Driving and Evaluation of Health Promotion Operations for Populations Across the Life Course in Health Region 6

Abstract

This evaluation research applied System Theory to investigate the driving mechanisms and evaluate the outcomes of health promotion operations for populations across all age groups in Health Region 6. The sample consisted of 77 participants, including executives, health promotion practitioners, and administrative members of Local Administrative Organizations within Health Region 6 . The research instruments included in-depth interview guides and relevant operational summary reports. The study was conducted between October 2022 and January 2024.The findings revealed that the driving mechanisms through regional committee structures comprised five key components: 1) situational analysis and planning, 2) capacity building for personnel and partner networks, 3) monitoring and evaluation, 4) knowledge exchange and synthesis of governmental inspection results, and 5) recognition and honorary awards. Regarding the systematic evaluation: Input: Health Region 6 operated under the policy framework and strategies of the Department of Health, integrated with local situational data. This resulted in a regional integrated plan covering eight provinces, alongside provincial-level 3 projects tailored to specific local contexts. Process: Partner networks from various sectors actively participated in driving the operations, providing resource and budgetary support. Operations adhered to relevant standards and regulations, incorporating health communication strategies to foster behavioral changes for improved well-being. Output/Outcome: The driving model in Health Region 6 followed a five-step process: 1) situational analysis, 2 ) strategic measures and planning, 3) network building, 4) health literacy enhancement, and 5) monitoring and evaluation. Most operational results achieved their targets, including: 58 .6% of children aged 6–14 years meeting height and weight standards; a 13.4% repeat pregnancy rate among females under 20; 52.6% of the working-age population (15–59 years) having a normal Body Mass Index (BMI); and 97.2% of the elderly being non-dependent. Recommendations: The study suggests focusing on systematic participation and linking personal factors with complex environmental determinants. This approach aims to enhance health management capabilities and promote positive behavioral changes, ultimately leading to sustainable health outcomes.