Thailand Journal of Health Promotion and Environmental Health

ความรู้ ดูง่าย ใช้สะดวก

Sureephan Senanuch — Tue, 04 Jun 2024 00:00:00 +0700

มุมเล่าเรื่อง... เป็นคอลัมน์เพื่อให้ผู้ที่สนใจส่งบทความที่เกิดจากการเขียนประสบการณ์การทำงาน ทั้งเชิงความรู้ และการบริหารจัดการ ซึ่งเป็นความรู้ฝังลึกในตัวคน (Tacit Knowledge) เรียบเรียง กลั่นกรอง เขียนออกมาเป็นความรู้ในรูปแบบการเขียน บันทึก ออกมาเป็นตัวหนังสือ (Explicit Knowledge) ทั้งนี้ จะเป็นการแลกเปลี่ยนเรียนรู้ และนำไปปฏิบัติ จนเกิดการหมุนเวียนความรู้ เพื่อยกระดับ จากความรู้ในบุคคล เป็นความรู้ขององค์กร วารสารฯ ขอบขอบคุณอาจารย์สุรีพันธุ์ เสนานุช วิทยากรอิสระด้านการจัดการความรู้และถอดบทเรียน ถ่ายทอดความรู้ ประสบการณ์ วิธีการในการเขียนบทความการจัดการความรู้ ที่อนุญาตให้นำบทความที่อาจารย์เขียนในเว็บไซต์ https://www.ftpi.or.th/2022/104875 มานำเสนอไว้ในฉบับนี้

Resilience of dental service system to emerging and reemerging diseases crisis in the future: Lesson learned from COVID-19 Response in Nonthaburi Province

Suleeporn Thamarangsi — Thu, 06 Jun 2024 00:00:00 +0700

Negative impacts from the COVID-19 pandemic reflect the limited preparedness and capacity of health system in dealing with emerging and reemerging infectious diseases crises. Disrupted dental services and worsening oral health problems demonstrate restricted resilience of oral health system in preparing, resisting, coping, adapting and recovering to such catastrophe. This study aims to examine the response of dental service systems in Nonthaburi Province to the COVID-19 pandemic. The study used mixed methods i.e. reviewed dental service data and epidemiology and interviewed selected stakeholders of dental service systems in Nonthaburi Province and later conducted focus group discussions to finetune the findings and recommendations. Results showed 3 patterns in the COVID-19 pandemic response: Resisting, Adapting and Recovering models. Nonthaburi had a relatively agile oral health care system with adaptive practices based on recommended guidelines from both formal and informal sources, adapted to local authorization and epidemiological conditions. Improvement of oral service infrastructures and human resources capacity are evident. Dental services, under three conditions: providers, users, and system, have become the new normal. Opportunities for development include strengthening oral health information system and capacity building to fill emerging roles, such as auditing and maintaining system preparedness and coordinating with both public and private sectors. This study provides rudimentary recommendations to address vulnerabilities and capacity of oral health system at both national and provincial/facility levels.

Development of Food Sanitation System to Support Digital Society and the New Normal

Somsak Siriwanarangsan, Chailert kingkaewcharoenchai, Siranee Sreesai — Thu, 06 Jun 2024 00:00:00 +0700

