The Effectiveness of public health services provided by the Sub-district Health Promoting Hospital before and after transfer to Nakhon Si Thammarat Provincial Administrative Organization

Abstract

This research was a descriptive retrospective study. This study aimed to investigate the effectiveness of
the providing public health services of the Sub-district Health Promoting Hospital By averaging the percentage
of work covering 7 missions, consisting of: 1. Maternal and child health work 2. Immunization work 3.Screening
4. Surveillance 5. Nutrition work 6. Surveillance of health promotion and environmental health and
7. Promotional work and Prevent mental health problems, including 81 activities devolution to Nakhon
Si Thammarat Provincial Administrative Organization let's compare. Using statistics to analyze differences.
The study population was a Sub-district health promoting Hospitals devolution to the Nakhon Si Thammarat
Provincial Administrative Organization, fiscal year 2023, totaling 36 places. The data collection tool was a form of
recording data on public health operations of Sub-district Health Promoting Hospitals devolution to the Nakhon
Si Thammarat Provincial Administrative Organization from reports in Health Data Center system for 2022 and
2023 of the Information and Communication Technology Center, Office of the Permanent Secretary, Ministry of
Public Health. Data was analyzed using descriptive statistics, including means and percentages, and inferential
statistics, specifically the paired t-test. The finding showed that when testing the difference in mean coverage
of the work of the Sub-district health Promoting Hospital. between before and after devolution to the Nakhon
Si Thammarat Provincial Administrative Organization by setting the significance value at 0.05. It was found that
before the devolution the average percentage of work was higher than after devolution with statistical significance
of 19 activities, after had a statistically significant higher percentage of work than before devolution
amounting to 18 activities. The mean percentage of work before and after devolution was not significantly
different, amounting to 44 activities. Will be more visible results of the providing public health services of
the Sub-district Health Promoting Hospital After devolution to the Nakhon Si Thammarat Provincial Administrative
Organization the performance was as good as before the devolution. Even though some activities would be
less productive. There should be a monitoring team. Continuously supervise the work of devolution personnel.
To provide additional knowledge, acknowledge problems, obstacles and find solutions together.