The Effectiveness of the Development of Diabetes Management Model based on the Principles of 6 Building Blocks, Sisaket Province.

Abstract

A study on the Effectiveness of development management of diabetic care system in Sisaket under the conceptual of WHO 6 building blocks. The objective is to evaluate the process and outcome in development management of diabetic care by the process of action research (PAOR cycle). Methodology consist of 3 phases. Phase 1 is to identify the pattern of diabetic care system by empowerment the target group, NCD board committees. Phase 2 is to evaluate the pattern, using questionnaire and evaluation questions with the conceptual of WHO 6 building blocks. Target population are 46 NCD board committees. Data collections are in-depth interview and group discussion. The quantitative data was categorized and analyzed by using descriptive statistics, percentages , mean and standard deviation. Phase 3 is evaluating the outcome by comparing the pre and post developmental results.

The development management of diabetic care system are consist of 3 effective parts, Leadership 91.00%, Information System  87.8% and Access to Essential Medicines  82.6% and 3 essential gap that has to be develop, Service Delivery 65.00%, Financing 64.8% and Health Workforce 63.8%. The results also showed that The rate of control blood sugar and the efficacy rate was increase. Moreover, the cost of HbA1c test also decreased. After the developmental process, The access to health care services and efficacy of control blood sugar are increase, the cost of services is decreased. The effectiveness of the development management of diabetic care system in Sisaket is increased.