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Policy Recommendations Synthesis on a Model and Health Workforce for Integrated Soft Power Principles That Utilize Risk Communication to Prevent Health Impacts from PM 2.5 in the Border Areas

สมิทธิ์ บุญชุติมา; Smith Boonchutima; สุดคนึง ฤทธิ์ฤาชัย; Sudkanueng Ritruechai; พิทักษ์พงษ์ จันทร์แดง; Pitukpong Jandang; ว่าน วิริยา; Wan Wiriya;
Date: 2568-09
Abstract
This research aimed to develop and test the effectiveness of a PM2.5 dust risk communication curriculum using Soft Power principles for public health personnel in border areas, with a case study in Tak Province, which severely suffers from PM2.5 pollution with an average level of 31.70 μg/m³ and a recorded maximum of 592 μg/m³, exceeding standards by 5 times. The research employed a mixed-methods approach divided into 4 phases: 1) studying knowledge, skills, and needs; 2) developing training curriculum; 3) studying curriculum implementation results; and 4) synthesizing policy recommendations. The study involved 1,600 public health personnel and community members across 4 levels: national, provincial, district and subdistrict levels. Phase 1 Results revealed that public health personnel needed to develop skills in using digital media and social media (4.04/5) and techniques for communicating scientific information in an accessible manner (3.82/5). Community members had good basic knowledge (85.00-95.00%) but low awareness of PM2.5 standards (21.20-30.50%). Phase 2 Results produced a curriculum using Soft Power principles: storytelling, creative media, inspiration building, relationship building, and accessible language use. The development emphasized utilizing respected community leaders, incorporating local language and culture, and creating media appropriate for community contexts. Data collection was conducted in Mae Ku and Mae Kasa sub-districts in Mae Sot District, Tak Province, with both areas serving as pilot sites for curriculum implementation. Phase 3 Results demonstrated that using Soft Power principles in risk communication showed impressive effectiveness, increasing public knowledge and understanding from 8.40% to 27.00% (an increase of 18.60%) and enhancing self-protection behaviors from 33.10% to 57.80% (an increase of 24.70%) within just 1 month after the campaign. The most effective communication channels were village broadcasting systems/loudspeakers (58.90%), followed by village health volunteers (24.1%), and posters/vinyl banners (16.10%). Phase 4 Results the developed training curriculum innovation has been evaluated positively by experts across various dimensions, particularly concerning its utility and accuracy. The synthesis of policy recommendations regarding the format and personnel for integrating the Soft Power framework emphasizes the enhancement of communication skills and community engagement at the local level. This approach utilizes collaborative mechanisms between local governance organizations and public health agencies, aligning with the policies and strategies of the Ministry of Public Health, as well as provincial and district public health entities. The research concludes that Soft Power principles have high potential for health risk communication as they can create acceptance, adapt to local contexts, and generate sustainable change from within. Key recommendations include expanding this curriculum to other areas with PM2.5 problems, developing support systems for sustainability, and integrating it into the regular operational systems of the Ministry of Public Health.
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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HSRI Knowledge BankDashboardCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjectsSubjectsการบริการสุขภาพ (Health Service Delivery) [630]กำลังคนด้านสุขภาพ (Health Workforce) [102]ระบบสารสนเทศด้านสุขภาพ (Health Information Systems) [287]ผลิตภัณฑ์ วัคซีน และเทคโนโลยีทางการแพทย์ (Medical Products, Vaccines and Technologies) [128]ระบบการเงินการคลังด้านสุขภาพ (Health Systems Financing) [162]ภาวะผู้นำและการอภิบาล (Leadership and Governance) [1320]ปัจจัยสังคมกำหนดสุขภาพ (Social Determinants of Health: SDH) [233]วิจัยระบบสุขภาพ (Health System Research) [28]ระบบวิจัยสุขภาพ (Health Research System) [21]

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