Local Authority Research on health promotion

1. Assoc. Prof. Dr. Chulaporn Sota
Faculty of Public Health
Khon Kaen University,Thailand

3. Back ground
 Disease Pattern is changed from communicable
disease to be non communicable disease.
(HT,DM,CA,HD)
 Health Promotion is the process of enabling people to
increase control over, and to improve their own health.

4. OTTAWA
Charter
Building Health
Skill
Policy service
Community
Environment
strengthen

5. Sub-district administration
organization (SDAO)
 Thailand has delegation the powerful to local as top
down since the year 1994 until now by SDAO take
action as the main organization for development
appropriate their need and problem.
 But Health promotion was not enough concern from
SDAOM although the government try to alert and
motivation.
 Thailand has already conducted HPH, HPS, Healthy
work place, but no have HPSDAO although SDAO is
very important organization to improve people’s
health and quality of life.

7. Objectives

8. Research Design
 This participatory action research (PAR)
 Aimed to “”””””””””””””””””sub-district administration
organization member (SDAOM) to be health
promoting sub-district administration organization
 Study area : 2 SDAOs
 Nongbua sub district , Nong kungsee
district, Kalasin Province
 Kao Suan Kuang sub-district , Kao Suan Kuang
district, Khon Kaen Province, Thailand.

9. Sample
 The samples were leaderships.
 People :”””””””””””””””
 There were phases study.
 Phase 1 study context and situation analysis
 Phase 2 potential development of Sub-district
administration organization
 Phase 3 SDAOM conducted health promoting
activities for people in communities.

10. Data Collection
 The data were collected by questionnaires both pretest
and posttest and AIC technique (Appreciate
Influence Control)
 Data analyzed by SPSS program for quantitative data.
The statistics were analyzed for descriptive data :
percentage, distribution, arithmetic mean and
standard deviation and comparative internal group
were used paired Sample t-test.
 Qualitative data was analyzed by content analysis.

11. Research Tool
Questionnaire and Observation form
AIC (Appreciate Influence Control) for
qualitative data

12. Empowerment
1. Academic support
2. Motivation : Emotional support
3. Knowledge management or caring and Sharing
4. Health Promoting activities consultation
5. Equipment support
6. Competition : health promotion village, Local song
(Sarapanya)
7. Health Promoting Handbook

15. Health Promoting SDAO
1. Health Promoting Plan and Project, Policy
2. Various Health Promoting Activities
3. Increasing concern about health promotion
4. Increasing stakeholders participation
5. Health promotion committee
6. SDAO allowance budget for health promotion.
7. Continuing development.

16. Sport support
Good Participation :
school, community, temple

17. AIC

18. Results
 1. After implementation, the subjects had mean score
of Knowledge, attitude , enabling, and reinforcing
factor of SDAOM higher than before
implementation significantly at p<0.001.
 No significant of practice and role of health
promotion support.

19. Results : Situation
 1. SDAOM almost had experiences for health
promotion training however no policy and no health
promotion activities were arranged.
 After implementation there were many health
promotion activities appear including plan and policy
were focused .

20. Good Community participation

21. AIC Technique at Nongbua sub-
district, Kalasin Province

22. Research Results

23. 4. Marital 5.Education
status (Married (Primary school
%)
3. Age 6 -45 6. Body weight
yr %) ( - Kg
%)
7. High (151-
2. Sex 160 Cm %)
(Female
51.8%)
8. BMI ( -
1. Sample (56 %)
Persons)
1. General data

24. 12. Income 13. Exercise
Per month training
(< Bt ( %)
11. Agriculture 14. Nutrition
( %) training
( 15.%)
Alcohol
Member 10.
Family and Tobacco
Illess(NO67.9%) Training ( %)
16. Stress
9. Sickness management
(No )
1. 1. General data ( 45.64%)

25. 18. Traffic
accident
Prevention
Training ( 19. Sanitation
17. AIDS
Training (48.21 and Environment
%) ( %)
1. 1. General data

26. 2 Comparison of knowledge for health
promotion between pretest and post test.
30
24.64
25 22.83
knowledge score
20
average score
15
S.D.
10
3.93
5 3.59
0
pretest posttest
Significantly Difference p<0.001; 95%
CI: 2.98 to 0.61

27. Competition of Local song for health
promotion

28. Health Promotion Training for Senior
people

29. 3 Comparison of Attitude toward health
promotion between pretest and post test.
90
78.6
80 72.28
70
Attitude score
60
50 average score
40 S.D.
30
20
7.76 5.09
10
0
pretest posttest
Significantly Difference p<0.001; 95%
CI: 8.89 )

30. 3 Comparison of Perception of Enabling
factor of health promotion between pretest
and post test.
3
2.53
2.5
Enabling Factore
2
1.66 1.71 1.53
average score
1.5
S.D.
1
0.5
0
pretest posttest
Significantly Difference p<0.000; 95%
CI : 8.89 )

31. Health promotion training for adolescent

32. 4 Comparison of reinforcing factor on health
promotion between pretest and post test.
3.5 3.32
3
factor
2.5
2.08
Reinforcing
2 1.68 1.6 average score
1.5 S.D.
1
0.5
0
pretest posttest
Significantly Difference p<0.001; 95%
CI : 2.36 To )

33. 5 Comparison of practice on health
promotion between pretest and post test.
120
101.66 100.04
100
คะแนนด้านพฤติกรรม
80
average score
60
S.D.
40
13.24 11.57
20
0
pretest posttest
No Significantly different p<0.447; 95%
CI : -2.63 To )

34. 6. Comparison of supportive role for health
promotion between pretest and post test.
Supportive role
40
33.51 34.32
35
30
25
average score
20
S.D.
15
7.36
10 7.25
5
0
pretest posttest
No significantly Difference p<0.527; 95%
CI : -1.72 To 3.33)

35. People Characteristic


36. Recommendation from research
1. Human relationship among stake holders is very
important including researcher and community
leader.
2. Mobilization among other supportive
organizations should concern.
3. Knowledge management for caring and sharing
should be conducted.

37. Recommendation from research
Motivation relevance with community context
made the leader alert to join health promotion
activities
5. Re- planning is very important for increasing
sustainable development.
6. Researcher should be facilitator and help the local
authority take action and increasing their proud.

38. Recommendation from research
Enhancing Local Authority has opportunity to
present the activity an increasing self of
belonging.

39. Recommend for further research
1. It should be R&D Research and
Development for sustainable and
creative activities.
2. It should integrate culture for
health development.
3. Integrate health promotion
among all of element is interesting
such as physical activities, nutrition
, mental health, tobacco and
alcohol abuse, AIDS , accident

40. Recommend for further research
4. Comparative study between difference local
authority.
5. Study and Develop KPI for local Authority.
6. Study outcome and impact of preventative disease
decreasing. Relative health promotion
implementation.
7. Study applying for health Promotion in various
dimension of health promotion.

41. Conclusion
 Health promotion activities was very important
behavior, especially decreasing preventable
 diseases. , The SDAOM should more concentration
and support including motivation and
 encourage the people for more concerning and
participation about health promotion .

42. Acknowledgement
 Thanks the National Health Security Office
 Thank Khon Kaen University
 Thank sub-district Administration Organization :
Both Nong bua Sub-district , Nongkungsri
District, Kalasin Province and Kaosuankuang Sub-
district ,
 Kaosuankuang Sub-district,Khon Kaen Thailand.
 Thanks for all valuable supportive.