The Model of Prevention and control of Liver Fluke and Cholangiocarcinoma, by the district quality of life development committee mechanism in Ban Phai District, Khon Kaen Province

Abstract

This study aimed to develop and evaluate an operational model for the prevention and control of liver fluke disease and bile duct cancer using the mechanism of the District Quality of Life Development Committee in Ban Phai District, Khon Kaen Province. The research was conducted from July to September 2024 and consisted of three phases. Phase 1: A retrospective study examining the situation and issues related to liver fluke infection and cholangiocarcinoma in Ban Phai District, Khon Kaen Province. This phase involved analyzing relevant documents and reports. Phase 2: The development of an operational model through a quality management process, utilizing one cycle of the PAOR (Plan-Act-Observe-Reflect) framework. Phase 3: The evaluation of the developed model, which compared an experimental group with a control group, each consisting of 140 participants. Data analysis was performed using both descriptive and inferential statistics. The research resulted in the "BANPHAI MODEL," comprising seven components: 1) Board: a structured committee, 2) Activity: disease prevention and control activities, 3) Network: stakeholder coordination, 4) Participation: community involvement, 5) Health Literacy and Entertainment: health literacy development and recreational activities, 6) Awareness: raising community consciousness, and 7) Integration: cross-sector collaboration. Post-intervention evaluation revealed that the experimental group showed significantly higher average scores in knowledge, attitudes, and participation compared to pre-intervention (p< 0.05). Participants reported high satisfaction with the model. This developed model effectively enhanced community capacity in preventing and controlling liver fluke disease and bile duct cancer using the District Quality of Life Development Committee mechanism, achieving the set objectives