Healthcare providers’ perspectives on integrating NCDs into primary healthcare in Thailand: a mixed method study

Abstract Background In response to an increased health burden from non-communicable diseases (NCDs), primary health care (PHC) is effective platform to support NCDs prevention and control. This study aims to assess Thailand’s PHC capacity in providing NCDs services, identify enabling factors and challenges and provide policy recommendations for improvement. Methods This cross-sectional mixed-method study was conducted between October 2019 and May 2020. Two provinces, one rich and one poor, were randomly selected and then a city and rural district from each province were randomly selected. From these 4 sites in the 2 provinces, all 56 PHC centres responded to a self-administrative questionnaire survey on their capacities and practices related to NCDs. A total of 79 participants from Provincial and District Health Offices, provincial and district hospitals, and PHC centres who are involved with NCDs participated in focus group discussions or in-depth interviews. Results Strong health infrastructure, competent staff (however not with increased workload), essential medicines and secured budget boost PHC capacity to address NCDs prevention, control, case management, referral and rehabilitation. Community engagement through village health volunteers improves NCDs awareness, supports enrolment in screening and raises adherence to interventions. Village health volunteers, the crucial link between the health system and the community, are key in supporting health promotion and NCDs prevention and control. Collaboration between provincial and district hospitals in providing resources and technical support enhance the capacity of PHC centres to provide NCDs services. However, inconsistent national policy directions and uncertainty related to key performance indicators hamper progress in NCDs management at the operational level. The dynamic of urbanization and socialization, especially living in obesogenic environments, is one of the greatest challenges for dealing with NCDs. Conclusion PHC centres play a vital role in NCDs prevention and control. Adequate human and financial resources and policy guidance are required to improve PHC performance in managing NCDs. Implementing best buy measures at national level provides synergies for NCDS control at PHC level.

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Integrating NCD into Primary Health Care in Thailand: a Mix Method Study

10.21203/rs.3.rs-208297/v1 ◽

2021 ◽

Author(s):

Tuition Tuangratananon ◽

Sataporn Julchoo ◽

Mathudara Phaiyarom ◽

Warisa Panichkriangkrai ◽

Nareerut Pudpong ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Prevention And Control ◽

National Level ◽

District Health ◽

Cross Sectional ◽

Primary Health ◽

District Hospitals ◽

And Control ◽

Village Health

Abstract BackgroundIn response to an increased burden from non-communicable diseases (NCDs), primary health care (PHC) is advocated as an effective platform to support NCD prevention and control. This study aims to assess Thailand’s PHC capacity in providing NCD services, identify enabling factors and challenges and provide policy recommendations for improvement.MethodsThis cross-sectional mixed-method study was conducted between October 2019 and May 2020. Two provinces, one rich and one poor were randomly selected and then a city and rural district from each province were randomly selected. From these four sites in the two provinces, 56 officers from PHC centres were sampled purposively for a self-administrative questionnaire survey on their capacities and practices related to NCD.A total of 79 participants from Provincial and District Health Offices, provincial and district hospitals, and PHC centres who involved with NCD participated in focus group discussions or in-depth interviews.ResultsStrong health infrastructure, competent staff, though not matched with increased workload, and secured budget boost PHC capacity to address NCD prevention, control, case management, referral and rehabilitation. Community engagement through village health volunteers improves NCD awareness, enrols in screening and improves adherence to interventions. Collaborations between provincial and district hospitals in providing resources and technical support improve NCD capacity of PHC centres. In addition, village health volunteer, a crucial link between health sector and community, is key in supporting NCD control. Additionally, inconsistent national policy directions and uncertainty related to key performance indicators hamper progress in NCD management at the operational level.ConclusionPHC centres play a vital role in managing NCDs prevention and control. However, adequate human and financial resources and policy guidance are required to improve PHC performance in managing NCDs. Implementing best buy measures at national level provides synergies for NCD control at PHC level.

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Understanding risk communication for prevention and control of vector-borne diseases: A mixed-method study in Curaçao

PLoS Neglected Tropical Diseases ◽

10.1371/journal.pntd.0008136 ◽

2020 ◽

Vol 14 (4) ◽

pp. e0008136

Author(s):

Vaitiare Mulderij-Jansen ◽

Jelte Elsinga ◽

Izzy Gerstenbluth ◽

Ashley Duits ◽

Adriana Tami ◽

...

