Development of Health Product Risk Surveillance System in Sahatsakhan Sub-district, Sahatsakhan District, Kalasin Province.

Abstract

     This study is research and development (R&D) approach with objectives to investigating the current situation and problems, developing a system, and evaluating the outcomes of implementing a community-based health product risk surveillance system in Sahatsakhan Sub-district, Sahatsakhan District, Kalasin Province. Study was conducted from November 2024 to July 2025, spanning a period of 9 months. Qualitative sample comprised 111 participants, including community leaders, pharmaceutical and consumer protection staff, health promoting hospital personnel, village health volunteers, students, and community store owners. The quantitative sample consisted of 98 health product surveillance records collected before and after system implementation. Research tools included focus group discussion guidelines, knowledge tests, attitude questionnaires, behavior questionnaires, satisfaction assessment forms, and surveillance data collection forms. Quantitative data were analyzed using descriptive statistics and inferential statistics (Paired t-test, X²), while qualitative data were analyzed using content analysis.

     Result findings revealed that the development process of the health product risk surveillance system comprised four main components: 1) development of concrete surveillance mechanisms, 2) enhancement of community health product literacy, 3) expansion of pharmacist roles in primary pharmaceutical care, and 4) integration of all sectors. The implementation outcomes demonstrated significant improvements in problem response actions, with store owner notifications increasing to 85.71%, reports to relevant agencies rising to 77.55%, complete problem resolution reaching 81.63%, and surveillance coverage across all 13 villages expanding to 91.84%. Mean knowledge scores increased from 8.41 to 9.18 points, surveillance behavior scores improved from 25.90 to 41.20 points, and satisfaction scores rose from 11.85 to 19.95 points, all statistically significant at the .05 level (t= 2.28, 3.95, 2.67).