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A Report (Draft)
Nakornratchsrima ‘s Successful Aging: A Subgroup
intervention (Sekiew’s district) for Successful Aging’s Thailand
***Sustained health promotion and prevention program***
Area of Study and implementation:
Sekiew’s Sub-district, Sikew’s district, Nakornratchsrima Province, Thailand
Year 2012 – 2013
By Dr. Jitisak Poonsrisawat, M.D.
Prof. Takada Minako, JICA
Ms. Channipa Rakkusol, R.N. (Health authorized, Nakornratchsrima Province)
Ms. Salinda (Sikew’s sub-district, a local health care administor)
Rational
As Successful Aging’s Thailand has stating since 1999, the program contributor, Jitisak
and Takada, had attempted to develop an essential program knowledge and intervention
for Local level (Sub-district, and district area) of Thailand for more than 10 years.
By the collected data of health conditions and living functions by the fundamental health)
function and living conditions checklists (the Questionnaires, 25 topics), based on the
fundamental health conditions and living functions check lists translated and adaptation
from Japan health and well-being foundation with Tokyo metropolitan institute of
Gerontology, Japan.
Questionnaires have 25 questions for elderly answered (self rating, “yes” and “no”
answers), to answer these questions; the elderly will be consideration of ability, attitude,
and consciousness concern of the self ability on activities of daily living (ADL, IADL,
and others).
The main focus activity and effects creation: explained and discussed
1. Coordination of project staff and local health administration to both understand
role and working process.
2. The effective communication, the elder participants, project staff and local health
administration.

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3. Attitude, awareness and knowledge of older participants on self health condition,
self awareness, senile health conditions and related affects (physical and mental),
functional and roles of group activity
4. Newly focus activity as an organic gardening (simply vegetable) for self planting
in their own home, residential and community participation: this activity is
proposed for make a community and individual self training and health effected
on training brain, living skill and created enjoy life (depression, sedentary, and
house bound: prevention effect)
5. The activity plan is need to continue action on repeat same topic activity again
(But more detail and focusing on real effect on knowledge and real applicable on
the community by have to create new model as assigned as a homework) for at
least 3 times for clearly understand and create real effect on skill, knowledge and
understanding of topics to make a real changing activity and promote life situation
of elder individual self and community
6. Activities were designed base on local people needed and real effect on
implementation in short, intermediate and long term with designed to be sustain
by create income to individual and community
Picture on Event:

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Please see picture 1 to 8 from left to right, top to down
Picture 1: Place and elder average age is 60 years old
Picture 2: Topic explanation for develop attitude, awareness and health target for
activities oriented create Successful Aging’s program
- Self esteem
- Independent
- Communication and socialized skills
- Coping management
- Exercise (Heart and muscle) : the important, effective and result, 5 W, 1 H and
how to solve limitation on individual and community impact
- Diseases (chronic) awareness

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- Community activities
- Sustainable program and method
- Requested for any concerned
- Government support
- Future activities plan and action required
- Effect on a real commercialized product or services of designed activities
Picture 3: Local health team personnel
Picture 4: A mayor of Sikew’s municipality (Mr. Preecha Chanroungthong),
Nakornratchsrima province: open ceremony, introduction and explained government
support plan and activities
Picture 5: A local health administrator (female on the left, Ms. Salinda), important health
authority and team expert and coordinator and a special invited speaker (male on the
right, Mr. Suthep Kulsri, an expert on organic vegetable & plant agriculture designed and
development, Pathumthani province, Thailand)
Picture 6: An example of designed planting materials for organic planting and
development on health effect.
Picture 7: Creative idea of hand stimulation (for diabetic) massage, launch in this event
Picture 8: Provincial health authority officer (Head of department of health promotion
and prevention, Nakornratchsrima province)
Budget: 5,000 Thai Bath with Local Support
Program implement: October 2012 – October 2014
Results:
- Health & well – being and changing life style with a real impact will be evaluate
by the follow up topics target (index of success) explained and the implement is
need to further follow up on effects of creation activity as assigned local working
and needed to follow up in Q1 2014.
Remark:
Index of Success
Social and system impact
- Knowledges of healthy behavior and life-styles
- Daily living impact (real activities; exercises details, healthy life style activities)

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- Individual and community responses
- Health authority : the plan and concern for problems solving and support
- Team evaluation
Health impact
- Evaluation by comprehensive geriatric assessment (CGA) : on process of
evaluation
- Health check up and activities research
Community impact
- Participants number and feed back evaluation on board
- Creativity of local support for increased economic activities (Organic planting
with Reliable Commercialization)
- **** Sustainable economic and Community, Family, and Individualized Health
Knowledge and practical management