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Assoc. Prof. Dr. Chulaporn Sota
Faculty of Public Health
Khon Kaen University,Thailand
Back ground
 Disease Pattern is changed from communicable
 disease to be non communicable disease.
 (HT,DM,CA,HD)

 Health Promotion is the process of enabling people to
 increase control over, and to improve their own health.
OTTAWA
                            Charter



         Building                       Health
                                Skill
          Policy                        service




                   Community
Environment
                   strengthen
Sub-district administration
organization (SDAO)
 Thailand has delegation the powerful to local as top
  down since the year 1994 until now by SDAO take
  action as the main organization for development
  appropriate their need and problem.
 But Health promotion was not enough concern from
  SDAOM although the government try to alert and
  motivation.
 Thailand has already conducted HPH, HPS, Healthy
  work place, but no have HPSDAO although SDAO is
  very important organization to improve people’s
  health and quality of life.
Objectives
Research Design
 This      participatory action research (PAR)
   Aimed to “”””””””””””””””””sub-district administration
    organization member (SDAOM) to be health
    promoting sub-district administration organization
   Study area : 2 SDAOs
   Nongbua sub district , Nong kungsee
    district, Kalasin Province
   Kao Suan Kuang sub-district , Kao Suan Kuang
    district, Khon Kaen Province, Thailand.
Sample
 The samples were          leaderships.
 People :”””””””””””””””
 There were       phases study.
    Phase 1 study context and situation analysis
    Phase 2 potential development of Sub-district
  administration organization
 Phase 3 SDAOM conducted health promoting
  activities for people in communities.
Data Collection
 The data were collected by questionnaires both pretest
  and posttest and AIC technique (Appreciate
  Influence Control)
 Data analyzed by SPSS program for quantitative data.
  The statistics were analyzed for descriptive data :
  percentage, distribution, arithmetic mean and
  standard deviation and comparative internal group
  were used paired Sample t-test.

 Qualitative data was analyzed by content analysis.
Research Tool
Questionnaire and Observation form
AIC (Appreciate Influence Control) for
 qualitative data
Empowerment
1.   Academic support
2.   Motivation : Emotional support
3.   Knowledge management or caring and Sharing
4.   Health Promoting activities consultation
5.   Equipment support
6.   Competition : health promotion village, Local song
      (Sarapanya)
7.   Health Promoting Handbook
Health Promoting SDAO
1. Health Promoting Plan and Project, Policy
2. Various Health Promoting Activities
3. Increasing concern about health promotion
4. Increasing stakeholders participation
5. Health promotion committee
6. SDAO allowance budget for health promotion.
7. Continuing development.
Sport support




          Good Participation :
       school, community, temple
AIC
Results
 1. After implementation, the subjects had mean score
  of Knowledge, attitude , enabling, and reinforcing
  factor of SDAOM higher than before
  implementation significantly at p<0.001.
 No significant of practice and role of health
  promotion support.
Results : Situation
 1. SDAOM almost had experiences for health
  promotion training however no policy and no health
  promotion activities were arranged.
 After implementation there were many health
  promotion activities appear including plan and policy
  were focused .
Good Community participation
AIC Technique at Nongbua sub-
district, Kalasin Province
Research Results
4. Marital       5.Education
        status (Married   (Primary school
                                  %)
  3. Age 6 -45                  6. Body weight
     yr    %)                       ( -     Kg
                                          %)
                                     7. High (151-
   2. Sex                            160 Cm      %)
   (Female
    51.8%)
                                     8. BMI (    -
1. Sample (56                                   %)
    Persons)
                   1. General data
12. Income      13. Exercise
            Per month         training
        (<       Bt          (      %)
 11. Agriculture                 14. Nutrition
      (    %)                        training
                                  (     15.%)
                                            Alcohol
 Member 10.
      Family                             and Tobacco
Illess(NO67.9%)                       Training (    %)
                                         16. Stress
9. Sickness                              management
  (No       )
                  1. 1. General data     ( 45.64%)
18. Traffic
                       accident
                     Prevention
                  Training (      19. Sanitation
  17. AIDS
Training (48.21                   and Environment
      %)                              (     %)



