Journal of Health Promotion and Environmental Health Research Health Promotion Centre 8 Udon Thani

Food Sanitation management on digital technology Foodhandler

2025-09-04T14:26:03+07:00

This research is Action Research. by applying the PDCA process to develop digital tools for food sanitation management in accordance for ministerial regulation hygiene for food establishment B.E. 2561 (A.D. 2018). The population and sample consisted of business operators, food handlers, and training management agencies in accordance with the ministry of public health Announcement on the criteria and methods for training business operators and food handlers B.E. 2561 (A.D. 2018). The study has 4 stages: (1) study the situation of training management for food business operators and food handlers and hygiene management of “food establishment”. (2) Development of appropriate food sanitation management models under the new normal way of life and digital society to drive the ministerial regulation hygiene for food establishment B.E. 2561 (A.D. 2018). (3) Monitoring and evaluating food sanitation management models using digital technology tools and. (4) Continuous review and development to provide recommendations for the Foodhandler digital technology food sanitation management system. Data were analyzed using descriptive statistics and content validity was checked.

The study results show that food sanitation management is based on the Foodhandler digital technology system in driving ministerial regulation hygiene for food establishment B.E. 2561 (A.D. 2018). It was found that the registration system for training management agencies was established and there were 2,146 users, most of whom were local administrative organizations (1,916 users). There were 842,677 registered business operators and food handlers, of whom 764,001 (90.6%) completed the training when analyzing the data trends over the past 3 years, it has increased. The results of the evaluation of the usability found that Foodhandler system users were very satisfied overall (84.4 %), with the highest level being the use of data in the area at 89.84 %. and extending to the development of business operators to evaluate themselves and apply for certification through the standards, totaling 12,465 users. However, when tracking and analyzing data in the system, it was found that the issues that need to be continuously developed are food vendors who have undergone training but still do not pass the personal hygiene standards. In particular, the issue of personal hygiene of food handlers that needs to be improved the most out of all the requirements in the standard (6.40 %). This reflects the effectiveness of the training that is still unable to change the hygiene behavior in food sanitation work of business operators and food handlers. Therefore, there is a proposal that needs to be reviewed and the training format developed that results in trainees changing their behavior in food work correctly.

Development of a Model to Enhance Health Literacy in Diabetic Patients with Uncontrolled Blood Sugar Levels in Ban Bo Phawaen Health Promoting Hospital Area, Chiang Mai Province.

2025-09-05T15:14:25+07:00

Abstract

Type 2 diabetes mellitus (T2DM) patients with uncontrolled blood glucose often experience limited health literacy, leading to suboptimal self-care and poor adherence. This study evaluated knowledge, health care behaviors, medication adherence, and health literacy, and developed
a culturally adapted model to enhance literacy in rural communities. A cross-sectional developmental design was applied among 167 purposively selected T2DM patients with uncontrolled glycemia and five health personnel at Ban Bo Phawan Subdistrict Health Promoting Hospital, Chiang Mai Province, Thailand. Data were collected using a 69-item questionnaire covering five domains and participatory brainstorming with the Appreciation–Influence–Control (A-I-C) technique. Descriptive statistics and content analysis were employed.

Participants demonstrated moderate levels of knowledge ( X̄= 7.23, SD = 1.22), health care behaviors ( X̄= 23.46, SD = 2.55), medication adherence ( X̄= 25.07, SD = 2.45), and diabetes-related health literacy (X̄ = 91.87, SD = 19.08). The developed model emphasized the use of local dialects to support elderly comprehension, engagement of village health volunteers and family members as facilitators, provision of mobile services beyond official hours to reduce access barriers, and the use of indigenous media and experiential learning to enhance participation.

This culturally tailored model provides a practical and context-sensitive framework for strengthening health literacy, promoting effective self-management, and improving glycemic outcomes in patients with T2DM in rural settings. Broader implementation may support health system strategies aimed at reducing diabetes-related complications and inequities.

