รูปแบบการจัดการปัจจัยเสี่ยงต่อสุขภาพจากสุรา ยาสูบ และสารเสพติด ของชุมชน โดยใช้แนวคิดนวัตกรรมการดูแลภาวะเรื้อรังในจังหวัดสุราษฎร์ธานี

Abstract

This study is descriptive research using qualitative methods. The objective is to study the health risk management model due to alcohol, tobacco and substance abuse of the community using innovation cares for chronic in Surat Thani Province. Data collected between August and November 2019 using 2 types of the research instruments. Is the interview and focus group from the target group community health organization team and representative of policymakers. A total of 49 people in 5 sub districts of Ban Na San-District. The data were analyzed using descriptive statistics and content analysis The study found that (1) Health risk management situation from alcohol, tobacco, and substance abuse the community using the ICCC framework. There is no area operating all frames of the concept. In summary, the overall operation is at a fair level. The micro-level operation is good. The health team and the community team are relaying information. Preparation and there is a motivation for target groups But for the target audience, there is a lack of information exchange and preparation to participate in activities. Meso level is very good. The community team has implemented quite all issues. But the health team still lacks motivation from the organization leaders to operate. And at the macro level, it is a level that needs improvement. In bringing the policy, The legal framework to apply in the area seriously. All 3 levels have separate operating characteristics. Lack of connection And interaction within the structure. (2) Health risk management model due from alcohol, tobacco, and substance abuse the community using the ICCC framework according to the appropriate conceptual framework. There should be additional important actions to be driven as follows (2.1) Micro level, Perception exchange of information there must be adequate channels of knowledge and information exchange accessible to all target groups. Preparation on the part of the health team and the community team, the target group must be informed in advance of the activity. And use the participation of famity members to stimulate the target audience. Problems and impact information must be retumed in order to raise awareness of the target group, and praising those who can reduce the risk factors. (22) Meso level, in health care organizations projects must be organized every year. Organizational leaders must reward people who do well. There is a service system organized, both proactive and passive. On the part of the community team, awareness must be rased making the community aware of the risk factors at the famity and community level. Community leaders must set a good example Along with supporting and promoting activities prepare man, money, and materials. (2.3) Micro level, Risk factors must be identified in driving the district level quality of life development. Adopt the policy of building a white village without substance abuse, and health management sub-districts to use. Create a health statute for managing risk factors. And use the law at the same time. And there is a memorandum of agreement to drive the management of risk factors in the community. Suggestions from the results of the study indicated that in the implementation of risk factor management in accordance with the ICCC conceptual framework. All levels need to be coherent and interrelated in structure or in all dimensions to operate in dynamism. However, there is a possibility of trial. This should be followed up and evaluated to lead to the improvement and development of the model next effective.