The Effects of the Participatory Supervision Model for the District Health Coordinating Committee (DHCC) Jointly Implemented by the Chanthaburi Provincial Public Health Office and Chanthaburi Provincial Administrative Organization Agencies

Abstract

This action research aimed to: (1) examine the supervision of the District Health Coordinating Committee during 2024 and 2025; and (2) develop and evaluate a supervision model. The study comprised three phases: problem identification through retrospective document review, model development, and model evaluation. Ten former supervisors participated in the model development phase, while 80 supervisors and supervisees were selected through simple random sampling for the evaluation phase. Data were collected using questionnaires. The instrument demonstrated content validity (IOC = 0.66–1.00) and reliability (Cronbach’s alpha = 0.91). Data were analyzed using descriptive statistics, Independent t-test, and One-way ANOVA at a significance level of p<0.05.

               The findings revealed that: 1) the 2024 emphasized work understanding and collaborations, whereas the 2025 supervision emphasized indicator monitoring but lacked alignment with participants’ interests and participation from the Provincial Administrative Organization; 2) the 2026 Health-Chan-Supervision Model was developed, consisting of Team, KPI, Slide format, Schedule, and Room arrangement, with high practical feasibility; and 3) overall opinions toward supervision before, during, and after implementation were at a good level. Workplace differences significantly affected opinions before and after supervision (p=0.007 and p=0.006), with PAO administrators and teams reporting the highest mean scores. In conclusion, the Health-Chan Co-Supervision Model enhanced awareness and collaboration between both sectors. Therefore, clear supervision policies and implementation plans should be established to support continuous application and future expansion.