Proactive Managementof Applying Health Card for Mother& Child for the First Antenatal Care in Nadun Hospital, Nadun,Mahasarakham Province.

Abstract

                  According to the first antenatal care statistics, Thailand’s has an average at 53 percent whereas the target of ministry of public health is 60 percent and Na dun hospital’s average in 2010, 2011, 2012 is 23, 26, 8 and 30 percent, respectively. Following the statistics above, there obviously can be seen that the first antenatal care is a vital problem is needed to solve. Son Na dun hospital together with village health volunteers did the project of Health Card for Mother & Child for celebrating the Queen Sirikit.

                  The researcheraims to develop and evaluate the result of Health Care for Mother & Child project and to study the factors which affect the first antenatal care of lower 12-week gestational age.

               The research is a participatory action research. The researcher collaborated with 161 of health volunteers to educate of 933 reproductive women in 10 villages as a sample group about quality antenatal care and using Health Card for Mother & Child in a public hospital. The researcher collected antenatal care of Na dun hospital data from August 2013 to May 2014 to compare with the figures of antenatal care 3 years back, in order to study factors of an early antenatal care.

               The findings illustrated 16 out of 30 pregnant women of sample group got an early antenatal care, 53% with has statistical significant increasing at 0.05 when compared with the 3-year back data. Moreover, the result also showed that education, right to medical treatment, number of pregnancy and providing information of village health volunteer have effects on an early antenatal care. However, there is a late antenatal care in lower 20 years pregnant women. Furthermore, 96% of pregnant women have not realized the Health Card for Mother & Child project.

               In conclusion, even the findings showed that there is considerably increasing in an early antenatal care, more than a half of pregnant women still get antenatal care late. It also suggested that the project is essential to be studied and developed continuously, including monitor mother’s health, fetus and fetus growth. In addition, the project of Health Card for Mother & Child is necessary to be cooperated with Youth Friendly Health Service project with the pur- pose of educating reproductive students about birth control and quality antenatal care.