Applying an ecological model to investigate the implementation situations of child development aged 0-5 years in Na Nong Tum Community, Khon Kaen

Abstract

The objective of this exploratory research was to investigate the implementation situations of child development aged 0-5 years in Na Nong Tum Sub-district, Chumphae District, Khon Kaen Province by applying the Ecological Model. The 21 key informants included: Chief Executive of the Subdistrict Administrative Organisation (SAO), Public Health Executive, supervisor of maternal and child health from hospital, Director of the education division, child development center teachers, school teachers, maternal and child health officers from Subdistrict Health Promotion Hospital, SAO Representatives, student representatives from the Children's Council, Community leader representatives, Village health volunteers and Parent representatives. The research was performed from October to December 2022. The research tools including, semi-structured interview and group discussion guideline. Data were analyzed using content analysis methods.
            The results showed that 1) Intrapersonal factor was found that most of the samples lacked knowledge regarding promoting child developments. Most of them had a good attitude towards the operation but some did not concern about this issue. 2) The interpersonal factors found that there was a lack of connection, information transmission, and coordination between each network, lack of integrated implementation, lack of monitoring and reporting system, insufficient supported devices and inadequate budget 3) Organizational factors found that there was no clear and concrete management structure. 4) Community factors found that there was a lack of information transmission to the community. Norms and community policies were not established. 5) Policy factors found that there were national and provincial policies, but there was no concrete implementation.
           Therefore, integrated work with social networks should be encouraged in order to implement continuously and sustainably.