Self-Development Needs in Compliance with the High Performance Organization, Ministry of Public Health MoPH-4t among the Personnel of the District Public Health Offices, Kanchanaburi Province

Abstract

This research aimed to investigate the level of self-development needs for High Performance Organization (HPO) competency practices as outlined in the Ministry of Public Health's MoPH-4T framework and to identify factors influencing these needs among personnel at District Health Offices in Kanchanaburi Province. An explanatory sequential mixed-methods design was employed in two phases. Phase 1 used a quantitative approach, using 116 personnel as the sample. Data were collected using questionnaires and analyzed through descriptive statistics and multiple regression analysis. Phase 2 employed a qualitative approach, conducting in-depth interviews with 26 key informants, comprising 13 district public health officers selected by purposive sampling and 13 district public health office personnel selected by simple random sampling, followed by content analysis.

The overall level of self-development needs for MoPH-4T HPO competency practices was high (μ = 3.88, σ = 0.59). Factors significantly influencing self-development needs at the 0.05 level included marital status (β = 0.233) and five dimensions of job satisfaction: clear understanding of policies and missions (β = 0.330), support from colleagues (β = 0.254), work requiring skills and knowledge (β = 0.208), widespread professional recognition (β = 0.155), and opportunities for creative expression in work (β = -0.169). These variables collectively explained 44.80% of the variance. Qualitative findings confirmed that personnel expressed pride in challenging work and supportive work environments; however, they continued to experience heavy workloads and limited opportunities for full creative expression. Therefore, district health personnel demonstrate substantial self-development needs aligned with HPO competencies. Job satisfaction factors, particularly clarity of organizational direction and collegial support, significantly influence these developmental needs, while constraints on creativity warrant organizational attention.