ปัจจัยที่มีผลต่อการดำเนินงานระบบสุขภาพระดับอำเภอ อำเภอนาทวี จังหวัดสงขลา

Thanthip Sreesamai; Araya  Prasertchai

Authors

Thanthip Sreesamai School of Health Sciences, Sukhothai Thammathirat Open University
Araya Prasertchai School of Health Sciences, Sukhothai Thammathirat Open University

Keywords:

Health system, Implementation district health system, District health network

Abstract

The objective of this research study was to study the condition of health system operation and study factors affecting health system operation at district level, Na Thawi District, Songkhla Province, Thailand.

The study population involved all 138 members of the steering committee on Na Thawi District Health System (DHS) or Network. Data were collected using a questionnaire. We analyzed data using descriptive statistics (including mean, standard deviation), Pearson's Correlation Coefficient, and stepwise multiple regression. Our results indicated that:

(1) the overall organizational support and the DHS implementation were at a high level

(2) personal factors and organizational support factors (including budget, materials, time, and technology) were positively and significantly related to the DHS implementation (p= 0.05)

(3) based on the predictive equation, organizational (technology) support had the highest predictive power on the DHS implementation (P= 0.05); in our regression model, technology could explain 51.30% of the variation in the implementation

(4) problems have arisen due to the lack of committee meetings to drive the planning for development as well as the implementation of in Na Thawi District District Health System according to the district health system context.

References

Barron, P., & Sankar, U. (2000). Developments towards a district health system. Retrieved from http:// www.hst.org.za/uploads/files/chapter10_00.pdf.

Divisionof Health Education. (2013). Networking and participation in community health behavior change. Nonthaburi: Department of Service Support, Ministry of Public Health. (in Thai)

Harold D. Koontz. (1972). Essentials of management: An international perspective. New Delhi: McGraw-Hill, 43.

McClelland, David. (1983). Achievement Needs. New York: Addison-Wesley.

Ministry of Public Health of Thailand. (2015). Implementation of District Health System (DHS). Nonthaburi: Office of the Permanent Secretary, Ministry of Public Health. (in Thai)

Office of Public Health Administration. (2014). District Health System (DHS). Nonthaburi: Office of the Permanent Secretary, Ministry of Public Health. (in Thai)

Pamon, P. (2014). District Health System Development Performance by District Health Committee in Nong Khal Province. (Master’s thesis). Khon Kaen University, Khon Kaen. (in Thai)

PraMote, L. (2014). Performance Assessment of District Health System in Tak Province. Nonthaburi: Health System Research Institute, Ministry of Public Health. (in Thai)

Surakiat, A. (2013). Perspective and experience Primary System Development:In the first decade of collateral policy national health. Bangkok: Moh-Chao-Ban Publishing House.

Tarimo, E. (1991). Towards a healthy district: Organizing and managing district health systems based on primary health care. Geneva: World Health Organization.

World Health Organization. (1991). Community Involvement in Health Developement: Challenging Health Service. Report Series 809. World Health Organization Geneva.

World Health Organization. (1988). The challenge of implementation: District health systems for primary health care. Geneva: Author.

World Health Organization. (2000). The world health report 2000 - health systems: Improving performance. Geneva: Author.

World Health Organization. (2007a). Everybody’s business--strengthening health systems to improve health outcomes: WHO’s framework for action. Geneva: Author.

World Health Organization. (2007b). Towards better leadership and management in health: Report on an international consultation on strengthening leadership and management in low-income countries. Geneva: Author.

World Health Organization. (2008). The world health report 2008 - primary health care (now more than ever). Geneva: Author.