The Effects of Community Participation Model Development on Behaviors to Prevent Liver Fluke among Local People in Chaiyaphum

Abstract

The objectives of the participatory action research were to study situations and develop a community participation model to prevent and resolve liver fluke disease among residents in Dongkang subdistrict, Konsan district, Chaiyaphum. Ninety participants including village health volunteers, community leaders, school health volunteers, community development personnel, teachers¸ and public health professionals were selected. Data were obtained using PAR technique, in-depth interviews, focus groups, participatory and non-participatory observations, and reflections with data triangulation approach. The research was divided into 3 phases: phase 1-discussions and learning together to analyze problems and find solutions on liver fluke prevention behavior; phase 2-model development and testing; and phase 3-model evaluation using CIPP model. The study was conducted during November 2021 and July 2024. Data were analyzed using content analyses.

The developed model included 1) leaders’ potential development, 2) integrated operations through public health, schools, and communities, 3) development of knowledge and skills for liver fluke prevention, 4) implementations in schools and communities, and 5) monitoring and evaluations. The components of the model should include monitoring and supporting at-risk population to understand perceived barriers and self-efficacy, preventive behaviors, and determinations in preventive behaviors, as well as continuing monitoring and evaluation.