This action research aims to develop the food sanitation system by enhancing the standard/measure and the assessment system for certifying the food sanitation standard. This is accomplished by collecting, examining, and processing data from studies, reviewing and analyzing opinions on improving the standard, the process of certification and evaluation, and adjusting the image of the standard certification sign. The sample groups comprise (1) food healthcare personnel, (2) marketing entrepreneurs, and (3) restaurant entrepreneurs. The tools include (1) interviews, (2) group discussions, (3) meetings, and (4) data inquiries from secondary sources. Data analysis involves inferential and analytic statistics. The research findings indicate that (1) the group of personnel comprehends the food sanitation process, but the workload exceeds the capacity of the local government organization, resulting in non-compliance with legal requirements, (2) marketing entrepreneurs find the process for license renewal and assessment appropriate. Officials should conduct a random assessment system. Food sellers/sales assistants should undergo training and health checks annually, and (3) restaurant entrepreneurs find the assessment process by the government is appropriate. They express both agreement and disagreement in similar proportions regarding the shift to an online assessment system. They also suggest renewing training for food handlers and entrepreneurs via an online knowledge test, creating a single certification sign with a QR code for complaint notifications, and developing an application. Developing the food sanitation system to support digital society and the new normal involves three components: Standard, Process, and Logo. These components will serve as mechanisms for conducting food sanitation that align with the digital-era societal context. This includes streamlining standard criteria to reduce redundancy, improving the certification assessment process using a digital platform accessible to everyone, reducing work time, increasing convenience, providing immediate responsiveness, allowing self-assessment, and modernizing the branding of certification signs to create memorability, enhance confidence, and improve consumer communication and understanding. Proposed policy actions include (1) re-standardization: reviewing detailed criteria, making adjustments, and experimenting with criteria that can provide immediate evaluation results once assessed, (2) re-process: establishing guidelines for career development, defining performance indicators, assessing the efficiency of food sanitation operations at each organizational level, and integrating digital technology to transform and enhance the workflow, and (3) re-logo: creating branding to enhance the credibility of the standard certification sign.

Developing a Model for Driving the Operation to Improve the Quality of Life in the District Health Board, Phetchaburi Province

Petchrurk Tansawad — Thu, 06 Jun 2024 00:00:00 +0700

Phetchaburi Province emphasizes improving the quality of life in its districts in caring for vulnerable groups. However, there still needs to be a clear, concrete model for driving quality of life development at the district level, tailored to the local context. The study aimed to 1) to investigate the different approaches for promoting quality of life development at the district level in Phetchaburi province, 2) to establish models for driving quality-of-life development at the district level, with a specific emphasis on caring for vulnerable groups, 3) to evaluate the effectiveness of the model for driving quality-of-life development at the district level. Method Research & Development The study was carried out in three phases. During Phase 1, the model was examined, and qualitative data was collected through in-depth interviews and group discussions. Phase 2 Developed model and evaluated the effectiveness of a quality of life development model for vulnerable groups by collecting qualitative data through an in-depth interview and group discussion. And Phase 3 By taking lessons from the model, expanded the results of using it to serve vulnerable groups. Data was collected through various methods, such as lessons learned, reflection, service enrollment numbers, and satisfaction surveys from a random sample of 99 participants. Statistical analysis was conducted, including frequency, percentage, mean, standard deviation, and qualitative analysis. Based on the findings, policy recommendations were formulated. The result showed that the research findings revealed that Phetchaburi province had various elements in place to improve the quality of life at the district level. These included 1) clear policies, 2) strong leadership teams, 3) the establishment of a local development committee, 4) the utilization of community-based spaces, and 5) the creation of shared values. Furthermore, the model for enhancing quality of life and supporting vulnerable groups involved a series of steps. These steps included 1) appointing a sub-district quality of life development committee, 2) providing capacity building for the committee, 3) conducting collaborative problem analysis and definition, 4) formulating a plan to support vulnerable groups, 5) obtaining a budget, 6) implementing the plan with the participation of all stakeholders, 7) consistently planning, monitoring, and evaluating, 8) extracting lessons learned, and 9) providing feedback to the community, involving both beneficiaries and contributors. After evaluating the effectiveness of the model for enhancing quality of life and supporting vulnerable groups at the district level, it was observed that the integration of these efforts resulted in a 100% improvement in the quality of life for the vulnerable group. This improvement met the UCCARE quality criteria in eight districts. Service providers expressed the highest level of satisfaction, with an average score (x ̅) = 4.52, while the vulnerable group indicated a high level of satisfaction, with an average score (x ̅) = 2.40. In conclusion, Based on the findings, advancing the quality of life at the district level, particularly in caring for vulnerable groups in Phetchaburi province, requires collaboration across multiple sectors, clear policies, strong committees, and effective leadership teams. Collaborative problem analysis and solutions definition are critical, alongside the implementation of supportive plans and budgets. Continuous monitoring and evaluation are essential.

