Occupational and environmental health services standard assessment in 6th Health Region, 2019

Abstract

The occupational and environmental health services standard self-assessment among Sub-District Health Promoting Hospital (SHPH) in the 6^th Health Region was aimed to study situations of the occupational and environmental service standards of Sub-district health promoting hospitals (SHPH) in the 6^th health region according to the benchmark specified by the Department of Disease Control. This research is a cross-sectional study where a self-assessment form according to the occupational and environmental health service standards was employed with 366 Sub-district health promoting hospitals (SHPH), and data was analyzed with descriptive statistics. The finding was found he occupational and environmental health service standard self-assessment among the Sub-district health promoting hospitals (SHPH) indicated that no Sub-district health promoting hospitals (SHPH) failed the criteria. The majority (98 SHPHs) weressed the criteria of initial development accounted for 26.78%, followed by passing the criteria at good level, including 97 SHPHs (26.50%), at excellent level for 87 SHPHs (23.77%) and at very good level including 84 SHPHs (22.95%), respectively. When categorized by components of the standard, the components where the criteria were met with the highest scores were the 1^st component of the management for occupational and environmental health service support, and the 3^rd component of the proactive occupational and environmental health service for external workers and those affected by environmental pollution, covering 366 SHPHs (100.00%). And the following were the 2^nd component occupational health service for personnel in the Sub-district health promoting hospitals (SHPHs), totaling 268 SHPHs (73.22%), the 4^th component: reactive occupational and environmental health services as well as the evaluation, diagnosis, treatment, referral and rehabilitation, including 171 SHPHs (46.72%), and the 5^th component: environmental health service provision, for 87 SHPHs (23.77%), respectively. This study was reveal almost of the Sub-district health promoting hospitals (SHPHs) passed the criteria of initial development the most. Therefore, the quality of operations in accordance with the occupational and environmental health service standards in different aspects should be developed constantly and unceasingly. Additionally, the component where the criteria were met the least was the 5^th component which related to environmental health service provision including risk factor surveillance, patients screening, risk communication, and preparedness for contingency support. Thus, the quality of environmental health service should be developed, and the overall operation should be continuously monitored so that the services could be provided with high quality pursuant to the specified criteria.