                  1. 1. General data
2 Comparison of knowledge for health
promotion between pretest and post test.
                      30
                                           24.64
                      25   22.83
    knowledge score




                      20
                                                           average score
                      15
                                                           S.D.
                      10
                                                    3.93
                      5             3.59


                      0
                              pretest         posttest



   Significantly Difference p<0.001; 95%
   CI: 2.98 to 0.61
Competition of Local song for health
promotion
Health Promotion Training for Senior
people
3 Comparison of Attitude toward       health
promotion between pretest and post test.
                     90
                                          78.6
                     80   72.28
                     70
    Attitude score




                     60
                     50                                  average score
                     40                                  S.D.
                     30
                     20
                                   7.76           5.09
                     10
                     0
                             pretest        posttest



  Significantly Difference                       p<0.001; 95%
  CI: 8.89         )
3 Comparison of Perception of     Enabling
factor of health promotion between pretest
and post test.
                        3
                                             2.53
                       2.5
    Enabling Factore




                        2
                             1.66     1.71           1.53
                                                            average score
                       1.5
                                                            S.D.

                        1

                       0.5

                        0
                                pretest        posttest



  Significantly Difference                          p<0.000; 95%
  CI : 8.89         )
Health promotion training for adolescent
4 Comparison of reinforcing factor on health
promotion between pretest and post test.
                  3.5                           3.32

                   3
    factor




                  2.5
                                     2.08
    Reinforcing




                   2    1.68                                  1.6   average score

                  1.5                                               S.D.


                   1

                  0.5

                   0
                               pretest             posttest



  Significantly                          Difference p<0.001; 95%
  CI : 2.36 To                               )
5 Comparison of practice        on health
promotion between pretest and post test.
                        120
                              101.66             100.04
                        100
    คะแนนด้านพฤติกรรม




                        80
                                                                   average score
                        60
                                                                   S.D.
                        40

                                         13.24             11.57
                        20

                         0
                                   pretest           posttest




  No Significantly different                              p<0.447; 95%
  CI : -2.63 To       )
6. Comparison of supportive role for health
promotion between pretest and post test.
    Supportive role




                      40
                           33.51            34.32
                      35
                      30
                      25
                                                              average score
                      20
                                                              S.D.
                      15
                                                       7.36
                      10             7.25
                      5
                      0
                               pretest          posttest




   No significantly Difference p<0.527; 95%
   CI : -1.72 To 3.33)
People Characteristic

Recommendation from research

1.   Human relationship among stake holders is very
     important including researcher and community
     leader.
2.   Mobilization      among       other supportive
     organizations should concern.
3.   Knowledge management for caring and sharing
     should be conducted.
Recommendation from research
     Motivation relevance with community context
     made the leader alert to join health promotion
     activities
5.   Re- planning is very important for increasing
     sustainable development.
6.   Researcher should be facilitator and help the local
     authority take action and increasing their proud.
Recommendation from research
Enhancing     Local Authority has opportunity to
present    the activity an increasing    self of
belonging.
Recommend for further research

1. It should    be R&D Research and
   Development for sustainable and
   creative activities.
2. It should     integrate culture    for
   health development.
3. Integrate        health    promotion
   among all of element is interesting
   such as physical activities, nutrition
   ,   mental health, tobacco        and
   alcohol abuse, AIDS , accident
Recommend for further research
4.   Comparative study between difference local
     authority.
5.   Study and Develop KPI for local Authority.
6.   Study outcome and impact of preventative disease
     decreasing.    Relative     health     promotion
     implementation.
7.   Study applying for health Promotion in various
     dimension of health promotion.
Conclusion
 Health promotion activities was very important
  behavior, especially decreasing preventable
 diseases. , The SDAOM should more concentration
  and support including motivation and
 encourage the people for more concerning and
  participation about health promotion .
Acknowledgement
 Thanks the National Health Security Office
 Thank Khon Kaen University
 Thank sub-district Administration Organization :
  Both Nong bua Sub-district , Nongkungsri
  District, Kalasin Province and Kaosuankuang Sub-
  district ,
 Kaosuankuang Sub-district,Khon Kaen Thailand.
 Thanks for all valuable supportive.
Korea2010 november
Korea2010 november

