The Results of The Development of Knowledge Programs for Village Health Volunteers for Surveillance and Prevention of Community- Acquired Sepsis at Sok Nam Khao Subdistrict, Muang, Udon Thani Province.

Abstract

The participatory action research aimed to study the situation, developed and evaluated the program of Village Health Volunteer (VHV) in surveillance and prevention of community-acquired sepsis. Sample selected by purposive sampling 21 data provider and 75 VHV joined the develop the knowledge program. Operated during September 2021 - September 2022, divided into 3 phases: I) situation study II) developing the program and implementation III) evaluating the program. The research instrument was a knowledge program of Village Health Volunteers in surveillance and prevention of community-acquired sepsis. The data collection was 1) in-depth interview /focus group discussion 2) non-participant observation 3) the questionnaire on surveillance and prevention of community-acquired sepsis. Instrument was validated by 4 experts, the IOC was 0.85, reliability by Cronbach's alpha coefficient was 0.78. data analysis by   descriptive statistics, Paired T- test and content analysis.

Results showed (I) situation of community-acquired sepsis was found that more severe in the  elderly, people who had open wounds or exposure to agricultural chemicals, patients with underlying diseases who miss understood that they had minor illness and delayed to see the doctor in hospital.   (II) The development of the knowledge program for village health volunteers in surveillance and prevention of community-acquired sepsis was 1) design the knowledge program through network participation       2) development the knowledge program by (2.1) training village health volunteers for the contents that consisted 1. meaning of sepsis 2. situation of sepsis in the area 3. suspected symptoms of sepsis and severe sepsis 4. risk groups 5. Enhanced no self-medication in risk groups and how to access to emergency medical services (EMS 1669) 6.assessment, primary care before call EMS 1669 2.2) practiced to assess sepsis symptoms, primary care before call EMS 1669 in the conference room before proceeding in the actual area (2.3) VHV get experience in adviced to risk groups. (III) evaluation revealed 1) knowledge of VHV after the training were significantly higher than before (p<0.001). 2) 80.00 % of the VHV adviced sepsis knowledge to risk group together with activity they had done in the community. 3) Total access to medical service by private vehicle and EMS 1669 before and after 5 months program was increased from 25 to 38 people, the mortality rate was decreased from 40.00 % to 21.05 %.Conclusion: Programs of VHV in surveillance and prevention of community-acquired sepsis were used to advise people to access medical treatment in time and can reduce the mortality rate in the area studied.