Development of learning program to delay and prevent dementia for Elderly in Clubs: Health Area 7 Thailand

Kanya Janpol, Sadudee Phuhongsai — Thu, 06 Jun 2024 00:00:00 +0700

Thailand has attained the status of an aging society. Nervous system degeneration is an important problem. The elderly club is one crucial policy to enhance the quality of life and health promotion. Health promotion for elderly in clubs is important to help slow down deterioration. This study aimed to development and evaluate learning program to delay and prevent dementia for elderly in clubs: health area 7 Thailand. A research and development was conducted by developed the model with leaders of 8 elderly’s clubs in 4 provinces of the Health Area 7 Thailand and applied the program to 210 elderly students in all 8 elderly’s clubs 6 months. Health behaviors and brain condition using abbreviated mental test (AMT) before and after program were compared using the Paired t-test. Learning program to delay and prevent dementia for elderly in clubs: health area 7 Thailand which consisted of 5 plans: 1) exercise 2) brain training 3)happiness mental and emotional health 4) nutrition and 5) sleep was developed. Mean age (minimum-maximum) of the subjects was 68.50 ± 5.18 years (60 - 85 years), mostly females 86.2% and 46.7% had underlying diseases, with hypertension , followed by diabetes mellitus. Most of the education had primary school (89.5%). When comparing weight, waist circumference, health behaviors, and AMT scores before and after implementing the program found that body weight after using the program not significant different. Waist circumference tends to decrease. Health behaviors statistically significantly increased. Brain condition by mean of Abbreviated Mental Test (AMT) significantly increased (p-value<0.05). The risk of dementia decreased from 22.9% to 9.5% (p-value<0.05). Leaders in the elderly ‘s clubs were satisfied with the program and recommendations. This program was effective in delaying/preventing dementia. A policy plan should be applied to other clubs and expanded to those who do not attend the elderly clubs in the future.

Post-Pandemic COVID-19 Preventive Behaviors of Chronic Non - Communicable Diseases Patients Who Received Services at Metropolitan Health and Wellness Institution Ministry of Public Health

Wipada roopngam, Manirat Therawiwat, Alongkorn Pekalee, Nirat Imami — Thu, 06 Jun 2024 00:00:00 +0700

This cross-sectional survey research aimed to study factors related to post-pandemic COVID-19 preventive behaviors among patients with Chronic Non-Communicable Diseases who received service at Metropolitan health and wellness institution. The sample consisted of 254 NCDs patients selected by systematic random sampling. Data were collected through a Self-administered questionnaire and was analysed by descriptive statistics and Chi-square test and Fisher exact test was analyze the factors related to post-pandemic COVID-19 preventive behaviors. The results found that most of the samples had Post-pandemic COVID-19 Preventive behaviors at good level, 68.9 percent. Factors that were statistically significantly (p<0.05) related to post-pandemic COVID-19 preventive behaviors were income, history of COVID-19 vaccination, perceived severity of COVID-19, outcome expectation regarding the results of behavioral practices to prevent COVID-19, and self-efficacy in preventing COVID-19, including rreinforcing factors and enabling factors in preventing COVID-19. Suggestions from the research results, The Metropolitan health and wellness institution and related agencies should organize activities to promote COVID-19 preventive behaviors for patients with chronic non-communicable diseases, with an emphasis on perceived severity, outcome expectation and self-efficacy in preventing COVID-19 continuously, for people with chronic non-communicable diseases are aware of and practice behaviors to prevent COVID-19 infection effectively.

Oral health literacy and oral health related quality of life in juvenile delinquent in Thailand 2023

Jarassri Srinarupat, Noppawan Pochanukul, Pinpinut Wanichsaithong — Thu, 06 Jun 2024 00:00:00 +0700

