Operational model for control and prevention of liver fluke disease Maha Sarakham Province.

Abstract

     This action research aims to develop and evaluate the implementation model for the control and prevention of liver fluke disease in Maha Sarakham Province. The research period is from November 2023 to December 2024. The participants were specifically selected, consisting of executives in the Maha Sarakham Provincial Public Health Office, directors of community hospitals, all district public health offices, the committee for solving the problem of liver fluke and bile duct cancer, the Maha Sarakham Provincial Public Health Office, those responsible for liver fluke and bile duct cancer, community hospitals, the Maha Sarakham Provincial Public Health Office, sub-district health promotion hospitals, representatives of educational institutions, and representatives of local administrative organizations, totaling 85 people. Quantitative data were analyzed using descriptive statistics, including numbers and percentages. Qualitative data were analyzed using content analysis.

     The results of the study found that the implementation model for the control and prevention of liver fluke disease Maha Sarakham Province consists of 1. Policy promotion by setting as a performance evaluation indicator (KPIs) at the district level 2. Integrating work through the operation mechanism of the District Quality of Life Development Committee (PCHOR) 3. Creating a local team to implement various measures 4. Preparing an action plan and implementing it in each area 5. Exchanging knowledge for driving operations 6. Supervising and monitoring operations from quarterly data analysis and from the performance evaluation (KPIs) at the district level twice a year. The operations resulted in setting joint goals and measures, creating plans/projects that are consistent with the problems by the network partners, and having a clear treatment, referral, and monitoring system. As a result, the prevalence of liver fluke disease in Maha Sarakham Province decreased from 5.90 percent in 2023 to 1.90 percent.