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Korea2010 november

  • 1. Assoc. Prof. Dr. Chulaporn Sota Faculty of Public Health Khon Kaen University,Thailand
  • 2.
  • 3. Back ground  Disease Pattern is changed from communicable disease to be non communicable disease. (HT,DM,CA,HD)  Health Promotion is the process of enabling people to increase control over, and to improve their own health.
  • 4. OTTAWA Charter Building Health Skill Policy service Community Environment strengthen
  • 5. Sub-district administration organization (SDAO)  Thailand has delegation the powerful to local as top down since the year 1994 until now by SDAO take action as the main organization for development appropriate their need and problem.  But Health promotion was not enough concern from SDAOM although the government try to alert and motivation.  Thailand has already conducted HPH, HPS, Healthy work place, but no have HPSDAO although SDAO is very important organization to improve people’s health and quality of life.
  • 6.
  • 8. Research Design  This participatory action research (PAR)  Aimed to “”””””””””””””””””sub-district administration organization member (SDAOM) to be health promoting sub-district administration organization  Study area : 2 SDAOs  Nongbua sub district , Nong kungsee district, Kalasin Province  Kao Suan Kuang sub-district , Kao Suan Kuang district, Khon Kaen Province, Thailand.
  • 9. Sample  The samples were leaderships.  People :”””””””””””””””  There were phases study.  Phase 1 study context and situation analysis  Phase 2 potential development of Sub-district administration organization  Phase 3 SDAOM conducted health promoting activities for people in communities.
  • 10. Data Collection  The data were collected by questionnaires both pretest and posttest and AIC technique (Appreciate Influence Control)  Data analyzed by SPSS program for quantitative data. The statistics were analyzed for descriptive data : percentage, distribution, arithmetic mean and standard deviation and comparative internal group were used paired Sample t-test.  Qualitative data was analyzed by content analysis.
  • 11. Research Tool Questionnaire and Observation form AIC (Appreciate Influence Control) for qualitative data
  • 12. Empowerment 1. Academic support 2. Motivation : Emotional support 3. Knowledge management or caring and Sharing 4. Health Promoting activities consultation 5. Equipment support 6. Competition : health promotion village, Local song (Sarapanya) 7. Health Promoting Handbook
  • 13.
  • 14.
  • 15. Health Promoting SDAO 1. Health Promoting Plan and Project, Policy 2. Various Health Promoting Activities 3. Increasing concern about health promotion 4. Increasing stakeholders participation 5. Health promotion committee 6. SDAO allowance budget for health promotion. 7. Continuing development.
  • 16. Sport support Good Participation : school, community, temple
  • 17. AIC
  • 18. Results  1. After implementation, the subjects had mean score of Knowledge, attitude , enabling, and reinforcing factor of SDAOM higher than before implementation significantly at p<0.001.  No significant of practice and role of health promotion support.
  • 19. Results : Situation  1. SDAOM almost had experiences for health promotion training however no policy and no health promotion activities were arranged.  After implementation there were many health promotion activities appear including plan and policy were focused .
  • 21. AIC Technique at Nongbua sub- district, Kalasin Province
  • 23. 4. Marital 5.Education status (Married (Primary school %) 3. Age 6 -45 6. Body weight yr %) ( - Kg %) 7. High (151- 2. Sex 160 Cm %) (Female 51.8%) 8. BMI ( - 1. Sample (56 %) Persons) 1. General data
  • 24. 12. Income 13. Exercise Per month training (< Bt ( %) 11. Agriculture 14. Nutrition ( %) training ( 15.%) Alcohol Member 10. Family and Tobacco Illess(NO67.9%) Training ( %) 16. Stress 9. Sickness management (No ) 1. 1. General data ( 45.64%)