This research is a cross-sectional study aimed to investigate the association between oral health literacy (The test of Functional Oral Health Literacy for Primary School Children; P-TOFHLiD) and Child-Oral Impact on Daily Performances (Child-OIDP) among juvenile delinquent in Thailand 2023. A purposive sample of 400 participants was selected from four regions of Thailand: Chiang Mai, Nakhon Sawan, Ubon Ratchathani, and Surat Thani provinces in the Juvenile Observation and Protection Centre and the Juvenile Vocational Centre. Data was collected between February 23 and March 1, 2024, with P-TOFHLiD and Child-OIDP. The data were analyzed using descriptive statistics and Poisson regression analysis. The data of 400 participants (mean age, 16.8 ± 1.5 years.; 375 male, 25 female) were analyzed. The average oral health literacy score was 20.4 ± 3.6 points. The lowest score was 3.8 ± 1.4 points in the 4th component: Food that causes tooth decay. The proportion of participants with an impact on quality of life was 89.5%. Eating was reported as the highest oral impact score for 55.5% The results of the quality of life in the dimensions of oral health of participants are affected more by the physical dimension than the psychological or social aspect. From the study, it was found that participants with insufficient health literacy, who are perceived to have overall problems and want to be treated, had a statistically significant impact on physical aspects when compared to those who have sufficient literacy (adjusted PRs = 1.19; 95%CI = 1.07–1.33; 2.34; 95%CI = 2.25–2.44; and 2.24; 95%CI = 1.74–2.90, respectively.) This study attempted to develop recommendations for improving juvenile delinquents’ oral health by promoting oral health literacy and providing increased access to utilization.

Relationship between Health Literacy and Health Behaviors in a Personnel : A Survey Research in The Metropolitan Health and Wellness Institution

Chuleekorn Lingthaisong, Sasithorn Yeesri, Kotchanan Nakarat — Thu, 06 Jun 2024 00:00:00 +0700

This research is an exploratory study with the objective of analyzing the situation of health literacy and health behaviors based on the 3Aor principles, as well as studying the relationship between health literacy and health behaviors based on the 3Aor principles Personnel of The Metropolitan Health and Wellness Institution. The sample group consists of staff members aged between 20-61 years old. The sample size was determined using the Taro Yamane formula, and a simple random sampling method was employed, resulting in a sample group of 154 individuals. The research instrument used in this study was a questionnaire regarding health literacy and health behaviors based on the 3Aor principles. Data analysis included percentages, means, standard deviations, and correlation coefficient testing using Pearson correlation. The study found that the level of health literacy was sufficient, health behaviors based on the 3Aor principles were good, and there was a statistically significant positive correlation (r= .34, p < .01) at a moderate level. When examined in detail, it was found that knowledge, understanding of health, health communication, and timely access to health information and media had a low positive correlation. Access to health service information and self-management had a moderate positive correlation. Decision-making for appropriate practices had a low negative correlation, which was statistically significant.

Effectiveness of the Nutritional Health Literacy and Mindful Program on eating behavior among Novice that follow the Bhojane Mattannuta practice

Thu, 06 Jun 2024 00:00:00 +0700

The condition of overnutrition impacts novices in several aspects, including their health, development, learning, and their adherence to the principles of Dharma in their religious practice, where good health is essential for the practice of Dharma and the development of mindfulness. This study adopts the concepts of health literacy and mindfulness training in its methodology. It is a quasi-experimental research aimed at examining the effectiveness of a program developed to enhance health literacy in nutrition, combined with mindfulness training, among a group of 70 novices. The sample was randomly divided into an experimental group and a control group, each consisting of 35 individuals. The tools used in the experiment included the health literacy in nutrition program combined with mindfulness training, and a questionnaire on eating behaviors based on the principles of Sattvic food. Data were analyzed using one-way ANOVA with repeated measures. The study found that, in terms of eating behaviors, the experimental group performed significantly better than the control group in both the post-experiment phase and the follow-up phase, with statistical significance at the .05 level. In the post-experiment phase, the experimental group had an average behavior score of 29.17, compared to 20.37 for the control group. In the follow-up phase, these scores were 28.06 for the experimental group and 23.63 for the control group. Within-group comparisons revealed that, in the experimental group, there was a statistically significant improvement in eating behaviors, both in the post-experiment phase and at the follow-up, compared to the pre-experiment phase, with this significance noted at the .05 level, with scores rising from an average of 20.23 pre-experiment to 29.17 and 28.06, respectively. There was no significant difference in the eating behaviors between the post-experiment and follow-up phases. In conclusion, the program for developing nutritional health literacy combined with mindfulness training can effectively change the eating behaviors of novices in accordance with the principles of Sattvic food. This approach can be used as a guideline in health promotion activities in school health services