Factors Affecting Government Inspection and Supervision Fiscal Year 2025 in Health Region 4

Abstract

This descriptive research aimed to investigate the factors affecting government inspection and
supervision within Health Region 4 for the fiscal year 2025. Data were collected using online questionnaires between October 2024 and September 2025 from two sample groups 189 inspectors and 341 supervisees. The research instrument demonstrated an acceptable reliability with a Cronbach's alpha coefficient of
0.71. Quantitative data were analyzed using descriptive statistics, including frequency distribution,
percentage, mean, and standard deviation. Inferential statistics, specifically the independent t-test and One-way ANOVA, were utilized to determine differences. Additionally, qualitative data concerning
problems, obstacles, and recommendations were analyzed using content analysis. The results revealed the following: 1) Demographic characteristics: The majority of the inspectors were female (81.48%), with a mean age of 46.39 ± 10.46 years. Most were married (65.61%), held a master's degree (67.20%), served as public health academicians (70.37%), operated primarily in academic centers
(66.67%), and possessed 5-10 years of inspection experience (49.39%). Conversely, the majority of the
supervisees were female (77.71%), with a mean age of 41.76 ± 10.46 years. Most were married (56.88%),
held a bachelor's degree (66.28%), served as public health academicians (61.58%), worked predominantly
in provincial public health offices (75.95%), and had less than 5 years of experience undergoing inspections (38.71%). 2) Levels of opinion: The overall attitudes, beliefs, and satisfaction regarding the inspection system were at a moderate level for both groups. 3) Factors influencing opinions: Factors significantly affecting attitudes, beliefs, and satisfaction (p < 0.05) among the inspectors were age, marital status, and work experience, whereas, for the supervisees, significant factors included age, job position, and work experience. 4) Problems and obstacles: Key issues identified were an excessive and redundant number of indicators, discrepancies between local data and the central system, and a limited inspection duration, averaging only three days per province. Recommendations: It is recommended to integrate indicators to ensure clarity and reduceredundancy, alongside developing a real-time reporting system. Furthermore, transitioning the supervisor's role from a mere inspector to a consultant and mentor is advised to elevate the efficiency of operational development.

Keywords: Government Inspection and Supervision, Inspector, Supervisee, Health Region 4