Development of Community Health System to Prevent Cerebrovascular Disease among Risk Group

Abstract

                Action research aimed to improve community health in the prevention of stroke risk by research area in  2 communities in Tharua District, Ayutthaya Province. a Stroke risk group that have been evaluated by the evaluation Thai CV Stroke risk is the risk of moderate to both male and female, and stakeholders and organizations in the community, including members of the family leader. officials and community health in the community. Using data collected by structured interviews include data for vulnerable groups. family members and those involved in community discussion groups. Semi-structured interviews, In-depth interviews, participant observation and field notes. data analysis, quantitative data with descriptive statistics. Data were analyzed using qualitative content analysis conducted research from January 2561 - September 2561 began with the study of the cultural context of risk behavior prevention stroke prevention activity restriction policies, plans support individual roles problems. And related organizations Strengths and weaknesses within the community selection problems and joint planning Compliance Program The evaluation changes by stimulating research into the changes in the community. Make caregivers vulnerable groups and those involved in community health volunteers and village headmen of local authorities. Health officials and nurses cooperation in the development of healthy communities together to solve problems that arise in every stage of the research is as follows:  1) Alteration in the community health system in support for stroke prevention: The changes in community health system involved alteration in the following areas; application of community empirical data as a basement for the creation of stroke prevention measures, communication with local people, publication of stroke prevention measures, monitoring and following up system was coached by healthcare officials, and creating stroke preventing environment. 2) Alteration in perception, management and behavior of the personnel relating to the community’s health care system: The changes in this category involve; allocating of the responsibilities on stroke prevention, creating role model group, creating awareness on the danger of stroke and the importance of stroke prevention. In addition, a Thai rhyming, “Teep, Tak, Tan, Undarai”, literally means “narrowing, breaking, blocking, dangerous”, was also used in a campaign to gain public awareness on the danger of stroke developed at different levels of blood vessel obstructions.