Promotion model development of suspected delayed development children 0-5 years. In primary care units, Mueang district Mahasarakham

Abstract

Objective : To study the development of the developmental model for children 0-5 years with suspected developmental delay in Mueang district,Mahasarakham province.         

Method : This action research occupied 20 primary care units. This study involved 22 children 0-5 years with suspected developmental delay, 22 parents of the children, 20 public health officers, and 20 public health volunteers totaling 84 people. This study was divided into 3 phases including 1. Preparation phase 2. Development phase and 3. Assessment phase starting from September to December 2020. The data were collected from medical records and The HDC database. The instruments used in the study included a questionnaire, an assessment form (TEDA4I), an in-depth interview form, and a group conversation record. The statistics used for analyzing the data involved percentage (%), mean ( ), standard deviation (S.D.), and content analysis.         

Result : Qualitative result: This study found that there were 8 steps for the developmental model including 1. investigating the situation and analyzing the problem2. convening the multidisciplinary team to create the work guidelines 3. Holding childcare training for the team including nurses, children’s center teachers, and public health volunteers 4. cooperating with ‘Dek Keng Dee Mee Suk’ subcommittee under the supervision of District Health Board (DHB) 5. supervising the primary care units and children’s center by trainers from childcare clinics and an IT team 6. monitoring the children’s development in the community 7. constantly following up on the children’s development 8. holding an MCH board’s quality meeting Quantitative result: After developing the developmental model for children 0-5 years with suspected developmental delay in Mueang District, Mahasarakahm Province, in terms of perception of the development promotion, the majority of the parents were at a high level, accounting for 77.27%. The samples with suspected developmental delay were monitored after the stimulation within 30 days, accounting for a 100% increase from pre-development. After the development stimulation follow-up, it was found that 9 samples’ developments were at a normal state (the first time and 30 days after the stimulation), accounting for 40.90%, 6 samples were suspected of developmental delay, accounting for 27.27%, and 7 samples had developmental delay, accounting for 31.80% (2 samples were under the process of follow-up and diagnosed with Down Syndrome. 1 with Cerebral Palsy and Epilepsy and 2 with Autism)