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

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.