The Model of Prevention and control of Liver Fluke and Cholangiocarcinoma, by the district quality of life development committee mechanism in Uthumphon Phisai District, Sisaket Province

Abstract

This study aims to develop a model for the prevention and control of liver fluke and bile duct cancer. using the mechanism of the district quality of life development committee Uthumphon Phisai District. The study was divided into 3 phases. Phase 1 was a cross-sectional analytical research; the sample consisted of 349 people in Uthumphon Phisai District. The data were collected using a questionnaire created by the researchers, Analyzed for predictive factors using Multiple linear regression statistics. Phase 2 was action research to develop a model for the prevention and control of liver fluke and bile duct cancer. by using the mechanism of the quality of life development committee Uthumphon Phisai District Sisaket Province through 3 cycles of quality management process (PAOR), each cycle consists of 4 steps as follows: planning, action, observation and reflection. The samples were representatives of the district quality of life development committee and stakeholders in the Uthumphon Phisai District Sisaket Province, a total of 48 people. The data was analyzed by collecting, categorizing and content analysis. Phase 3 was a quasi-experimental research to study the effects of the developed model in the experimental and comparative groups. Including people in Khayung Subdistrict Uthumphon Phisai District, Sisaket Province, 50 people per groups. The data were analyzed to compare the difference of mean scores of variables before and after receiving the program by using Independent sample t-test. Study period from January 2022-December 2022.

The results showed that factors Affecting Prevention and Control Behaviors of Liver Fluke and Cholangiocarcinoma Uthumphon Phisai District, including the factors perception of one's abilities social norm factor the  cognitive Benefit factor and the cognitive barrier factor were used together to explain the variation in the factors affecting the prevention and control behavior of liver fluke and cholangiocarcinoma by using the mechanism of the district level quality of life development committee Uthumphon Phisai District get percentage 20.5% (R²=0.214, R²adj=0.205) with statistical significance at the 0.05 level. The model for prevention and control of liver fluke and bile duct cancer using the mechanism of the district quality of life development committee. Uthumphon Phisai District is SCR3SD as follows: 1) Structure & Policy: a strong district-level quality of life development committee Participate in setting policies and clear roles and responsibilities in operations There is a system of regular and continuous follow-up meetings. 2) Coordination and Networking: Coordination between organizations. Personnel involved to create a network to jointly solve problems. 3) Resource sharing: support. Share resources and utilize them together. 4) Social Awareness: Raise awareness and shared responsibility through a participatory process. value creation Fundraising for all organizations in the community. 5) Service system: Creating a comprehensive screening system from the community level to the service unit. 6) Self-care: increasing self-care potential for people to have good health behaviors 7) Development & Evaluation: adherence to the monitoring and evaluation of teams that are ready and continuously pushing for policies that benefit the community. As for the model evaluation, it was found that after the experiment, the experimental group had the mean score difference of the liver fluke prevention behaviors of the people in Uthumphon Phisai District. It was statistically significantly higher than before the experiment at 0.05 (95% CI = 14.16-17.64, t = 18.10, p = 0.001). and bile duct cancer using the mechanism of the District Quality of Life Development Committee Uthumphon Phisai District achieved the set goals.