The Development of a Systemic Capability Enhancement Model to Improve Anthrax Investigation and Control among a Communicable Disease Control Unit in a Decentralized Border Area, Health Region 10, 2025

Abstract

     This action research aimed to develop a systemic capacity-building model to enhance anthrax investigation and control for Communicable Disease Control Units (CDCU) recently transferred to local administrative organizations in the border areas of Health Region 10. Using a purposive sampling method, one CDCU was selected based on inclusion criteria. The research followed the Planning, Action, Observation, and Reflection (PAOR) framework. Data were collected through performance records and qualitative content analysis, and analyzed using descriptive statistics and thematic summarization.

     Results The study implemented a systemic capacity-building model through a strategic mentorship mechanism. The results demonstrated a significant improvement in the CDCU's investigation and control capabilities. Key outcomes included a marked reduction in the number of disease contacts and the successful identification and elimination of contaminated slaughtering sites. Furthermore, the model was scaled up by integrating it into the epidemiology training curriculum for CDCU officers under the Sisaket Provincial Administrative Organization. The systemic capacity-building model proved highly effective in controlling anthrax outbreaks.