STRANGTHENING PARTICIPATION EFFECT OF FARMERS NETWORKS TO REDUCE CHEMICAL PESTICIDES USE TO ENZYME CHOLINESTERASE AND RISK FACTORS FOR NECROTIZING FACILITIES, NONG BUA LAMPHU PROVINCE

Abstract

This study aims to study the participation of the network to reduce the use of pesticides on cholinesterase levels and the risk factors for Necrotizing fasciitis among farmers. Nong Bua Lamphu Province. This quasi–experimental study, in sample was included: 1) 303 farmers who used pesticides and 2) 362 network members, between July - October 2021. Tool used: Farmer Questionnaire and network by using statistics, percentage, mean, T-Test, multiple regression analysis.

Results: Farmers' group after the process had a statistically significant increase in the level of cholinesterase enzyme (p-value<0.001). Normal level from 20.2% to 56.2%, safe level increased from 27.1% to 28.5%. The risk factor among farmers after treatment was statistically significantly to decreased exposure to chemicals (MD. 0.10, p-value<0.001). Chemical exposure protection equipment wearing increased statistically (p-value<0.001). Effects of Necrotizing fasciitis risk factors among farmers had decreased with statistical significance (MD. 0.05,p-value<0.001). Four factors were able to predict the influence on the cholinesterase enzyme levels of the farmers with statistically significant 3.1% (Adj.R²=0.031). After the network operation, there was a statistically significant increase in the mean overall participation score (MD. 2.74, p-value<0.001). Most were involved in evaluation, problem solving and solutions.

Conclusion: After development, it was found that participation of the network led farmers to have more pesticide exposure prevention behaviors than before development.