Abstract
This study applied the research and development model aiming to propose policy recommendations for community health management approaches during the post COVID-19 crisis management for village health volunteers (VHVs) under the New Normal Medical Services policy. Both quantitative and qualitative data were obtained from the sample groups during the post COVID-19 pandemic, which consisted of the VHVs and the groups of stakeholders participating in community health management practices in both health regional zones 5 and 6. Samples were categorized using the Social Ecological Model-based study methodology as a framework. This comprises five levels; 1) Intrapersonal Factors are the collection of elements within the VHVs that influence behavior or performance abilities. These include knowledge, attitude, and skills or KAS of VHVs; 2) Interpersonal Factors or the environment surrounding VHVs that impacts their work performances, such as peer groups, patients and family members of the VHVs, reflecting their satisfaction towards VHVs' work performance with community participation; 3) Community Factors refer to community capitals including social, human, physical, financial, and natural capitals assisting VHVs in carrying out their duties efficiently in collaboration with community stakeholder groups, such as community committees, the District and the Subdistrict Quality of Life Development Committees in each neighborhood; 4) Organizational Factors refers to factors in sectors where the VHVs works or is associated and is related to the command or control lines. These include various key performance indexes (KPIs) with many groups of stakeholders including subdistrict health promoting hospitals, district and provincial health offices, the Provincial Communicable Disease Committees and inspectors of both health regional zones; and 5) Global Crisis and Policy refers to situations at home and abroad that impact other nations throughout the globe, including the public policies declared by governments. Stakeholders are top executives of the Ministry of Public Health from the Department of Health Service Support, the Department of Disease Control, and the Department of Medical Services. Data were collected between July 2021 and February 2022. Intrapersonal and Interpersonal Factors data gathering utilized both quantitative and qualitative data collecting methods. With regards to community, organizations, global crisis conditions and public policy factors, this study used semi-structured interviews to obtain qualitative data. According to the findings, the structure of the VHV prior to the COVID-19 pandemic consisted of the following four categories: 1) project writing and implementation, 2) health promotion and disease prevention, 3) use of health information technology, and 4) community leadership and participation. After designing a model to develop a handbook for VHVs, community health managers in post-crisis management, the responsibility of the VHVs in the fifth component was determined to be crisis management after the COVID-19 pandemic. It will be required for VHVs in the future to be able to deal with the context of future public health issues that are complicated and transnational.