Evaluation of Miraculous Subdistrict of 1,000 days Plus to 2,500 days in Health Region 8

2025-09-17T15:02:58+07:00

Abstract

This study employed a mixed-methods approach, integrating both quantitative and qualitative methods, to evaluate the implementation of the 1,000 Days Plus to 2,500 Days Miracle Sub-district project in Health Region 8 of Thailand. The evaluation was conducted using Stufflebeam’s CIPP Model, which comprises four components: Context, Input, Process, and Product. Data were collected from seven sub-districts that implemented the project in 2023, with one sub-district selected per province using purposive sampling. Data collection took place between August and September 2024. A semi-structured interview guide was developed based on the national 1,000 Days Project evaluation tools. Quantitative data were analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation, while qualitative data were analyzed using content analysis.

The results showed that the majority of participants were female (89.29%), with an average age of 47.89 years (SD = 9.51), and most held a bachelor’s degree (50.00%). The most common role in the project was early childhood development caregiver (21.43%). Key findings by CIPP components were as follows 1) Context: The project successfully engaged a wide range of community stakeholders, fostering local ownership and active support for target groups, consistent with national health promotion goals. 2) Input: Personnel, equipment, and budgetary support were generally sufficient across implementation sites. Clear operational guidelines were in place. 3) Process: The implementation process was appropriate and aligned with national policies. However, challenges included limited budgets, lack of annual integrated plans, inconsistent home visit practices by CFT (Child and Family Team), and incomplete data monitoring systems. 4)Product: Key success factors included strong local partnerships particularly Village Health Volunteers who effectively reached target populations. Health outcomes for pregnant women and young children showed improvement in many areas, especially child development in 0–5 years and exclusive breastfeeding in the first six months. Overall, satisfaction with the project implementation was at the highest level (Mean = 4.69, SD = 0.12). The aspect with the highest satisfaction score was collaborative support among stakeholders (Mean = 4.89, SD = 0.31), followed by overall project implementation (Mean = 4.82, SD = 0.39). Recommendations: Future efforts should include ongoing health outcome evaluations for pregnant women and young children, documentation of best practices for model replication, and continuous monitoring and support in the project’s expansion areas.

Guidelines for estimating an appropriate wastewater treatment system: A case study of Health Region 8, Udon Thani Province

2025-09-22T09:16:56+07:00

Abstract

This participatory action research (PAR), titled Guidelines for estimating an appropriate wastewater treatment system: A case study of Health Region 8, Udon Thani Province, aimed to develop a guideline for estimating an appropriate budget for a wastewater treatment system and to evaluate the satisfaction with the developed guideline. The study employed the PAR process, which consists of four main steps: Step 1: Planning, which involved analyzing past wastewater treatment budget allocation problems and holding a joint meeting with a network of relevant stakeholders to find a solution. Step 2: Acting, which involved developing a new budgeting guideline that integrates the existing guidelines from the Bureau of Public Health Administration, the Department of Health Service Support, and Health Region 8 Office. Step 3: Observing, which involved testing the developed guideline and collecting satisfaction data. Step 4: Reflecting, which involved summarizing the evaluation results and refining the guideline.

The research found that the developed guideline effectively solved the problem. It consists of two main parts: Part 1, readiness for requesting support for wastewater treatment system blueprints (4 steps), and Part 2, readiness for requesting a budget for the wastewater treatment system (3 steps). Overall satisfaction with the guideline was at a high level (Part 1: x̅ = 4.0268, S.D. = 0.7161 and Part 2: x̅ = 4.4196, S.D. = 0.6927), indicating that the participatory approach effectively addressed the real-world needs and problems.

