การประเมินผลการดำเนินงานตามแผนปฏิบัติการด้านการส่งเสริมสุขภาพและอนามัยสิ่งแวดล้อม โดยประยุกต์ใช้กรอบแนวคิด RE-AIM

Saichon Kloyiam; Panutda Thongshang

Authors

Saichon Kloyiam Division of Planning, Department of Health
Panutda Thongshang Division of Planning, Department of Health

Keywords:

RE-AIM, action plan, health promotion, environmental health, evaluation

Abstract

The RE-AIM (reach, effectiveness, adoption, implementation, maintenance) framework is a tool for planning and evaluation that reflects outputs and outcomes. It is widely used in public health evaluation research. However, the application of the RE-AIM framework for evaluating the implementation of action plans had not yet been observed in the Ministry of Public Health. Little is known about the actual impact of the action plans on individual and organizational levels. There is a need to systematically and routinely evaluate the actual impact of the action plans to optimize the decision-making process and improve the impact of the performance of the Ministry of Public Health. This study aimed to explore the application of the RE-AIM framework in evaluating the implementation of health promotion and environmental health action plans of organizations under the Department of Health. A participatory action research approach was applied to 37 organizations of the Department of Health—22 central and 15 regional subunits. The study found that the most common type of indicators in the Department of Health's action plans was the implementation (37% of total), followed by the reach (21%). The least common was the maintenance, therefore removed from the final framework of four types of indicators. All participating subunits were able to select indicators aligned with the shortened RE-AI framework. The evaluation of action plans had achieved the highest target of the reach 3.7 times of the target, followed by the adoption 3.4 times, and the implementation 2 times. Additionally, 28 out of 37 subunits (75.7%) exceeded their targets by the second five-month evaluation. Knowing the current changes in the indicators helped relevant officers well aware of the situations and adjusted their actions in a timely manner, both in the short term (monthly) and medium term (the last five months of the fiscal year). In conclusion, the RE-AIM framework could be used to evaluate the implementation of the action plans of the Department of Health. It could assess activity coverage and budget absorption by a specified timeframe. It also showed alignment with the new public management principles to maximize transparency and performance of public organizations.

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