รูปแบบการจัดการปัจจัยเสี่ยงต่อสุขภาพจากสุรา ยาสูบและสารเสพติด ภายใต้กลไกความร่วมมือของคณะกรรมการพัฒนาคุณภาพชีวิตระดับอำเภอ ในเขตสุขภาพที่ 11

Abstract

This study is descriptive research that aimed to explain the model of management for health risks from alcohol, tobacco and addictive substances under the cooperation mechanisms between the District Health Boards (DHBs) and the Local Health Funds (LHFs) in the 11th health region. The data were collected during July 2019 to March 2020 by using documentary research, questionnaire, and focus group discussion for 227 informants from both groups in Sawi District, Chumphon and Ban Na San District, Surathani. The data were then analyzed by the descriptive statistics and content analysis. The results demonstrated that the health risks management model was constructed under the two theories: (1) the logical framework consisting of inputs, processes and outcomes, and (2) the strategic framework, namely problem analysis, formulation, implementation, and evaluation as follows: 1) The dimension of input factors: the integration was blended among the human resources, budgets, communication patterns, channels, and the social capital of the area. 2) Process dimensions: these were joint operations at both the sub-district and district levels according to the strategic framework in 4 steps: 2.1 Problem analysis: Probed for health risk problems in the area, prioritized, and proposed the solutions together. 2.2 Formulation: Clarified roles and duties, resource sharing, operation plan, budget details, and responsible persons. 2.3 Implementation: Cooperated by creating incentives and information to support and work together and 2.4 Evaluation: Monitored and controlled through knowledge exchange, reflexing and lesson learned. and 3) Output dimensions: The cooperation was finally contributed to the good personal role models, the best health practice models, network partnerships, and volunteers groups including the development of plans and projects that had been already allocated all budgets. Suggestion: The above findings have a systematic integrated process in every step at both the sub-district and district levels. This goal is to manage the health risk factors from alcohol, tobacco and addictive substances that affect the health-promotion of the people. Thus, this model should be able to further expand the performance at both the spatial and the point of implementation.