Development of the Operational Model for the “1,000 Days of Life Miracle” Program under the Mechanism of the District Health Board, Chaloem Phra Kiat District, Nakhon Ratchasima Province

Abstract

This research is an action research study aimed at (1) analyzing the situation, knowledge, and satisfaction; (2) developing the operational model for the “1,000 Days of Life Miracle” program; and (3) evaluating the operational model of the “1,000 Days of Life Miracle” program under the mechanism of the District Health Board (DHB) in Chaloem Phra Kiat District, Nakhon Ratchasima Province. The sample comprised two groups: Group 1 consisted of 110 healthcare personnel working at Chaloem Phra Kiat Hospital, and Group 2 included 15 members of the District Health Board. Research instruments encompassed document analysis, questionnaires, in-depth interviews, and focus group discussions. Quantitative data were analyzed using descriptive statistics, including frequency, percentage, mean, standard deviation, and chi-square test. Qualitative data were analyzed by categorizing and grouping information.

               Results indicated that (1) the “1,000 Days of Life Miracle” program was established as an operational plan at the district level. Most healthcare personnel had relatively low knowledge about the “1,000 Days of Life Miracle” program but expressed high satisfaction with the roles and duties of the District Health Board members in the overall implementation of the program (mean = 3.81, S.D. = 0.71); (2) the development of the operational model was based on the HONOR Model, consisting of (2.1) full support and assistance from district-level executives (Help), (2.2) clear understanding by the District Health Board regarding implementation (Obvious), (2.3) continuous creation of new health partnership networks (Network), (2.4) sustained ongoing operation (Ongoing), and (2.5) shared use of resources, such as personnel, budget, and equipment (Resources Sharing); (3) the evaluation of the developed operational model under the DHB mechanism in Chaloem Phra Kiat District found it to be accurate, appropriate, and feasible for implementation. Recommendations include monitoring child development within schools, providing oral health care, and expanding the application of the HONOR Model to all District Health Boards throughout Nakhon Ratchasima Province.