Keyword(s):

Risk Communication ◽

Mixed Method ◽

Prevention And Control ◽

Mixed Method Study ◽

Vector Borne Diseases ◽

Vector Borne ◽

And Control

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Roles of Village Health Volunteers: COVID-19 Prevention and Control in Thailand

Asia Pacific Journal of Health Management ◽

10.24083/apjhm.v15i3.477 ◽

2020 ◽

Vol 15 (3) ◽

pp. 18-22 ◽

Cited By ~ 1

Author(s):

Phudit Tejativaddhana ◽

Wichukorn Suriyawongpaisal ◽

Vijj Kasemsup ◽

Thunwadee Suksaroj

Keyword(s):

Primary Healthcare ◽

Prevention And Control ◽

Significant Contribution ◽

Lessons Learned ◽

Open Communication ◽

Future Challenges ◽

Village Health Volunteers ◽

And Control ◽

Village Health

Taiwan and Thailand have effectively responded to the COVID-19 pandemic more so than more advanced health systems. Both countries have an effective focus on primary healthcare and multi- sectoral collaboration with effective and open communication of powerful health messages. In the case of Thailand, the central role of village health volunteers has also made a significant contribution. The lessons from recent experiences need to be further evaluated to consolidate the lessons learned in anticipation of meeting continuing and future challenges.

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Roles of subdistrict health office personnel and village health volunteers in Thailand during the COVID-19 pandemic

BMJ Case Reports ◽

10.1136/bcr-2021-244765 ◽

2021 ◽

Vol 14 (9) ◽

pp. e244765

Author(s):

Tares Krassanairawiwong ◽

Chartchay Suvannit ◽

Krit Pongpirul ◽

Kriang Tungsanga

Keyword(s):

High Risk ◽

Tract Infection ◽

Respiratory Tract ◽

Prevention And Control ◽

Basic Education ◽

Health Centre ◽

Village Health Volunteers ◽

And Control ◽

Office Personnel ◽

Village Health

In Thailand, 40 000 subdistrict health centre (SDHC) personnel and >1 million village health volunteers (VHVs) are responsible for primary healthcare of 23 million households in 75 032 villages. They were trained, made household visits, gave hygiene advice, participated in the ‘Big Cleaning Day’ campaign, produced cloth face masks, proactively identified high-risk visitors and monitored quarantined cases. 7.4 million Thais received basic education on hygiene, 1.3 million villagers joined the campaign and 3.6 million handmade cloth face masks were produced. In March 2020, 3.9 million households were visited, and 40 000 high-risk cases were detected. The intensity of proactive case findings increased to 12.6 million home visits and 834 000 cases were detected in April 2020. Almost 800 000 cases complied with the 14-day mandatory home quarantine, of which 3.6% developed symptoms suspected of respiratory tract infection. VHVs and SDHC personnel could efficiently contribute to the prevention and control of COVID-19 in Thailand.

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Implementation fidelity of tuberculosis infection prevention and control practices in three hospitals with the highest notified tuberculosis cases in Bhutan: a mixed method study

Journal of Global Health Reports ◽

10.29392/001c.14140 ◽

2020 ◽

Author(s):

Kinley Gyem ◽

Riris A Ahmad ◽

Yodi Mahendradhata

Keyword(s):

Mixed Method ◽

Prevention And Control ◽

Infection Prevention ◽

Implementation Fidelity ◽

Tuberculosis Infection ◽

Infection Prevention And Control ◽

Mixed Method Study ◽

And Control

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Evaluation of malaria risk factors prevention and control program in Kulon Progo Regency

Berita Kedokteran Masyarakat ◽

10.22146/bkm.26891 ◽

2017 ◽

Vol 33 (12) ◽

pp. 565

Author(s):

Husni Husni ◽

Th. B Rahayujati ◽

S Supargiyono

Keyword(s):

Public Health ◽

Risk Factors ◽

Health Center ◽

Prevention And Control ◽

Larval Fish ◽

Control Program ◽

Malaria Risk ◽

District Health ◽

And Control ◽

Malaria Risk Factors

Evaluation of malaria risk factors prevention and control program in Kulon Progo RegencyPurposeThe purpose of this research was to evaluate the program of prevention and control of malaria risk factors in Kulon Progo District in 2016 based on system approach.MethodThis research was evaluation program used mixed methods (sequential explanatory design). Data collected from 7 public health center of active focus malaria and district health office. Respondents were program managers and head of public health center, district program managers, head of control and eradication of communicable diseases, and head of district health offices. The instruments used structured questionnaires and in-depth interview guides. Quantitative data analysis was descriptive and qualitative data used Miles and Huberman model.Results Most of the availability of human resources, funds, facilities, materials, and methods already meet implementation needs except entomologists, allocation of funds activities other than IRS, time of the implementation of larval fish deployment. Most of the processes that started from the planning, implementation, monitoring, and evaluation have gone well except for planning other than IRS, preparation vector control without entomology database, implementation of environmental management, larviciding, and larval fish deployment. Coverage of LLINs, coverage of IRS, control of LLINs efficacy, and test of vector resistance have met the target, except coverage of larviciding and larval fish deployment was not available.ConclusionPrevention and control program of malaria risk factors has implemented but wasn’t based on entomological data. District health offices should recruit entomologist to support vector control activities.