Effects of a Nutrition Literacy Promotion Program for Parents of Overweight School-Aged Children in Remote Schools in Health Region 4

2025-09-30T09:24:32+07:00

Abstract

This study was a quasi-experimental one-group pretest–posttest design. The objectives were to evaluate the level of nutrition literacy, to assess preventive behaviors against overweight, and to study the effect of the level of nutrition literacy on preventive behaviors against overweight of parents in remote schools in Health Region 4. The sample consisted of parents of school-aged children with overweight in remote schools in Health Region 4, totaling 96 persons. The study was conducted using a nutrition literacy and overweight prevention promotion program. Data were collected using questionnaires. The data were analyzed by comparing pretest and posttest scores with inferential statistics Paired t-test, and the relationship between literacy and behaviors was analyzed using Pearson correlation.

The results showed that after participating in the program, the average nutrition literacy score increased from 52.4% to 76.7%, particularly media literacy which increased by 35.0% and self-management which increased by 29.3%. Preventive behaviors against overweight increased from 54.4% to 79.3%, which was statistically significant. The analysis of behavioral change found that 78.1% of parents improved preventive behaviors against overweight in children. Nutrition literacy was positively correlated with preventive behaviors against overweight at a moderate level (r = 0.52, p < 0.001), with media literacy and self-management being the most important factors.

It can be concluded that the nutrition literacy promotion program could increase both knowledge level and behaviors of parents, and is an important approach in preventing overweight and non-communicable diseases in school-aged children.

School Food Environmental Factors Related to Eating Behaviors and Nutritional Status among School-aged Children in Primary Schools

2025-09-26T10:30:57+07:00

Abstract

The prevalence of malnutrition in school-aged children, particularly overweight and obesity, has been steadily increasing, adversely affecting development and raising the risk of non-communicable diseases. Improving the school food environment is therefore a crucial strategy to promote healthy eating behaviors and address nutritional problems.

This study aimed to examine the relationships between school food environmental factors related to eating behaviors and nutritional status among school-aged children in primary schools. A cross-sectional study was conducted among 958 students in grades 5–6 and 30 teachers responsible for school lunch programs from 30 primary schools under the Office of the Basic Education Commission (OBEC). Data were collected from June to August 2023 using questionnaires, interviews, and surveys. The analysis was carried out using descriptive statistics and multiple logistic regression.

The result revealed that the policy-related food environment factors, including schools with comprehensive food policies aligned with OBEC’s 2021 guidelines on the sale of health-promoting food and beverages, were associated with consumption of processed meats and soft drinks (OR 0.457, 95% CI 0.224–0.935; OR 0.514, 95% CI 0.250–1.057, respectively). Schools with in-school measures to control the provision or sale of unhealthy foods were associated with vegetable consumption (OR 6.500, 95% CI 1.542–27.398), and schools that restricted sales around school were associated with normal nutritional status and overweight (OR 0.590, 95% CI 0.386–0.902; OR 2.348, 95% CI 1.169–4.717, respectively). In terms of economic factors, adequate lunch budgets in schools were associated with processed meat consumption (OR 2.951, 95% CI 1.091–7.982) and undernutrition (OR 13.708, 95% CI 2.083–90.202). Regarding the physical environment, limiting food and beverage sales to the canteen area was associated with the consumption of sugary snacks (OR 0.352, 95% CI 0.145–0.856), while the absence of food sales around the school and the availability of high-quality school lunch meals were associated with obesity (OR 0.069, 95% CI 0.008–0.600) and undernutrition (OR 0.066, 95% CI 0.007-0.602), respectively, and the provision of high-quality school lunches was associated with undernutrition (OR 0.066, 95% CI 0.007–0.602). For sociocultural factors, schools with activities promoting food and nutrition knowledge and skills were also associated with consumption of soft drinks (OR 0.546, 95% CI 0.302–0.985), and having meal planners who had nutrition training was associated with consumption of high-fat foods (OR 16.437, 95% CI 1.226–220.302) and obesity (OR 0.002, 95% CI 0.000–0.745).

In conclusion, the findings highlight that the school food environment plays a critical role in promoting healthy eating behaviors and nutritional status. Therefore, relevant agencies should strengthen and enforce food and beverage control measures in schools, provide adequate funding, develop personnel capacity, and continuously promote nutrition education for students.