Implementation Model for Measures in the Strategy of the Ministry of Public Health, 2017 – 2021 of the District Health Service Network in Phetchaburi Province

Abstract

Objective: This research is to examine the current state of implementation perceptions, needs for development and factors associated with the needs for development and to present the implementation model.

Methods: The questionnaires for the sample included 278 persons concerned with the District Health Service Network’s strategic plan management and the in-depth interviews for 8 hospital directors and 8 district public health managers. Apart from data analysis through percentage, mean, standard deviation and paired-sample t-test, independent and dependent variables were analyzed in light of their relationship and rational relationship using Pearson product moment correlation coefficient and stepwise multiple regression respectively. The .05 level of statistical significance was defined and the implementation model was proposed under Steiner and Keeves's guidelines (1988).

Results: The findings indicated that a moderate level of satisfaction with current state of implementation and a high level of needs for development were found among a majority of sample (66.9% and 69.5% respectively). Factors associated with the needs for development were 1) being appointed in the district-level task force, 2) participating in strategic planning process, 3) being aware of implementation under MOPH values, 4) being aware of strategic management, and 5) being aware of the involvement of network partners. All factors had the predictability for the needs for development at 63.2% (R² = .632).

Conclusion: The author presented of implementation model for the achievement of measures by adjusting key implementation strategies: 1) healthcare for people of all age groups, 2) service system development according to health service development plan covering every service system in all areas, 3) development of manpower management system along with promotion and support of production, development and retention of health manpower, and 4) development of good governance system, public administration quality and financial and monetary management for health.