Developing the Capacity of Village Health Volunteers in Providing Diabetes Care : A Case Study of Waeng Yai Subdistrict, Waeng Yai District, Khon Kaen Province.

Abstract

     Diabetes is a major public health concern in Thailand, with prevalence increasing from 8.9% in 2014 to 9.5% in 2020. Over 5 million people are affected, and 43.2% are unable to maintain target blood glucose levels. Village Health Volunteers (VHVs) play a critical role in community health care as part of the “3 Doctors” concept, where VHVs are considered the first and closest provider to the people.

     This descriptive study aimed to assess the potential of VHVs in caring for diabetic patients in Wang Yai Sub-district, Wang Yai District, Khon Kaen Province. A total of 112 VHVs participated in the study. Data were collected between October 2024 and May 2025 using a structured questionnaire focusing on knowledge, skills, and behaviors related to diabetes care. Descriptive statistics were used for data analysis.

     The findings revealed that most VHVs had moderate to high levels of knowledge and skills. Sixty percent demonstrated strong understanding of diabetes causes, blood sugar control, appropriate patient self-care, and correct use of basic tools such as fingertip glucose monitors. Thirty percent had moderate knowledge, while ten percent had limited understanding, typically due to lack of training or experience. In terms of skills, VHVs were generally capable of providing basic health advice, monitoring common complications such as foot ulcers and hypoglycemia symptoms, and conducting regular follow-ups. However, 42.86% of VHVs had never received formal training on diabetes care, indicating a gap in continuous capacity development.