korea2010 november
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Local Authority Research on health promotionTRANSCRIPT
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The Development of Sub-district Administration organization to be Health Promoting organization
Assoc. Prof. Dr. Chulaporn SotaFaculty of Public HealthKhon Kaen University,Thailand
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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.
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OTTAWA Charter
BuildingPolicy
Environment
Community strengthen
Skill Health service
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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.
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Health Promoting Sub-
district Administration Organization
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Objectives
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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.
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Sample The samples were 56 leaderships. People :””””””””””””””” There were 3 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.
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Data CollectionThe 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.
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Research ToolQuestionnaire and Observation form
AIC (Appreciate Influence Control) for qualitative data
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Empowerment1. Academic support2. Motivation : Emotional support3. Knowledge management or caring and Sharing 4. Health Promoting activities consultation5. Equipment support 6. Competition : health promotion village, Local
song (Sarapanya) 7. Health Promoting Handbook
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Health Promoting SDAO1. Health Promoting Plan and Project, Policy2. Various Health Promoting Activities3. Increasing concern about health promotion4. Increasing stakeholders participation5. Health promotion committee 6. SDAO allowance budget for health
promotion.7. Continuing development.
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Sport support
Good Participation : school, community, temple
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AIC
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Results1. 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.
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Results : Situation1. 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 .
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Good Community participation
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AIC Technique at Nongbua sub-district, Kalasin Province
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Research Results
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1 .General data
1 .Sample (56 Persons)
2 .Sex (Female 51.8%)
3 .Age 6 -45 yr 39.28%)
5.Education (Primary school
26.8%)6 .Body
weight (51-60 กKg. 50.0%)
7 .High (151-160 Cm. 53.57%)
4 .Marital status
(Married 85.7%)
8. BMI (19-25 75.0%)
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1 .1 .General data
9 .Sickness (No 67.9%)
Member 10. Family
Illess(NO67.9%)
11 .Agriculture
( 58.9%)
13 .Exercise training (83.93%)
14 .Nutrition training
( 69.64%) 15 .Alcohol and Tobacco
Training (58.93%)
12 .Income Per month (<5000 Bt 81.78%)
16 .Stress management
(45.64%)
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1 .1 .General data
17 .AIDS Training (48.21
%)
19 .Sanitation and
Environment ( 58.93%)
18 .Traffic accident
Prevention Training
( 69.64%)
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22.8324.64
3.593.93
0
5
10
15
20
25
30
pretest posttest
kn
ow
led
ge
sco
re
average score
S.D.
2. Comparison of knowledge for health promotion between pretest and post test.
Significantly Difference (p<0.001; 95% CI: 2.98 to 0.61)
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Competition of Local song for health promotion
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Health Promotion Training for Senior people
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72.2878.6
7.76 5.09
0
10
20
30
40
50
60
70
80
90
pretest posttest
Att
itu
de
sco
re
average score
S.D.
3. Comparison of Attitude toward health promotion between pretest and post test.
Significantly Difference p<0.001; 95% CI: 8.89 ถึ�ง 3.75)
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1.66
2.53
1.71 1.53
0
0.5
1
1.5
2
2.5
3
pretest posttest
En
abli
ng
Fac
tore
average score
S.D.
3. Comparison of Perception of Enabling factor of health promotion between pretest and post test.
Significantly Difference (p<0.000; 95% CI : 8.89 ถึ�ง 3.75)
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Health promotion training for adolescent
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1.68
3.32
2.08
1.6
0
0.5
1
1.5
2
2.5
3
3.5
pretest posttest
Rei
nfo
rcin
g
fac
tor
average score
S.D.
4. Comparison of reinforcing factor on health promotion between pretest and post test.
Significantly Difference (p<0.001; 95% CI : 2.36 To 0.92)
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101.66 100.04
13.24 11.57
0
20
40
60
80
100
120
pretest posttest
คะแน
นด้�าน
พฤติ
�กรรม
average score
S.D.
5. Comparison of practice on health promotion between pretest and post test.
No Significantly different (p<0.447; 95% CI : -2.63 To 5.88)
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33.51 34.32
7.257.36
0
5
10
15
20
25
30
35
40
pretest posttest
Su
pp
ort
ive
role
average score
S.D.
6. Comparison of supportive role for health promotion between pretest and post test.
No significantly Difference(p<0.527; 95% CI : -1.72 To 3.33)
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People Characteristic
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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.
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Recommendation from research
4. 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.
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Recommendation from research
7. Enhancing Local Authority has opportunity to present the activity an increasing self of belonging.
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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 prevention and environmental health.
Recommend for further research
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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.
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ConclusionHealth 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 .
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AcknowledgementThanks the National Health Security OfficeThank Khon Kaen UniversityThank 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.
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Thank you for your Attention