Abstract
The project, Health Service design in Primary care under situation Covid - 19 diseases Study case of district Yarang, Pattani Province., aimed to stimulate health personnel to recognize the importance of primary health care system and to design their own service delivery responding to unique context complexity at local level in the southern part of Thailand. The project consists of 2 processes as followed. 1) Self-review of Pattani’s health personnel in primary care system to respond to recommended procedures regarding the COVID - 19 epidemic control in communities. The procedures were based on the WHO primary care framework, a framework with community network partners and the analysis of the complexity of the epidemic situation. There has been a response to the government policies and agreements at the area level in order to achieve 3 goals, namely 1) Safety of personnel and provider, 2) Strong community for disease management, and 3) Effective disease control. As a result, target personnel could understand the complexity of the problems and be motivated to develop health service to respond problems that arise. At the same time, the researcher realized that the policy imperative to the main responsible agencies at the national level. There should be preparation and readiness of the whole structure, specific budgets and personnel to cope with future outbreaks and response to chronic disease problems that may require a different management approach. 2) Target personnel development for new health service design by using “Design Thinking” process. The result of the development was a new working design and service system responding to complex health problems at the local level in 4 issues: 1) Anemia problem in pregnant women, 2) Expanding the services access to vulnerable groups, 3) The development of rehabilitation service for stroke patients (Intermediate care), and 4) The development of health service systems for uncontrolled hypertension and diabetes patients. Regarding the new delivery processes design, it was found that the health personnel placed greater emphasis on the primary health care system and the patients were more confident about receiving the service, as evidenced by the co-rehabilitation of 21 stroke patients revealed that 18 patients (85.71%) had increased ADL levels and improved clinical outcomes in a sample of 22 pregnant women with anemia were able to manage the problem in 14 cases (66.66%) without anemia. In addition, all four services were prepared in order to response to the potential recurrent of COVID-19 epidemic in Pattani.
