The Development of the Operational Model “The Miracle 1,000 Days Plus” Under the Mechanism of the District Health Board in Nakhon Ratchasima Province

Abstract

This action research project aimed at 1) analyzing context, knowledge, and satisfaction regarding the implementation of the Miracle 1,000 Days Plus, 2) developing an operational model for the Miracle 1,000 Days Plus, and 3) evaluating the development of this operational model within the framework of the district health board in Nakhon Ratchasima province. Samples consisted of two categories: group 1-health personnel working at sub-district health-promoting hospitals (n=215), and group 2-officials of the district health board (n=30). Research tools included document analysis, questionnaires, in-depth interviews, and focus group discussions. Quantitative data were analyzed using descriptive statistics such as frequencies, percentages, means, standard deviations, and Chi-square tests. Qualitative data were analyzed through classification and grouping.

The results showed that 1) the implementation of the Miracle 1,000 Days Plus was adapted to the specific context of each area, including the development of district-level operational plans. Network partners increasingly participated in the implementation process. Health personnel expressed high satisfaction with the district health board’s role in implementing the Miracle 1,000 Days Plus (=3.87, SD=0.71); 2) developments of the operational model was a collaborative effort involving multiple sectors, based on the GROWTH Model, including 2.1) knowledge enhancement, 2.2) awareness raising, 2.3) participation, 2.4) willingness, 2.5) clear operational goals, and 2.6) mutual support; 3) the development of the operational model was accurate, appropriate, and feasible for implementation. The study recommends expanding the use of the GROWTH Model for district health boards nationwide.