COMMUNITY DEVELOPMENT FOR PARTICIPATORY HEALTH MANAGEMENET ACCORDING TO SUFFICIENTCY ECONOMY PHILOSOPHY IN NAN PROVINCE.

Abstract

Health promotion and disease prevention are important for public health development. Which based on local communities and networks. Health promotion and disease control are difficult but sustainable. Strengthen community health is important for health promotion and disease control. The objectives of this study were to analyst the situation of community health, develop a model of community health management according to the sufficiency economy philosophy and evaluate the model. The study used a research and development. The study was conducted in 20 sub-districts in Nan province. The study were 2 years and 3 months operation during October 2017 - December 2019. There were 3 phase of operation : phase 1 studied the situation of community health management, phase 2 developed model, phase 3 knowledge management and empowerment. Descriptive statistics and Content analysis were used to analyze the data.

The study found that Situation of community health management in Nan province has a variety of health management programs with participation from various network partners in each area. There are many types of initiatives, starting with external organizations, from local organizations, and from communities. The participatory community health management model started from creating a common concept of people in the community by using self-reliance concepts and started from small group as health volunteers and community leaders. There were processes as follows : 1) Reviewed themself, set goals and issues together. 2) Built community team 3) Conducted activities to develop from best practice 4) Created community policy 5) Connected network in the area and outside the area 6) Summarizes lesson learn and evaluated together. The result made strong groups, strong community and reduced health risk factors. The results of the evaluation of the 4 component process showed that all sub-district (20 subdistrict) through evaluation of team and plans components. Activity components passed the criteria of 17 sub-districts (85.0 percent). Results component criteria passed the criteria of 16 sub-district (80.0 percent). As for the health management community criteria found that through the excellent level of 15 sub-districts (75.0%), good level 5 sub-districts (25.0%). Each sub-districts had self-development according to the context, lifestyle and culture. Keys success factors included : 1) the concept of sufficiency economy philosophy 2) using knowledge information 3) starting from a small groups 4) leadership of community leader 5) community policy 6) continuous activities and interactive through learning. 7) evaluation 8) motivating and appreciate the good practice.

Therefore, there should be development of health volunteer and community leaders to be the core of health community development by using the sufficiency economy philosophy as the basic of operations.