การพัฒนารูปแบบสื่อสารความเสี่ยงโรคและภัยสุขภาพ แบบมีส่วนร่วม เพื่อแก้ไขปัญหาโรค Streptococcus suis ในพื้นที่ ตำบลทุ่งกล้วย อำเภอภูซาง จังหวัดพะเยา

Abstract

          This study was aimed to develop a risk communication model of deafness prevention owing to Streptococcus suis infection in Phusang district, Payao province. Participatory research was conducted during March 2008 – February 2009 and Moo 4, 5, and 9 in Tungklouy subdistrict were purposively selected. The community had chosen their delegates who, thereafter, organized knowledge sharing events, community problem analyses, key measures to implementation, a strategic map, and monitoring and evaluation. According to the problem analysis findings, the study revealed that a cooking process was done mainly by housewives. Men and elders favored of eating spicy raw pork. In every party had spicy raw pork that was served with alcoholic drinking. Consequently, community dictated social measures to stop eating all food consisted of raw pork in all parties. Housewives together with village’s commissions and party-holders would list a menu for the parties. Meanwhile, risk communication materials were developed to campaign in the villages, for example, posters that were placed in village-common places, stickers that were distributed when running a door-to-door campaign, T-shirts that were posted a motto “Exterminator team for raw pork eaters” and were put on during the parties. Two big campaigns were carried out in April and August 2008. After 6 months, public health officials evaluated the model and found that 90% of villagers stopped eating raw pork and in every party had only a cooked food menu. Conclusions and recommendations. Risk communication model to prevent deafness from Streptococcus suis infection under participatory processes and designated social measures to stop eating raw pork were fruitfully evidenced. However, the implementation and sustainability also needed governmental roles and private sectors in the district to support the processes and activities continuously.