บทบาทของคณะกรรมการพัฒนาคุณภาพชีวิตระดับอำเภอ : กรณีศึกษาโรคไข้เลือดออก อำเภอละงู จังหวัดสตูล

Abstract

The purposes of this descriptive research were to study the roles of the District Health Board: a case study of dengue hemorrhagic fever in Langu District, Satun Province. Four groups of informants were selected by a purposive sampling method, consisting of 21 committees of the Langu District Health Board, 17 subcommittees of the Langu District Health Board (dengue hemorrhagic fever prevention), 12 patients with dengue hemorrhagic fever, and 12 Langu’s population, a total of 62 people. Data were collected using document review, questionnaires, interviews, and focus group discussions and then they were analyzed using descriptive statistics and content analysis. The findings revealed that the roles that Langu District Health Board performed well in the prevention and control of dengue hemorrhagic fever including setting goals and operational guidelines, driving the integration, supporting the participation of all sectors, and other operations as assigned by the Board or the provincial governor (100%), followed by coordinating with government agencies, the private sector and the public sector and sending information to the affecting area (90.5%). The roles that were less performed were monitoring and evaluating (85.7%) and giving suggestions and consultation (81.0%). The roles that should be improved are 1) giving suggestions and consultation: the capacity of the District Health Board must be continuously enhanced. 2) monitoring and evaluating the operations: the field visits at the village level must be set, and the follow-up frequency must be clear and 3) coordinating with government agencies, the private sector and the public sector, and sending information to the area: should build a public relation network in the community. The results obtained from this research can be used to develop the roles of the District Health Board. In terms of the policy recommendations, the Office of the Prime Minister should require the newly appointed District Health Board to pass the competency development of District Health Management Learning (DHML).