การประเมินผลแผนงานทันตสุขภาพสำหรับผู้สูงอายุประเทศไทยระยะที่ 1 (พ.ศ. 2558 – 2561)

บทคัดย่อ

The aim of this study was to conduct a comprehensive evaluation for Thailand Oral Health Plan for the Elderly Phase 1 (2015 – 2018). The mixed methods used with qualitative and quantitative studies. The evaluation framework of CIPP model consisted of 4 aspects: context, input, process, and product (output and outcome). Qualitative data was obtained from interview with Board of Committee and executives at several levels, using content analysis according to the assessment conceptual framework. Quantitative data was obtained from Health Data Centers of the Ministry of Public Health (MOPH) and minutes of Committee meetings. Results found that the context of Thailand Oral Health Plan for the Elderly was consistent with the national health policy and system. The input revealed the oral health plan was cascade via the national and areas mechanism of MOPH. About half of respondents told they got financial support for the plan’s activities but mostly it was the heath related budget. The process aspect, executives’ role of coordinating and building networks cooperation following specified strategy was essential. Most activities stated in the plan were executed. Outputs of the plan showed Thai elderly utilized oral health promotion and prevention services increased from 1.2 million in 2015 to 3.4 million in 2018. One of the accomplishments of the plan was dental services utilization of the elderly increased from 700,000 persons in 2015 to 3.5 million in 2018. The target of Elderly clubs with oral health promotion and dental hygiene practice activities was 7000 clubs and in 2018 the accumulated numbers of 7,620 clubs. Another accomplishment of this plan resulted in rate of Elderly having 20 permanent teeth or 4 occlusal posterior pairs from 60.9 % in 2015 to 66.6 % in 2018. It was suggested that to improve management process, the coordination team or group should be formed and set up data collection of each strategy.