Healthy District Participatory Development of Health area 4th , 2020

Abstract

This participatory action research (PAR) aimed to develop healthy district model by community-based approach through the District Health Board (DHB) mechanism in 8 districts from 8 provinces in Health area 4th by developing the potential of health leaders from public sectors and communities. The samples were purposively selected and consisted of 1) policy supporters 2) health leaders and 3) local residents. PAR processes were conducted in 3 steps (preparation, action and evaluation). Qualitative data was collected via in-depth interview, focus group and quantitative data was collected by questionnaire on health literacy and health behavior according to 3E2S (Eating, Exercise, Emotion, Stop smoking, and Stop drinking) people aged 15 years and over 2018 revised edition, Health Education Division, Department of Service Health Support, Ministry of Public Health and analyzed by descriptive statistics. It was showed that the healthy district model in health area 4th was 1) developing the potential of health leaders by knowledge sharing, communication and training on operating skill in 5 elements. There were NCDs problem identification, making decision and agreement, participatory planning, operating and evaluation. Results found that the health literacy of 3E2S health behaviors and decreasing in body weight of the samples were through the criteria, which indicated the trend of good health from their self-care. Recommendations : key strategy in the model area should emphasize the process of participation from all sectors and develop working mechanisms through community health leaders, communicate to risk populations by health literacy process, setting shared values and rules of health risk factors reduction and control until becoming culture.