingly prior to its implementation that followed. A series of evaluations led to replanning and eventually the development of the most appropriate model of the CP.EMS for Amphoe Si Satchanalai. It was found that the CP.EMS of this district functioned effectively with active participations of the three components, namely: the Si Satchanalai hospital, the local administrations and communities. As such, the EMS in each unit did not operate independently but forming a web of network, which effectively played a very important role in capacity building, sustainability and efficient services.

Key words: model, emergency medical service system (EMS), community participation