Model of development of a road traffic prevention and control model by using the mechanism of the Phraibueng District Health Board, Sisaket Province

Abstract

          This participatory action research aimed to develop a model for preventing road traffic injuries using the mechanism of the sub-district constitution as a tool for traffic accident prevention and control. The research was conducted between April and August 2024, involving 76 participants, including stakeholders in road traffic accidents in the Phrai Bueng Sub-district. The sample used to evaluate the model consisted of 90 residents. Using the mechanism of sub-district constitution. The research was conducted in 4 phases: planning, action, observation, and reflection, with two iterative cycles. Qualitative data were analyzed inductively, while quantitative data were analyzed using frequency, percentage, standard deviation, mean, and paired t-test statistics.
            The study results revealed that the traffic accident prevention and control process in Phrai Bueng Sub-district consisted of 4 steps. Step 1 planning included three activities: (1) Establishing a driving mechanism; (2) defining the roles of the leadership team and necessary information; (3) rehearsing activities for drafting the community charter. Step 2, Action, involved 7 activities: (1) Conducting a workshop to enhance the capacity of the leadership team and define roles and responsibilities(2) Raising public awareness about the community charter drafting (3) Drafting the community charter (4) Gathering public opinions (5) Announcing the charter (6) Trialing the community charter and (7) Reviewing, revising, and officially implementing the charter. Step 3: Reflection and Step 4: ACT The developed model for preventing road traffic injuries using the community charter in Phrai Bueng Sub-district, Phrai Bueng District, Sisaket Province was the H2CRSE Model, comprising: 1) Healthcare Accessibility 2) Community Engagement3) Collaboration and Partnerships 4) Supporting leadership and 5) Evaluating and Development. The evaluation of the developed model indicated that the average scores for knowledge preventive behaviors, awareness of accident severity, social support for road traffic injury prevention, community participation in activities, and satisfaction with the community charter were significantly higher after the trial compared to before the trial at a statistical significance level of 0.05. Therefore, the developed model can be effectively used to prevent and control accidents in the community as intended.