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Empowering Village Health Sanitation and Nutrition Committee members on dengue prevention and control: An educational interventional study in rural areas of Mysuru, Karnataka

Indian Journal of Medical Sciences ◽

10.25259/ijms_196_2020 ◽

2020 ◽

Vol 0 ◽

pp. 1-5

Author(s):

Praveen Kulkarni ◽

D. Sunil Kumar ◽

Siddalingappa Hugara ◽

Renuka Manjunath ◽

M. R. Narayana Murthy

Keyword(s):

Educational Intervention ◽

Rural Areas ◽

Prevention And Control ◽

Major Public Health Problem ◽

Interventional Study ◽

Village Level ◽

Audiovisual Aids ◽

Nutrition Committee ◽

And Control ◽

Village Health

Objectives: Dengue, among all the vector-borne diseases, continues to be a major public health problem in India. Dengue once considered being problem in urban areas, now it is increasingly found in rural areas. Thus, empowering the village level functionaries like members of Village Health Sanitation and Nutrition Committee (VHSNC) can help in prevention and control of dengue in the rural areas. The present study was conducted to assess the effectiveness of educational intervention on perception regarding dengue and its prevention among VHSNC members. Material and Methods: This prospective interventional study was conducted among all 305 VHSNC members of two randomly selected primary health centers of Mysuru talukas for the period of 6 months. Baseline levels of perception on dengue were collected using a pre-tested structured questionnaire. Educational intervention on various domains of dengue and its prevention was provided using audiovisual aids, handouts, and group discussion. Endline survey was conducted 1 month after the education sessions to assess the effectiveness intervention. Results: A total of 305 VHSNC members participated in the study. In pre-test survey, only 189 (61.9%) had ever heard of disease dengue. In post-test survey, 274 (91.3%) had heard of dengue. There was a statistically significant improvement in perception regarding, preventable nature of dengue, mode of transmission, breeding and biting habits of mosquito, source reduction measures, and personal protective measures against mosquito bites following educational intervention. Conclusion: Educational intervention was found to be effective in empowering village level stake holders like VHSNC members regarding dengue and its prevention.

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Community overview on the differential prevalence of Hepatitis E in two Sub Counties in Kitgum District: A qualitative study

10.21203/rs.3.rs-1197002/v1 ◽

2021 ◽

Author(s):

Judith Aloyo ◽

Juliet Kiguli ◽

Christopher Orach Garimoi ◽

David Lagoro Kitara

Keyword(s):

Prevention And Control ◽

Infection Prevention ◽

Hepatitis E ◽

Control Measures ◽

Infection Prevention And Control ◽

Community Control ◽

Community Members ◽

And Control ◽

Village Health ◽

Village Health Teams

Abstract Background There was an epidemic of Hepatitis E infection in Kitgum District in 2007. More than 10,422 people were infected, and over 166 deaths were registered due to the Hepatitis E virus. Kitgum District Health Management Information Systems (HMIS) showed that Hepatitis E cases continued to occur more in Mucwini than Kitgum Matidi Sub County despite instituting similar epidemic control measures in the two communities. The tenacity of the virus in Mucwini Sub County had remained unclear. Objective To assess communities’ views and perspectives on the differential prevalence of Hepatitis E in the two Sub Counties of Kitgum Matidi and Mucwini in Northern Uganda. Methods A cross-sectional study using qualitative methods was conducted. Four Focus Group discussions and six key informant interviews were conducted with village health teams, local council chairpersons, health workers, and community members. These persons were chosen purposively because of their expertise and experience in community and health services. Face-to-face interview guides were administered to obtain detailed information on factors associated with the differential occurrence of Hepatitis E in the two Sub Counties. This study was approved by a local IRB and Uganda National Council of Science and Technology (UNCS&T). Results The most significant findings from this study were the differences in prevention and control practices in the two communities. Residents of Mucwini were less compliant to infection, prevention, and control guidelines, and disagreements between local councilors and village health teams in Mucwini led to poor implementation and non-adherence to guidelines on community control of Hepatitis E. Conclusion A differentially higher prevalence of Hepatitis E in Mucwini than Kitgum Matidi Sub County resulted from poor personal and community hygiene and non-adherence to behavior change communication among residents Mucwini compared to their counterparts in Kitgum Midi. The authors recommend a more proactive approach in managing the epidemic by securing the willingness of the affected community to adopt appropriate infection prevention and control guidelines. In addition, disagreements among stakeholders should be resolved timely so that all community members adhere to control measures.

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