บทบาทของคณะกรรมการพัฒนาคุณภาพชีวิตระดับอำเภอ: กรณีศึกษาอุบัติเหตุทางถนน อำเภอป่าบอน จังหวัดพัทลุง

Abstract

The purpose of this research was to study the roles of the District Health Board (DHB) in preventing and controlling road accidents. Three sample groups were selected by a purposive sampling method, consisting of 20 members of Pa Bon District Health Board, 19 members of the Road Accident Prevention Working Group, and 20 stakeholders, including community leaders, representatives or relatives of injured people and those killed in road accidents, village health volunteers and volunteers taking care of bedridden patients. Data were collected using a questionnaire, an interview form and focus group discussions, and analyzed by descriptive statistics and content analysis. The findings revealed that the roles comprehensively performed by the District Health Board included setting goals and operating guidelines, driving operation, and coordinating with government agencies, the private sector and the public sector in the responsible area (100%). The roles that the District Health Board were not performed comprehensively included giving advice and mentoring, support for participation, performing other assigned operations and monitoring and evaluation (75.0%, 65.0%, 50.0%, 35.0%, respectively). When considering the details of the implementation of the five pillars of road safety measures, the following information can be acquired. Pillar 1: Road Safety Management: Each department was assigned to prepare a project plan and carry out the mission in accordance with the policy under “Safety with Traffic Discipline”. Pillar 2: Safer Roads and Mobility: The Highway Division, the Subdistrict Administrative Organization, factories and the Provincial Electricity Authority surveyed and collected data, solved problems and maintained roads in risky areas. Pillar 3: Safer Vehicles: An action plan was prepared with the Department of Land Transport, Road Accident Victims Protection Co., Ltd. and Vocational College in the registration renewal and Compulsory Motor Insurance and checking the vehicle condition of the car for the public. Pillar 4: Safer Road Users: A project was organized with local organizations to educate and publicize traffic discipline rules for children, youth and the general public. Pillar 5: Post-crash response: A project was organized in conjunction with hospitals to prepare responses after road accidents in 3 areas: assistance systems for victims at the scene of the accident, the readiness of the service units and remedial measures after the accident. Pa Bon District Health Board should focus on additional actions in the following 4 roles. Role 3: Support for participation: The community should be encouraged and supported to participate in road maintenance and safety. The visibility of community roads or secondary roads should be improved. Advice and mentors in writing a project budget proposal submitted to the Community Health Security Fund are also needed as the budget will be used in creating cooperation, awareness, a sense of belonging and awareness of road accident prevention at community, family and individual levels. Role 4: Giving advice and mentoring: Comprehensive actions in accordance with the five pillars of road safety measures should be operated. Also, the scope of work in Pillar 1 (Road Safety Management) should be expanded. Role 5: Monitoring and evaluation: The PDCA should be applied in the roles according to the five pillars of road safety measures to systematically improve work processes in problem solving and continuous improvement of operations. Role 6: Coordinating with government agencies, the private sector and the public sector in the responsible area: The information on road accidents should be exchanged. The community public relations network should be established. As for Roles 1-2, more details of the operations according to the roles should be added as follows. Role 1: Setting goals and operating guidelines: Additional actions should be taken to develop the potential and competency of Pa Bon District Health Board to suit the identified problems.Role 2: Driving operations: Further actions should be taken to create mutual awareness with the working group in the implementation of the five pillars of road safety measures. The roles of the District Health Board should be clearly defined. The budget to support the implementation is also needed for sustainable operations. The findings of this study can be used as the recommendations for the DHB. committee should set it as a measure. Road accident prevention performance and follow-up on progress every three months, and a forum should be organized to share lessons learned on good management processes to drive road accident prevention operations. Policy recommendations; provincial executive in each province should encourage agencies at the provincial, district, sub-district, and community levels to be aware of the approach to drive this issue in the same direction and should be formulated as a strategy. Work plans/projects of relevant agencies Pushing forward work through the Community Health Security Fund. in addition, the research on the success and failure factors of the operations of the District Health Board and the effective ways in developing the competencies of the District Health Board should be conducted.