Evaluation of the Quality of Diabetes and Hypertension Disease Prevention and Control at a Primary Care Unit in Chiangrai Province, 2005

Abstract

          This project aims to study the quality of preventive care services for Diabetes and Hypertension at a Health Care Centre in Chiang Rai Province in 2005. The information gained from the study project will be used in advocating better preventive care planning and development for Diabetes and Hypertension, as well as other not-infectious diseases. The study target group was 111 officials working at 57 Health Care Centers and 1,140 people living in the study area. (50% were patients of Diabetes and High Blood Pressure and 50% were commons). The questionnaires were appropriately designed and patients and common people were interviewed using primary data collection methods. The study results show that 3 of the preventive care services for Diabetes and Hypertension have been implementing full coverage of all levels of people in the study areas including primary prevention care services for common people, secondary prevention care services for at risk people who have the diseases but are asymptomatic and tertiary prevention care services for patients with Diabetes and Hypertension. Service activities include arranging and following guidelines and preventive care services of Diabetes and Hypertension established by the Department of Disease Control, Ministry of Public Health. Almost all of the service activities are effective and meet the standards when compared with the indexes of th Department of Disease Control, however; only one service activity: a blood pressure measurement, is not approved and accepted. Therefore improved techniques for transferring blood pressure measurements, specifically for Diabetes and Hypertension patients, need to be considered. Officials must be trained to have better knowledge and understanding of these diseases in order to have high quality preventive services for diabetes and Hypertension.