The Success of District Health System : Case Study of Yang Talat and Kuchinarai Districts, Kalasin Province

Abstract

            This study was quality research for study the success of District Health System: Case study of Yang Talat and Kuchinarai Districts, Kalasin Province. This study aimed to survey how two districts succeeded in putting the health system into a good practice. The objectives were to survey the success of District Health System, the key factors led to success, lessons learned and establishing a center for learning exchanging. Quantitative data was collected by using questionnaire from the sample 94 people. The statistical were used Frequency, Percentage, Mean and Standard Deviation. Qualitative data was collected by In-depth interview and focus group from the sample 30 people. The statistical was used content analysis.

              The study has found that the administrators and officers of Yang Talat District had a positive attitude towards the operating of networking = 3.56 (S.D.= 0.86) the expectation and satisfaction at high level 

= 4.05 (S.D.= 0.73) and = 3.56 (S.D.= 0.86)as well. The same results relating to attitudes and satisfaction were also found from the administrators and officers at Kuchinarai District at the high level, =3.65 (S.D.= 0.72) and =3.85 (S.D.=0.78) =3.52 (S.D.= 0.63) respectively. The success of the two Districts Health Systemic based upon the long term development and learning from proactive work. The service was in a form of community approach rather than waiting for the patients to come. The learning experience was from the multidisciplinary networking. The health workers have joined together and worked as a team. They have helped together to find solutions to problems in wider dimensions and cooperatively followed the Kalasin’s provincial policy which has aimed to create happy citizens and a happy networking community.

           The study suggests that even though there were differences in contexts, through networking, every government section can happily work together if they value and care each other. The research conducted with good cooperation from the community can lead to a good learning process, particularly, the development from routine to research (R2R). The educational medical professionals and public health institute should include the concept of District Health System networking in their teachings, particularly, based upon Humanized Health Care.