Development of a Promotion Model for Early Childhood Development by the District Health Board Mechanism in Wan Yai District, Mukdahan Province

Abstract

The purpose of this research was to develop an early childhood development surveillance model base on the District Health Board’s process (DHBp) in Wan Yai District, Mukdahan Province. The study divided into three phases. The first phase was identified factors influencing early childhood development. The sample were 220 parents or caregivers of children aged 0-5 years. Data were collected using the questionnaires and analyzed by using multiple logistic regression. The second phase was developed a surveillance and promotion model for early childhood development base on the DHBp using the PAOR quality management process. The sample consisted of 75 stakeholders. Data were analyzed by content analysis. The third phase was evaluating the effectiveness of the developed model between experimental and control groups (30 pairs each). Data were analyzed using independent and paired sample t-tests.
The study results found that factors influencing early childhood development with a predictive power of 75.7% were parental knowledge, perception of the severity of developmental delays, community participation, social support, and caregiving behaviors within families. The early childhood development surveillance model was 2S2CBMI-WANYAI Model that consisted of: 1) Determining the structure and policy, 2) Screening comprehensive system, 3)Communicating effectiveness, 4)Creating environment to support development, 5) Creating awareness and engagement of the people in the organization, 6) Continuing of monitor and evaluation, and 7) Modernizing and developing processes according to the context of the area. Evaluation of the effectiveness of the model showed that the experiment group improved statistically significant (p value<.001) in knowledge, self-efficacy, social support, participation in developmental surveillance, and caregiving behaviors. The developed model might increase the capacity of parents and the public to monitor early childhood development base on the DHBp in Wan Yai District that has met the objectives.