Development of nursing care model for prevent teenage pregnancy by community participation process of Kamalasai Hospital, Kalasin Province.

Abstract

     This study was a participatory action research (PAR) aimed to study the situation, problems, guidelines and develop a model for preventing teenage pregnancy using the community participation process at Kamalasai Hospital, Kalasin Province. Qualitative sample consisted of 34 interdisciplinary teams and networks for preventing teenage pregnancy. Quantitative sample consisted of 64 female adolescents aged 15-19 in Kamalasai District. Research was conducted between January 2024 and December 2024, a total of 12 months. The research instruments included a general information questionnaire, a health literacy assessment form, and a satisfaction assessment form. Data were analyzed using descriptive statistics. And inferential statistics in pre-post test developed with pared t-test statistics.
     Results of the study found that the process of developing a model for preventing teenage pregnancy consisted of 11 processes as follows: 1) Plan the operation with network partners. 2) Appoint a working group consisting of teachers, SAOs, local administrative organizations, health promotion hospitals, students, community leaders, kamnans, village headmen, with the district chief as the chairman. 3) Explain the operation policy. 4) Provide services to reach the target group by working as a team. 5) Establish a youth clinic in the area. 6) Proactively provide knowledge to parents and students. 7) Create volunteer leaders in each village. 8) Develop male volunteers who have sex with men in every sub-district. 9) Proactively visit new couples. 10) Public relations and knowledge in all channels. 11) Proactively campaign according to various festivals that are at risk of teenage pregnancy. The results of implementing the model found that unwanted teenage pregnancies decreased. Adolescents have more health knowledge in pregnancy prevention. Satisfaction increased significantly at the .05 level (t =8.29, 10.24, respectively).