Development of Mechanisms for Implementing Bubble and Seal Intervention in Workplace, Health Region 8th

Abstract

This action research aimed to 1) Develop mechanisms for implementing Bubble and Seal (BBS) intervention in workplaces, and 2) Evaluate the BBS intervention and select the BBS workplaces model. The target group consists of 38 workplaces in health region 8^th, by purposive sampling, along with representatives from 10 related network organizations. The implementation is divided into three phases: 1) Communicating and transmitting policies/measures to the local level, 2) Driving implementation through various mechanisms in collaboration with network agencies, and 3) Monitoring and evaluating the BBS interventions. Research tools include policy advocacy processes, group meetings, focus groups, and interviews, with data analyzed using content analysis. The study found that the mechanisms for driving BBS measures in workplaces include four key components: 1) Communication and transmission of Bubble and Seal policies/measures to the local level, 2) Implementation through provincial communicable disease committees, 3) Provincial-level Coaching Teams, with zone-level technical agencies providing consulting, oversight, and monitoring, and 4) Monitoring and evaluation of BBS implementation. As a result, Health Region 8^th saw an increase in workplaces implementing BBS interventions from 2 in the initial phase to 68, with 4 workplaces being nationally certified as model BBS operations. From the evaluation of 38 sample workplaces, the highest readiness was in policy preparation and vaccination planning for workers (94.7%), while the lowest readiness was in the preparation of BBS operational plans (68.4%). The study suggests continuous implementation of BBS measures in workplaces, applicable to future diseases and health threats, to enhance preparedness and mitigate impacts. Additionally, an internal Audit System for BBS operations is recommended to ensure.