  • 25. 18. Traffic accident Prevention Training ( 19. Sanitation 17. AIDS Training (48.21 and Environment %) ( %) 1. 1. General data
  • 26. 2 Comparison of knowledge for health promotion between pretest and post test. 30 24.64 25 22.83 knowledge score 20 average score 15 S.D. 10 3.93 5 3.59 0 pretest posttest Significantly Difference p<0.001; 95% CI: 2.98 to 0.61
  • 27. Competition of Local song for health promotion
  • 28. Health Promotion Training for Senior people
  • 29. 3 Comparison of Attitude toward health promotion between pretest and post test. 90 78.6 80 72.28 70 Attitude score 60 50 average score 40 S.D. 30 20 7.76 5.09 10 0 pretest posttest Significantly Difference p<0.001; 95% CI: 8.89 )
  • 30. 3 Comparison of Perception of Enabling factor of health promotion between pretest and post test. 3 2.53 2.5 Enabling Factore 2 1.66 1.71 1.53 average score 1.5 S.D. 1 0.5 0 pretest posttest Significantly Difference p<0.000; 95% CI : 8.89 )
  • 31. Health promotion training for adolescent
  • 32. 4 Comparison of reinforcing factor on health promotion between pretest and post test. 3.5 3.32 3 factor 2.5 2.08 Reinforcing 2 1.68 1.6 average score 1.5 S.D. 1 0.5 0 pretest posttest Significantly Difference p<0.001; 95% CI : 2.36 To )
  • 33. 5 Comparison of practice on health promotion between pretest and post test. 120 101.66 100.04 100 คะแนนด้านพฤติกรรม 80 average score 60 S.D. 40 13.24 11.57 20 0 pretest posttest No Significantly different p<0.447; 95% CI : -2.63 To )
  • 34. 6. Comparison of supportive role for health promotion between pretest and post test. Supportive role 40 33.51 34.32 35 30 25 average score 20 S.D. 15 7.36 10 7.25 5 0 pretest posttest No significantly Difference p<0.527; 95% CI : -1.72 To 3.33)
  • 36. Recommendation from research 1. Human relationship among stake holders is very important including researcher and community leader. 2. Mobilization among other supportive organizations should concern. 3. Knowledge management for caring and sharing should be conducted.
  • 37. Recommendation from research Motivation relevance with community context made the leader alert to join health promotion activities 5. Re- planning is very important for increasing sustainable development. 6. Researcher should be facilitator and help the local authority take action and increasing their proud.
  • 38. Recommendation from research Enhancing Local Authority has opportunity to present the activity an increasing self of belonging.
  • 39. Recommend for further research 1. It should be R&D Research and Development for sustainable and creative activities. 2. It should integrate culture for health development. 3. Integrate health promotion among all of element is interesting such as physical activities, nutrition , mental health, tobacco and alcohol abuse, AIDS , accident
  • 40. Recommend for further research 4. Comparative study between difference local authority. 5. Study and Develop KPI for local Authority. 6. Study outcome and impact of preventative disease decreasing. Relative health promotion implementation. 7. Study applying for health Promotion in various dimension of health promotion.
  • 41. Conclusion  Health promotion activities was very important behavior, especially decreasing preventable  diseases. , The SDAOM should more concentration and support including motivation and  encourage the people for more concerning and participation about health promotion .
  • 42. Acknowledgement  Thanks the National Health Security Office  Thank Khon Kaen University  Thank sub-district Administration Organization : Both Nong bua Sub-district , Nongkungsri District, Kalasin Province and Kaosuankuang Sub- district ,  Kaosuankuang Sub-district,Khon Kaen Thailand.  Thanks for all valuable supportive.