Factors Influencing Public Perception of the Role of Thalang District Public Health Office, Phuket Province following the full-phase Complete Decentralization of the Ministry of Public Health
Article Sidebar
Main Article Content
Abstract
This cross-sectional survey research aimed to study: 1) personal characteristics, health system components, and the roles of Thalang District Public Health Office and public perception following the full-phase decentralization of the Ministry of Public Health; and 2) factors influencing public perception regarding the roles of the Thalang District Public Health Office in Phuket Province after the full-phase decentralization. The sample consisted of 187 residents aged 20 years and older, selected through Multistsge Random sampling. Data were collected using a four-part questionnaire with Content Validity Index (CVI) values ranging from 0.67 to 1.00. The reliability coefficients for Parts 2, 3, and 4 were 0.93, 0.88, and 0.92, respectively. Data were analyzed using descriptive statistics and multiple linear regression analysis. The results revealed: 1) 58.80% of the respondents were female, with an average age of 48.03 years (SD = 11.42). Health system components, information on the role of the District Public Health Office, and overall public perception regarding its role post-decentralization were all at a high-level and factors significantly influencing public perception at <0.001 significance level were Village Health Volunteers (VHV), work experience, and the roles of the District Public Health Office during the full-transfer phase. Together, these variables accounted for 72% of the variance in public perception of the Thalang District Health Office's roles (Adjusted R² = 0.72).
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Boonphinich A, Yubolphan N. A decade of transferring sub-district health promoting hospitals to local administrative organizations: A case study of local administrative organizations in Roi Et Province. Journal of Integration Social Sciences and Development. 2025; 5(1): 381. (In Thai)
Boonrattanatep K. Synthesis of the district health system management model after the transition of sub-district health. Central Primary Health Care Journal. 2025; 39(2): 18.
Sriratanaban J, Singweratham N, Maneechai M, Khamwong D, Phatthratheerakul N, Sansai S, et al. Health impact assessment of the population after the transfer of sub-district health promoting hospitals. Health Systems Research Institute (HSRI); 2023.
Ministry of Public Health. Ministerial Regulation on the Administrative Organization of the Office of the Permanent Secretary, Ministry of Public Health, 2024. Ratchakitchanubeksa. 2024; 141(Part 12 A): 18-21.
Purichaivoranant C. Factors associated with public health administration of district health officers in Kanchanaburi Province [Master’s thesis]. Nonthaburi: Sukhothai Thammathirat Open University; 2018.
Sangkhaprom S. Guidelines for enhancing health decentralization in missions following the transfer of sub-district health promoting hospitals a case study of Nakhon Pathom province Bangkok: Faculty of Political Science, Thammasat University; 2023.
Juntra R, Kerikkulthorn T, Chuenklin T, Nimwattanakul S, Sornkasetrin A, Khamngern R, et al. Roles of Provincial Public Health Offices and District Public Health Offices after the transfer of sub-district health promoting hospitals to provincial administrative organizations. Nonthaburi: Faculty of Nursing, Praboromarajchanok Institute; 2023.
Polsri K, Kenaphoom S, Phosing P, Kosonkittiamphon S. Development model for performance based on decentralization missions to local administrative organizations in the Roi-Kaen-Sarn-Sin province cluster [Doctor of Public Administration dissertation]. Maha Sarakham: Maha Sarakham Rajabhat University; 2019.
World Health Organization. Monitoring the building blocks of health systems: a handbook of indicators and their measurement strategies. Geneva: World Health Organization; 2010.
Chinjohor K. Development of a health resource management model for district public health offices under the transfer of sub-district health promoting hospitals to provincial administrative organizations: a case study of district public health offices in Nakhon Ratchasima province. Journal of Health Research and Development. 2024; 10. (In Thai)
Theptrakarnporn S, Wattanasey S, Longkul J, Evanovitch K, Mongkolsamrit S. Perspectives and expectations of the public toward the transfer of sub-district health promoting hospitals to the management of local administrative organizations. Nonthaburi: Health Systems Research Institute; 2022.
Bulthuis SE, Kok MC, Amon S, Agyemang SA, Nsabagasani X, Sanudi L, et al. How district health decision-making is shaped within
decentralised contexts: A qualitative research in Malawi, Uganda and Ghana. Glob Public Health. 16 (1), 120-135.
Sridarung C, Sriyasak A, Sring P, Thanakarnjanaphakdee W, Khlangklang R, Hussaroke J, et al. Driving research utilization for developing mechanisms to enhance the potential of village health volunteers. Nonthaburi: Health Systems Research Institute; 2026.
Singweeratham N, Sriratanaban J, Kantiya P, Kumwong D, Maneechai M, Siewchaisakul P. Opinions and perspectives on roles, missions, and structures of Provincial Public Health Offices and District Health Offices after the transfer of Sub-district Health Promoting Hospitals to Local Administrative Organizations. J Nurs Public Health Netw. 2023; 12(1): 27-9. (In Thai)
Egbuchulem KI. The basics of sample size estimation: an editor's view. Ann Ib Postgrad Med. 2023;21(1):5-10.