Abstract
The COVID-19 epidemic situation is affecting health and managing to cope with the global population crisis. The primary health care system is the key system that connects the people and the public sector in health management. This research aims to 1) explore the situation of problem management in the COVID-19 epidemic in the primary health service system. 2) investigate the outcomes and consequences of COVID-19 epidemic management in primary health care systems; and 3) synthesize COVID-19 epidemic management policy proposals in primary health care systems. The study was conducted on the primary health service system at the subdistrict health promotion hospital in the Public Health Region 11 to cope with the COVID-19 epidemic. The concept of primary health care roles and functions in relation to the public health systems and community networks, integrating the core concepts of 1A4C and utilizing qualitative research methodologies, was implemented in this research. Researchers used multi-stage sampling and in-depth interviews by group discussion, structured in-depth interviews, participant observation, and study information from documents/guidelines of the area. Qualitative content analysis was used to examine the data. Data triangulation allows for data validation at every stage of the study. Conclusions are reached through content analysis and interpretation. According to the findings, The geography of the 11th Health Area is divided into 1) island areas and tourism. 2) Border areas, border borders, and international entry and exit channels 3) Agricultural and industrial areas Primary health care systems play a part in managing problems in the COVID-19 epidemic situation. It was ordered under the order of the provincial disease control committee. to the district level, sub-district level, and village level by participation of all sectors in the community and to develop additional relevant personnel, such as Hotel Public Health Volunteers and Foreign Public Health Volunteers in order to provide thorough and comprehensive management for both people both inside and outside the area. tourist and foreign workers
Management approach of primary health systems The actions were as follows: 1) Educating the public Health Volunteers and people in the area and develop the potential of related personnel 2) Health care services based on the DMHTTA principle with a one stop service treatment process 3) Taking care of chronic disease patients (NCDs) in the whole group receiving treatment at the host hospital and those who received treatment at the STD hospital used technology to care for the patients and for communication. Provide care and provide additional educational information during appointments. remote consultation Health services delivery platforms
Community surveillance measures are 1) setting up screening points in the area 2) closing the area 3) screening before entering the community. Local administration is based on participation from all sectors in the community. Quarantine can be either home quarantine or local quarantine. Hotel quarantine (Alternative Local Quarantine) and 4) management of migrant workers in the area in the service sector, agriculture, fishery and factories. Recommendations for the management of the primary health care system include: 1) Information management should be provided by using an epidemic control model and database that can be linked across the entire system. 2) Strengthen the manpower framework and response plan to assist in the management of emerging disease cases. 3) For patients to receive continuity of treatment, there should be a person who is primarily responsible for 2-way communication coordination between the referral hospital and the subdistrict health promotion hospital. 4) Local government organizations should have a standard system to manage vehicles for the pick-up and delivery of COVID-19 patients and risk groups. 5) Before disseminating information to the public, there should be a system for screening information and knowledge sets should be a channel for distributing information from various knowledge sets to make it easily accessible to the public. 6) As part of community systematic management, subdistrict health promotion hospital should implement the guidelines for controlling the epidemic in a tangible and explicit way. This should be enhanced by participation from all sectors of the community and should enhance communication and leadership skills for the team to perform. 7) Regulations in the category of emergency money for the control of developing disease epidemics should be established by local government/municipal organizations. 8) In the operation of epidemic control operations, the relevant authorities should consider the safety of workers at high risk of infection. 9) A home visit tracking app with two-way communication should be available to provide caregivers with confidence in their ability to care for patients consistently. 10) Caregivers' knowledge and skills in caring for the disabled, the underprivileged, the elderly, and bedridden patients can be enhanced through manuals or online learning resources. And 11) Numerous studies have revealed many agencies' engagement and help in the management of network partners in co - management with primary health care units in the COVID-19 outbreak. Participation with network partners is a major driving factor.
Policy Recommendation: 1) The Public Health Region 11 should create and develop a health information platform that connects all 7 provinces to be able to access the system for both personnel and people from all sectors. and publicize them all around. 2) The Public Health Region 11 should have a policy to develop a telemedicine system to manage, control and supervise vulnerable groups. high-risk exposure and COVID-19 patients including the care system for chronic patients in the community. 3) The Public Health Region 11 or the Provincial Public Health Office should organize a training course for developing health leaders in the area with the target group being a network and volunteering in the community to develop competency in community operations 4) The state should establish a clear working policy to protect workers in surveillance, prevention, control and care for COVID-19 patients. both in terms of the adequacy of personnel, duration, protective equipment and budget for management. 5) The state should have a policy for every local government organization to have a public health work group that directly accepts those who have graduated in nursing or public health. To link health operations in the community with understanding, access, speed and pertinence. 6) The Department of Health Service Support should organize training and develop public health volunteers with a curriculum that keeps pace with changes in both subject matters. Emerging diseases, chronic diseases, epidemics and care at all ages 7) The state should establish a system and mechanism for creating and developing network cooperation at the community, district, province and health zone levels with participation of people in all levels and sectors in order to Accuracy, clarity, convenience, speed in practice and encourage volunteers in the area to participate in physical, mental, social and spiritual dimensions.
