Development of a Strategic Model for Health Promotion, Disease Prevention and Control, and Public Health Performance Monitoring through Participatory Network Collaboration after the Transfer of Missions of the 60th Anniversary of Her Majesty the Queen Health Stations to the Provincial Administrative Organization, 2024

Abstract

     This study was an action research aimed at developing a strategic model for health promotion, disease prevention and control, and public health performance monitoring through participatory collaboration among health network partners after the transfer of missions of the 60th Anniversary of Her Majesty the Queen Health Stations and Subdistrict Health Promoting Hospitals (SHPH) to the Provincial Administrative Organization (PAO). The objectives were: (1) to study the contextual strategies for health promotion, disease prevention and control, and public health performance monitoring through network participation after the mission transfer; (2) to study the process of developing strategic operations through participatory collaboration; and (3) to examine the outcomes of the developed strategic operations. The research was conducted in three phases: situation analysis, model development, and model evaluation. The samples included 23 officers from the Mukdahan Provincial Public Health Office, 13 officers from the Mukdahan Provincial Administrative Organization, and 78 directors of Subdistrict Health Promoting Hospitals in Mukdahan Province. Both quantitative and qualitative data were collected and analyzed using descriptive statistics—percentage, mean, and standard deviation—and content analysis.

     The findings revealed that the level of participation in the development of the strategic management model was high, with the highest in the implementation phase (mean = 4.17), followed by policy and planning decision-making (mean = 4.14). Performance outcomes based on strategic indicators across three domains showed that 84.62% were at a good level, 12.82% at a very good level, and 2.56% at a moderate level. The developed strategic management model, called the 2JCA Model, comprised four main steps: Context, Joint Strategy, Joint Planning, and After Action Review (AAR). The results indicated that participatory collaboration among network partners enhanced strategic management processes and improved the effectiveness of public health operations under the PAO administrative structure.