An evaluation of disease prevention and control and health hazards missions after the transfer of the Sub-district Health Promotion Hospitals to Provincial Administrative Organization In Regional Health 12

Abstract

The evaluation research based on the CIPP Model, with the objective of assessing the performance of disease prevention and control missions, health hazard, of the Sub-district Health Promotion Hospitals (SHPHs) following their transfer to the Provincial Administrative Organizations (PAO) in Health Region 12. This includes 28 SHPHs in Phatthalung, Pattani, Songkhla, and Satun provinces. Selected purposively of 69 individuals from the PAO and a accidental sampling of 403 citizens from the transferred SHPH areas were selected. Data was collected through interviews, satisfaction surveys, and productivity assessments reviewed by experts (0.9). Qualitative data were analyzed through content analysis and triangulation, while quantitative data were analyzed using descriptive statistics. The study results are as follows: 1. Context: Policies, work systems, and communication were clear, though management practices differed based on the size of the SHPHs and their relationships with networks. 2.Inputs: Leadership was found to be flexible according to the context. There was an increase in personnel (before median 6 (3,18); after median 9 (6,29)) and budget from subsidies. Access to medications/supplies and services from CUP and PAO only had access to HDC. 3. Process: Disease prevention, detection, control, and emergency response were carried out according to standard guidelines. 4.Product:In the 28 SHPHs: 1) Disease Prevention: Vaccine coverage for DTP3 (target ≥90) and MMR2 (target ≥95) did not meet the criteria (50%, 54%) and showed a decrease in performance (50%, 54%). 2) Disease detection: Screening
and monitoring of diabetes and hypertension did not meet the criteria (32%, 50%) and showed a decrease in performance (64%, 71%). 3) Disease Control/Emergency Response: Successfully controlled the second generation of dengue fever outbreaks at 50%. Satisfaction levels showed that the general public had a highest level of satisfaction ( 4.75±0.71) while stakeholders had a hight level of satisfaction ( 3.85 ± 0.71). Recommendations: There should be a focus on developing the potential of PAO personnel in data access and increasing the recording of disease prevention and control and health hazard according to epidemiological principles to enhance disease surveillance and control efforts.