บทคัดย่อ
Model for integration of communicable and non-communicable disease,Yasothon provinceThe objective of this study was to develop a model for integration the control of communicable and non-communicable diseases in Yasothon Province. The study was conducted during May 1996 and September 1997 and the model development procedures included the formulation of work system, placement of staff to the system, training on team working, training on applying the principle of epidemiology in the control of non-communicable from the study : 1) The model of integration on the prevention and control communicable and non-communicable disease was initiated by the formation of a new section combining together the units on communicable disease prevention and control, epidemiology, sexually transmitted diseases(STDs) and AIDS, and non-communicable disease prevention and control. The new Disease Prevention and Control' section comprised 3 subsections or groups: Data and Planning Group, Operational Promotion and Support group and Manpower Development and Evaluation Group.2) Evaluation of the model implementation2.1) Operation and satisfaction on disease prevention and control. District health administrators found that disease prevention and control was improved, but not satistically different, when compared to the structure before the study period. There was more satisfaction towards control and prevention of diseases. 2.2) Outcomes of the field operation, it was found that CD/NCD integration improved the disease prevention control outcomes, i.e. higher coverage of vaccination in first year primary schools, decline if STDs, increase rate of screeing of diabetes mellitus in risk groups and decline of occupational accidents in medical personel. Outcomes of some areas were not increased compared to the target levels. Recommendations from this study included the following: Longer time period should be provided for the implementation of the model to allow gradual shaping and improvement of the work system; Organization development technique and procedure should be applied for the model development; and there should be an evaluation on the integration process regarding personnel, budget, equipment and supplies, and quality of joint-operation within the work system.
